Crystal Coast Ear, Nose & Throat

Primary specialty

SpecialistTaxonomy code 174400000X

License

9600643 Issued in NC

Legal business name

CRYSTAL COAST EAR, NOSE & THROAT

Practice address

42 Office Park Dr
Jacksonville, NC 28546-3217

Phone

(910) 545-4159

NPI assigned

May 22, 2007

Last updated

Aug 9, 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. Francis J Milewski, M.D.NPI 1467503714

Title

Owner

Phone

(910) 545-4159

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.

• Francis J Milewski, M.D.

  • Specialist
  • Jacksonville, NC
  • NPI 1467503714
  Authorized official Same address or phone

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1780893974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12125",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285462125",
            "telephone_number": "910-545-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285463217",
            "telephone_number": "910-545-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL COAST EAR, NOSE & THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "MILEWSKI",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-545-4159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "9600643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8959181",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890200V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gema Cruz
• Mallory Cruz
• Siena Cruz
• Crystal Clarity Counseling Services
• Crystal Clear Results LLC
• Crystal Coast Pain Management Center, PLLC
• Lindsey Cubbedge
• Chelsey Lynn Cunningham
• Michelle Rhyne Cunningham
• Alejandro Cunto

• Specialist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.