1. Home
  2. Directory
  3. North Carolina
  4. Wilmington
  5. Family Medicine
  6. NPI Profile

EXTENDED CARE PHYSICIANS - COASTAL, PA
NPI 1114191525
Family Medicine - Geriatric Medicine in Wilmington, NC

Active since April 16, 2008
1013 PORTERS NECK RD, SUITE 130, WILMINGTON, NC 28411(910) 795-1471 Get Directions Write a Review

NPPES record last updated: March 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Extended Care Physicians - Coastal, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXTENDED CARE PHYSICIANS - COASTAL, PA (NPI 1114191525) is a healthcare organization registered as a geriatric medicine in Wilmington, North Carolina and active in the NPI registry since April 2008. The organization lists Robin Gleeson-warren, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1114191525
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameEXTENDED CARE PHYSICIANS - COASTAL, PA
Location Address1013 PORTERS NECK RD, SUITE 130Wilmington, NC 28411-8130
Mailing AddressPo Box 890194Charlotte, NC 28289-0194
Phone(910) 795-1471
Organization SubpartNo
Authorized OfficialRobin Gleeson-warrenDirector Of Credentialing · (828) 210-2678
Enumeration DateApril 16, 2008
Last NPPES UpdateMarch 19, 2014
✔ NPI 1114191525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
1013 PORTERS NECK RD, Wilmington, NC 28411
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN2335785ANC
Medicaid5918852NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN WATKINS R.PH.
Pharmacist
1013 PORTERS NECK RD
WILMINGTON, NC 28411
New Hanover County (910) 676-0407
KRISTY ASWELL OATES PHARM.D.
Pharmacist
1013 PORTERS NECK RD
WILMINGTON, NC 28411
New Hanover County (910) 686-4007
CORNELIA NIXON DAVIS, INC.
In Home Supportive Care
1013 PORTERS NECK RD, SUITE 130
WILMINGTON, NC 28411
New Hanover County (910) 686-7195
MRS. MARSHA D FRETWELL M.D.
Internal Medicine (Geriatric Medicine)
1013 PORTERS NECK RD, SUITE 100
WILMINGTON, NC 28411
New Hanover County (910) 686-1099
MRS. RACHAEL ELIZABETH GOOD SELBY LPTA
Physical Therapy Assistant
1013 PORTERS NECK RD
WILMINGTON, NC 28411
New Hanover County (910) 566-1200
SENIOR CARE SYSTEMS, P.A.
Family Medicine
1013 PORTERS NECK RD, SUITE 100
WILMINGTON, NC 28411
New Hanover County (910) 686-1099
DR. AUDREY LYNN SUTTON-SURAK DO
Family Medicine
1013 PORTERS NECK RD, SUITE 100
WILMINGTON, NC 28411
New Hanover County (910) 686-1099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Extended Care Physicians - Coastal, PA's NPI number?

The NPI number for Extended Care Physicians - Coastal, PA is 1114191525. It was assigned to this organization in the NPPES registry on April 16, 2008.

Where is Extended Care Physicians - Coastal, PA located?

Extended Care Physicians - Coastal, PA is located at 1013 Porters Neck Rd Suite 130, Wilmington, NC 28411. The listed phone number is (910) 795-1471.

What is Extended Care Physicians - Coastal, PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Extended Care Physicians - Coastal, PA was last updated on March 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.