COASTAL PEDIATRIC ASSOCIATES, PLLC
NPI 1447638341
Specialist in Wilmington, NC

NPI Status: Active since May 12, 2015

Contact Information

3505 CONVERSE DR
SUITE 200
WILMINGTON, NC
ZIP 28403
Phone: (910) 392-5634
Fax: (910) 777-2022

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  • Organization
  • Specialist

About COASTAL PEDIATRIC ASSOCIATES, PLLC

This page provides the complete NPI Profile along with additional information for Coastal Pediatric Associates, Pllc, a provider established in Wilmington, North Carolina operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1447638341 assigned on May 2015. The practitioner's primary taxonomy code is 174400000X with license number 17469 (NC). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Thomas Blackstone M.d. (Managing Member)

NPI
1447638341
Provider Name
COASTAL PEDIATRIC ASSOCIATES, PLLC
Entity Type
Organization
Location Address
3505 CONVERSE DR SUITE 200 WILMINGTON, NC 28403
Location Phone
(910) 392-5634
Location Fax
(910) 777-2022
Mailing Address
3505 CONVERSE DR SUITE 200 WILMINGTON, NC 28403
Mailing Phone
(910) 392-5634
Mailing Fax
(910) 777-2022
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2015
Last Update Date
05-12-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
17469
License State
NC
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. THOMAS BLACKSTONE M.D.

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(910) 202-8020

Reviews for COASTAL PEDIATRIC ASSOCIATES, PLLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447638341
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24871231638
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 1 + 2 + 3 + 1 + 6 + 3 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1447638341 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861628695MRS. BREONY MILLER VINSON PA-C
Individual
Physician Assistant3505 CONVERSE DR SUITE 200
WILMINGTON, NC 28403
(910) 392-5634
1821327768MRS. SHANNON DEE KEELY RN IBCLC RLC
Individual
Registered Nurse (Lactation Consultant)3505 CONVERSE DR SUITE 200
WILMINGTON, NC 28403
(910) 392-5634
1891194015RALEIGH DURHAM MEDICAL GROUP, PA
Organization
Pediatrics3505 CONVERSE DR STE 200
WILMINGTON, NC 28403
(910) 392-5634
1912094301 THOMAS L BLACKSTONE MD
Individual
Pediatrics3505 CONVERSE DR STE 200
WILMINGTON, NC 28403
(910) 392-5634
1821519125 ASHLEY JILL KOEHLER OTR/L
Individual
Occupational Therapist3505 CONVERSE DR
WILMINGTON, NC 28403
(910) 295-2609
1588898571DR. WHITNEY NUGENT KING MD
Individual
Pediatrics3505 CONVERSE DR SUITE 200
WILMINGTON, NC 28403
(910) 392-5634
1073532248DIMOCK WEINBERG & CHERRY DDS PLLC
Organization
Dentist (Pediatric Dentistry)3505 CONVERSE DR SUITE 175
WILMINGTON, NC 28403
(910) 794-2266

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447638341, enumerated in the NPI registry as an "organization" on May 12, 2015

The provider is located at 3505 Converse Dr Suite 200 Wilmington, Nc 28403 and the phone number is (910) 392-5634

This medical organization specializes in Specialist with taxonomy code 174400000X

This NPI record was last updated on May 12, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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