Coastal Foot Center

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

222 Issued in NC

Legal business name

COASTAL FOOT CENTER

Practice address

217 Station St
Jacksonville, NC 28546-6304

Phone

(910) 938-6000

Fax

(910) 938-3618

NPI assigned

May 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Valentine T Hamilton, DPMNPI 1114085321

Title

Owner

Phone

(910) 938-6000

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

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

• Valentine T Hamilton, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Jacksonville, NC
  • NPI 1114085321

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1790943017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 STATION ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466304",
            "telephone_number": "910-938-6000",
            "fax_number": "910-938-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 STATION ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466304",
            "telephone_number": "910-938-6000",
            "fax_number": "910-938-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FOOT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "VALENTINE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-938-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "08055",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908055",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI TYPE1",
            "identifier": "261QP1100X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Carolina Orthopaedic Surgeons PA
• Coastal Childrens Services PLLC
• Coastal Childrens Services, PLLC
• Coastal Community Services, LLC
• Coastal Diagnostic Imaging, PLLC
• Coastal Foot Center, LLC
• Coastal Headache Clinic PLLC
• Coastal Horizons Center Inc.
• Coastal Massage and Wellness
• Coastal Mobile Medical Doctor, PA

• Foot & Ankle Surgery Podiatrist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.