NPIMap

Organization Active NPI

Coastal Albemarle Orthopedics PA

  • Specialist
  • Edenton, NC
National Provider Identifier
1821051905
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
65914 Issued in NC
Legal business name
COASTAL ALBEMARLE ORTHOPEDICS PA
Practice address
701 Luke St
Edenton, NC 27932-9643
Phone
(252) 482-5011
Fax
(252) 482-0390
NPI assigned
Apr 10, 2006
Last updated
Jun 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Dr. Francis Michael McCarthy, MDNPI 1861482515
Title
President
Phone
(252) 482-5011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 65914 NC Primary

Addresses

Primary practice location

701 Luke St
Edenton, NC 27932-9643

Mailing address

701 Luke St
Edenton, NC 27932-9643
Phone (252) 482-5011

Other identifiers 2

IdentifierTypeStateIssuer
0187VOtherNCBLUE CROSS BLUE SHIELD
890187VMedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1821051905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 LUKE ST",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279329643",
            "telephone_number": "252-482-5011",
            "fax_number": "252-482-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 LUKE ST",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279329643",
            "telephone_number": "252-482-5011",
            "fax_number": "252-482-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ALBEMARLE ORTHOPEDICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-482-5011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "65914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0187V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890187V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edenton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.