Coastal Surgical Specialists, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COASTAL SURGICAL SPECIALISTS, PC

Practice address

1120 First Colonial Rd
Suite 203
Virginia Beach, VA 23454-2418

Phone

(757) 481-4424

Fax

(757) 481-3820

NPI assigned

Dec 26, 2006

Last updated

Aug 11, 2010By 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. Basil S Skenderis II, M.D.NPI 1164477469

Title

Physician Administrator

Phone

(757) 481-4424

Specialties & licenses 1

Addresses

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.

• Basil S Skenderis II, M.D.

  • Specialist
  • Virginia Beach, VA
  • NPI 1164477469
  Authorized official Same address or phone

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1740345149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 FIRST COLONIAL RD",
            "address_2": "SUITE 203",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542418",
            "telephone_number": "757-481-4424",
            "fax_number": "757-481-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 FIRST COLONIAL RD",
            "address_2": "SUITE 203",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542418",
            "telephone_number": "757-481-4424",
            "fax_number": "757-481-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SURGICAL SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "SKENDERIS",
        "authorized_official_first_name": "BASIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN ADMINISTRATOR",
        "authorized_official_telephone_number": "757-481-4424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Plastic Surgery LTD
• Coastal Podiatry, Inc
• Coastal Prosthetics and Orthotics, LLC
• Coastal Prosthetics and Orthotics, LLC
• Coastal Smiles, PLLC
• Coastal Therapy Group Inc
• Coastal Tranquility Behavioral Health LLC
• Coastal Urology, P.C.
• Coastal Virginia Endodontics PLLC
• Coastal Virginia Mental Health Services PLLC

• Specialist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.