Coastal Orthopedic Associates, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COASTAL ORTHOPEDIC ASSOCIATES, PA

Practice address

2376 Cypress Circle
Suite 300
Conway, SC 29526-8920

Phone

(843) 347-7222

Fax

(843) 347-3305

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Wendy L Meares

Title

Administrative Assistant

Phone

(843) 234-7857

Specialties & licenses 1

Addresses

Other identifiers 4

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13837/brand/3/csg/1/fhir/r4

Practitioners 1

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

• James W. Yates Jr., MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Conway, SC
  • NPI 1326119702
  NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1922109701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 CYPRESS CIRCLE",
            "address_2": "SUITE 300",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268920",
            "telephone_number": "843-347-7222",
            "fax_number": "843-347-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 CYPRESS CIRCLE",
            "address_2": "SUITE 300",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268920",
            "telephone_number": "843-347-7222",
            "fax_number": "843-347-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ORTHOPEDIC ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "MEARES",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "843-234-7857",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME MEDICAID",
            "identifier": "DM0418",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME MEDICARE",
            "identifier": "0313730001",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "42D0675833",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA7162",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Family Medicine
• Coastal Home Care (American HomePatient)
• Coastal Kidney Center PA
• Coastal Mind Over Matter LLC
• Coastal Neuropsychiatry, PA
• Coastal Pediatrics
• Coastal Pediatrics
• Coastal Podiatry Associates PA
• Coastal Urology Center, PA
• Coastline Ambulance LLC

• Specialist in Conway, SC
• Providers in Conway, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.