NPIMap

Organization Active NPI

Coastal Anesthesia Associates, PA

  • Anesthesiology Physician
  • Wilmington, NC
National Provider Identifier
1891710778
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
COASTAL ANESTHESIA ASSOCIATES, PA
Practice address
1801 S 17TH St
Wilmington, NC 28401-6443
Phone
(910) 763-4555
Fax
(910) 798-8922
NPI assigned
Jul 13, 2006
Organization subpart
Yes
Parent organization
COASTAL ANESTHESIA ASSOCIATES, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. David P Lensch, M.D.
Title
President
Phone
(910) 763-4555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1801 S 17TH St
Wilmington, NC 28401-6443

Mailing address

1801 S 17TH St
Wilmington, NC 28401-6443
Phone (910) 763-4555

Other identifiers 5

IdentifierTypeStateIssuer
24267OtherNCMEDCOST GROUP NUMBER
4007773OtherNCBCBS TENNESSEE GROUP NO
0119VOtherNCBCBS GROUP NUMBER
2612380OtherCRNA GROUP MEDICARE NUMBE
890119VMedicaidNC

National Provider Directory

National Provider Directory
Part of
Coastal Anesthesia Assoc

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1891710778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016443",
            "telephone_number": "910-763-4555",
            "fax_number": "910-798-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016443",
            "telephone_number": "910-763-4555",
            "fax_number": "910-798-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ANESTHESIA ASSOCIATES, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL ANESTHESIA ASSOCIATES, PA",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LENSCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-763-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST GROUP NUMBER",
            "identifier": "24267",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TENNESSEE GROUP NO",
            "identifier": "4007773",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0119V",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNA GROUP MEDICARE NUMBE",
            "identifier": "2612380",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890119V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.