Coastal Childrens Services PLLC

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

COASTAL CHILDRENS SERVICES PLLC

Practice address

120 Memorial Dr
Jacksonville, NC 28546-6328

Phone

(910) 667-6819

Fax

(910) 667-4639

NPI assigned

Aug 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Fernando R. Moya, MD

Title

President

Phone

(910) 667-5011

Specialties & licenses 1

Addresses

Tax ID family

Coastal Childrens Services PLLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Childrens Services PLLC

  • Pediatric Gastroenterology Physician
  • Lumberton, NC
  • NPI 1124371646
  NPD tax ID
• Coastal Childrens Services PLLC

  • Pediatrics Physician
  • Wilmington, NC
  • NPI 1538558879
  NPD tax ID
• Coastal Childrens Services PLLC

  • Pediatric Gastroenterology Physician
  • Wilmington, NC
  • NPI 1548523095
  NPD tax ID
• Coastal Childrens Services PLLC

  • Pediatric Critical Care Medicine Physician
  • Wilmington, NC
  • NPI 1982092219
  NPD tax ID

Locations

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1922356146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 GLEN MEADE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036024",
            "telephone_number": "910-667-5011",
            "fax_number": "910-772-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEMORIAL DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466328",
            "telephone_number": "910-667-6819",
            "fax_number": "910-667-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CHILDRENS SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "MOYA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-667-5011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Arthritis and Rheumatism Associates PA
• Coastal Carolina Internal Medicine, PA
• Coastal Carolina Neuropsychiatric Center, PA
• Coastal Carolina Neuropsychiatric Center, PA
• Coastal Carolina Orthopaedic Surgeons PA
• Coastal Childrens Services, PLLC
• Coastal Community Services, LLC
• Coastal Diagnostic Imaging, PLLC
• Coastal Foot Center
• Coastal Foot Center, LLC

• Pediatric Gastroenterology Physician in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Pediatric Gastroenterology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.