COASTAL CHILDRENS CLINIC INC NPI 1316104607

Pediatrics in New Bern, NC

NPI 1316104607 Organization Pediatrics CLIA Number 34D0246497 CLIA Certificate of Compliance

About COASTAL CHILDRENS CLINIC INC

Coastal Childrens Clinic Inc is a pediatrician established in New Bern, North Carolina specializing in pediatrics. The NPI number of Coastal Childrens Clinic Inc is 1316104607 and was assigned on May 2008. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Coastal Childrens Clinic Inc 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 Diane Houck (Administrator)

A pediatrician like Coastal Childrens Clinic Inc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

The CLIA number of Coastal Childrens Clinic Inc is 34D0246497 registered as a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Coastal Childrens Clinic Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI

1316104607

Provider NameCOASTAL CHILDRENS CLINIC INC
Provider Location Address703 NEWMAN RD NEW BERN, NC 28562
Provider Mailing Address703 NEWMAN RD NEW BERN, NC 28562
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-22-2008
Last Update Date05-22-2008


Primary Taxonomy

Taxonomy Code208000000X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Business Address

COASTAL CHILDRENS CLINIC INC
703 NEWMAN RD
NEW BERN, NC
ZIP 28562
Phone: (252) 633-2900
Fax: (252) 633-9609

Get Directions


Mailing Address

COASTAL CHILDRENS CLINIC INC
703 NEWMAN RD
NEW BERN, NC
ZIP 28562
Phone: (252) 633-2900
Fax: (252) 633-9609



Authorized Official

Authorized Official Name DIANE HOUCK
Authorized Official TitleADMINISTRATOR
Authorized Official Phone(252) 633-2900

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1316104607 is:

CLIA Number34D0246497
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Compliance

Group Taxonomy


193400000X 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.

Other Providers at the same location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417959651 CHARLES MARSTON CRAWFORD M.D.
Individual
Pediatrics703 NEWMAN RD
NEW BERN, NC 28562
(252) 633-2900
1477555654 LISA M KAFER M.D.
Individual
Pediatrics703 NEWMAN RD
NEW BERN, NC 28562
(252) 633-2900
1508868738 GREGORY G. GUNSTEN M.D.
Individual
Pediatrics703 NEWMAN RD
NEW BERN, NC 28562
(252) 633-2900
1063416329 LEEANN B SKLADAN M.D.
Individual
Pediatrics703 NEWMAN RD
NEW BERN, NC 28562
(252) 633-2900
1366418816COASTAL CHILDRENS CLINIC
Organization
Pediatrics703 NEWMAN RD
NEW BERN, NC 28562
(252) 633-2900
1407920739 STANTON W EZZELL NP
Individual
Nurse Practitioner (Pediatrics)703 NEWMAN RD
NEW BERN, NC 28562
(252) 635-5290
1235355918 DAVID THOMAS TAYLOE III M.D.
Individual
Pediatrics703 NEWMAN RD COASTAL CHILDREN'S CLINIC
NEW BERN, NC 28562
(252) 633-2900
1326049990MRS. MELISSA LOVETTE HOLLIFIELD FNP
Individual
Nurse Practitioner (Family)703 NEWMAN RD
NEW BERN, NC 28562
(252) 633-2900
1639386329 KELLY RENEE GROVE D.O.
Individual
Pediatrics703 NEWMAN RD
NEW BERN, NC 28562
(252) 633-2900
1306220975MRS. CHRISTEANNA WINSLOW RICHARDSON CPNP-PC
Individual
Nurse Practitioner (Pediatrics)703 NEWMAN RD
NEW BERN, NC 28562
(252) 633-2900
1528414091DR. CHELSEA ELIZABETH FOWLER D.O.
Individual
Pediatrics703 NEWMAN RD
NEW BERN, NC 28562
(252) 633-2900

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.