Organization Active NPI

Coastal Ultrasound, Inc.

  • Sonography Specialist/Technologist Cardiovascular
  • Gulfport, MS
National Provider Identifier
1720148448
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
License
38162 Issued in LA
Legal business name
COASTAL ULTRASOUND, INC.
Practice address
240 B Courthouse Rd
Gulfport, MS 39507-1214
Phone
(228) 547-2250
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Holly Thomas ArnoultNPI 1376928697
Title
Co-Owner Office Manager
Phone
(228) 547-2250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist CardiovascularGroup: 193400000X SINGLE SPECIALTY GROUP 246XS1301X 38162 LA Primary

Addresses

Primary practice location

240 B Courthouse Rd
Gulfport, MS 39507-1214

Mailing address

45 Hardy Court, Shopping Ctr #187
Gulfport, MS 39507-2501

National Provider Directory

National Provider Directory

Locations

240B Courthouse Rd
Gulfport, MS 39507
Phone (228) 343-3432

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1720148448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HARDY COURT, SHOPPING CTR #187",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395072501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 B COURTHOUSE RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071214",
            "telephone_number": "228-547-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ULTRASOUND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "ARNOULT",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CO-OWNER OFFICE MANAGER",
        "authorized_official_telephone_number": "228-547-2250"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "LA",
            "license": "38162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.