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COASTAL VASCULAR INSTITUTE, PA
NPI 1578656773
Surgery - Vascular Surgery in Wilmington, NC

Active since October 02, 2006
1411 PHYSICIANS DRIVE, WILMINGTON, NC 28401(910) 343-0811(910) 343-5719 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Vascular Institute, Pa NPPES

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

COASTAL VASCULAR INSTITUTE, PA (NPI 1578656773), doing business as Coastal Carolina Surgical Associates, Pa, is a healthcare organization registered as a vascular surgery in Wilmington, North Carolina and active in the NPI registry since October 2006. The organization lists Kara Florence Marcussen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1578656773
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameCOASTAL VASCULAR INSTITUTE, PA
Location Address1411 PHYSICIANS DRIVEWilmington, NC 28401-7338
Mailing Address1411 Physicians DriveWilmington, NC 28401-7338 · (910) 343-0811 · Fax (910) 343-5719
Phone(910) 343-0811
Fax(910) 343-5719
Organization SubpartNo
Authorized OfficialKara Florence MarcussenCeo · (910) 343-0811
Enumeration DateOctober 2, 2006
Last NPPES UpdateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1578656773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses✔ Licensed in NC · CERTIFICATE # 40958✔ Licensed in NC · 40958
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License CERTIFICATE # 40958 (NC), 40958 (NC)
1411 PHYSICIANS DRIVE, Wilmington, NC 28401
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Other Names 1

Former Legal Business NameCoastal Carolina Surgical Associates, Pa

Other Identifiers 5

Medicaid79-0271CNC
Other142384NC · Grp United Healthcare #
Other0271CNC · Bcbs Of Nc Group #
Other0271CNC · Bcbs Of Nc
OtherCB0557NC · Railroad Medicare Group #

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 Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.Insurance ›

Other Providers at the Same Location NPPES 2

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

DAVID ALLEN WEATHERFORD M.D.
Surgery (Vascular Surgery)
1411 PHYSICIANS DRIVE
WILMINGTON, NC 28401
New Hanover County (910) 343-0811
LAWRENCE HARDING KNOTT JR. M.D.
Surgery
1411 PHYSICIANS DRIVE
WILMINGTON, NC 28401
New Hanover County (910) 343-0811

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 Coastal Vascular Institute, PA's NPI number?

The NPI number for Coastal Vascular Institute, PA is 1578656773. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider was formerly known as Coastal Carolina Surgical Associates, PA.

Where is Coastal Vascular Institute, PA located?

Coastal Vascular Institute, PA is located at 1411 Physicians Drive, Wilmington, NC 28401. The listed phone number is (910) 343-0811.

What is Coastal Vascular Institute, PA's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

What insurance does Coastal Vascular Institute, PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Coastal Vascular Institute, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Vascular Institute, PA was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.