COASTAL SENIOR HEALTHCARE INC - NPI 1497289110 - Family Medicine in Bradenton, FL

Q: What is Coastal Senior Healthcare Inc's NPI number?

The NPI number for Coastal Senior Healthcare Inc is 1497289110. It was assigned to this organization in the NPPES registry on April 19, 2017.

Q: What is Coastal Senior Healthcare Inc's specialty?

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

On this page

About Coastal Senior Healthcare Inc NPPES

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

COASTAL SENIOR HEALTHCARE INC (NPI 1497289110) is a healthcare organization registered as a geriatric medicine in Bradenton, Florida and active in the NPI registry since April 2017. The organization maintains a secondary practice location in Sarasota and lists John K Mcdermott, President, as its authorized official.

NPPES Registry Identity

NPI1497289110

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameCOASTAL SENIOR HEALTHCARE INC

Location Address3914 E STATE ROAD 64Bradenton, FL 34208-9059

Mailing Address3914 E State Road 64Bradenton, FL 34208-9059 · (941) 216-3800 · Fax (941) 216-3703

Phone(941) 216-3800

Fax(941) 216-3703

Organization SubpartNo

Authorized OfficialJohn K McdermottPresident · (941) 216-3800

Enumeration DateApril 19, 2017

Last NPPES UpdateMarch 22, 20237 updates tracked since enumeration

NPPES CertifiedMarch 22, 2023

✔ NPI 1497289110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

3914 E STATE ROAD 64, Bradenton, FL 34208

Open in Google Maps ↗

Secondary Practice Location 1

Location 18450 Lockwood Ridge RdSarasota, FL 34243-2920 · Phone (941) 216-3800 · Fax (941) 216-3703

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

KRYSTAL TIFFANY YOUNG

Nurse Practitioner (Family)