Coastal Care Corporation

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

COASTAL CARE CORPORATION

Practice address

1651 SE Tiffany Ave Ste 100
Port St Lucie, FL 34952-7564

Phone

(772) 223-4923

Fax

(772) 223-5622

NPI assigned

Sep 10, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Robert Lord

Title

Ceo

Phone

(772) 223-4903

Specialties & licenses 1

Addresses

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners 1

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

• Maryellen O. Monahan, M. D.

  • Diagnostic Radiology Physician
  • Stuart, FL
  • NPI 1346210333
  NPD (past)

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1801129747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950959",
            "telephone_number": "772-223-4923",
            "fax_number": "772-223-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 SE TIFFANY AVE STE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527564",
            "telephone_number": "772-223-4923",
            "fax_number": "772-223-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-223-4903",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coast Care Partners LLC
• Coast Dental P.a. (Coast Dental-St. Lucie West)
• Coast Pain Relief Center
• Coastal Care and Wellness PLLC
• Coastal Care Corporation (Cleveland Clinic Imaging)
• Coastal Care Corporation (Martin Memorial Medicenter at St Lucie West)
• Coastal Family Chiropractic PA
• Coastal Kids Speech, LLC
• Coastal Orthopedic Center, Inc (coastal limbs & brace)
• Sarah Codreanu, MD

• Radiology Clinic/Center in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.