Coastal Childrens Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

COASTAL CHILDRENS CLINIC

Practice address

218 Stone Bridge Square
Havelock, NC 28532

Phone

(252) 633-2900

NPI assigned

Jul 3, 2008

Organization subpart

No

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

Authorized official

Name

Diane Houck

Title

Practice Administrator

Phone

(252) 633-2900

Specialties & licenses 1

Addresses

Tax ID family

Coastal Childrens Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Coastal Childrens Clinic

  • Pediatrics Physician
  • Maysville, NC
  • NPI 1437311248
  NPD tax ID
• Coastal Childrens Clinic Inc

  • Pediatrics Physician
  • New Bern, NC
  • NPI 1316104607
  NPD tax ID

Practitioners 1

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

• Gregory G. Gunsten, M.D.

  • Pediatrics Physician
  • New Bern, NC
  • NPI 1508868738

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1962665653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 STONEBRIDGE SQ",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285329505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 STONE BRIDGE SQUARE",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "28532",
            "telephone_number": "252-633-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CHILDRENS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "HOUCK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "252-633-2900"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radonna Carroll, FNP-C
• Aimee Teresa Cellana
• Cherry Point Chiropractic & Rehabilitation Center PA
• City of Havelock
• Coastal Carolina Health Care, PA
• Coastal Friendly Pharmacy
• Gerald L Coates Jr., DMD, PA
• Shanda Nicole Collins-Godette, MSW, LCAS, P-LCSW
• Rachel Concepcion, DO
• Craven Cherry Point Child Development Center

• All providers in Havelock, NC
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.