Coastal Gastroenterology PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

COASTAL GASTROENTEROLOGY PLLC

Practice address

3 Medical Center Drive
Supply, NC 28462

Phone

(910) 754-7790

Fax

(910) 754-7838

NPI assigned

Jun 25, 2006

Last updated

Aug 28, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Frank Loving Holt Jr., MDNPI 1124028014

Title

MD

Phone

(910) 754-7790

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frank Loving Holt Jr., MD

  • Gastroenterology Physician
  • Supply, NC
  • NPI 1124028014
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1720014012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEDICAL CENTER DRIVE",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "28462",
            "telephone_number": "910-754-7790",
            "fax_number": "910-754-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL CENTER DRIVE",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "28462",
            "telephone_number": "910-754-7790",
            "fax_number": "910-754-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "LOVING",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "910-754-7790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891235G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1235G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chicora Medical Group PA (Brunswick Speciality Services)
• Church Family Medicine, PC
• Sue A Clampitt, AUDIOLOGIST
• Coastal Cancer Center LLC (Coastal Cancer Center)
• Coastal Carolinas Integrated Medicine PA
• Coastal Haven Home
• Coastal Hearing Centers, Inc
• Coastal Horizons Center Inc.
• Coastal Horizonscenter, Inc
• Coastal Southeastern United Care LLC (Coastal Southeastern United Care)

• Gastroenterology Physician in Supply, NC
• Providers in Supply, NC by specialty
• Gastroenterology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.