1. Home
  2. Directory
  3. Mississippi
  4. Pascagoula
  5. Internal Medicine
  6. NPI Profile

COASTAL CARDIOLOGY, PC
NPI 1639239387
Internal Medicine - Cardiovascular Disease in Pascagoula, MS

Active since December 11, 2006
4211 HOSPITAL ST, SUITE 107, PASCAGOULA, MS 39581(228) 202-3335(228) 202-3337 Get Directions Write a Review

NPPES record last updated: January 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coastal Cardiology, Pc NPPES

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

COASTAL CARDIOLOGY, PC (NPI 1639239387) is a healthcare organization registered as a cardiovascular disease in Pascagoula, Mississippi and active in the NPI registry since December 2006. The organization lists Pavel Khimenko, President, as its authorized official.

NPPES Registry Identity

NPI1639239387
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCOASTAL CARDIOLOGY, PC
Location Address4211 HOSPITAL ST, SUITE 107Pascagoula, MS 39581-5310
Mailing Address4211 Hospital St, Suite 107Pascagoula, MS 39581-5310 · (228) 202-3335 · Fax (228) 202-3337
Phone(228) 202-3335
Fax(228) 202-3337
Organization SubpartNo
Authorized OfficialPavel KhimenkoPresident · (228) 202-3335
Enumeration DateDecember 11, 2006
Last NPPES UpdateJanuary 17, 2012
✔ NPI 1639239387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MS · 18035
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4211 HOSPITAL ST, Pascagoula, MS 39581
Open in Google Maps ↗

Other Identifiers 4

Other422390786CMS · Bcbs
Medicare PINC03224MS
Medicare UPING81628
Medicaid00571214MS

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

TYSHAYLA MIMBES
Case Manager/Care Coordinator
4211 HOSPITAL ST
PASCAGOULA, MS 39581
Jackson County (228) 283-4140
JOSEPH LANCE WILSON
Peer Specialist
4211 HOSPITAL ST
PASCAGOULA, MS 39581
Jackson County (228) 282-4140
MRS. KRISTEN COLEMAN KIBBY LMSW
Social Worker (Clinical)
4211 HOSPITAL ST
PASCAGOULA, MS 39581
Jackson County (228) 283-4140
TIFFANY DENNIS APRN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4211 HOSPITAL ST
PASCAGOULA, MS 39581
Jackson County (228) 283-4140
NAKISHA DELYNN DUCKSWORTH
Counselor (Mental Health)
4211 HOSPITAL ST
PASCAGOULA, MS 39581
Jackson County (228) 283-4140
MADISON LOTT
Case Manager/Care Coordinator
4211 HOSPITAL ST
PASCAGOULA, MS 39581
Jackson County (228) 283-4140
LESLIE RAMON
Peer Specialist
4211 HOSPITAL ST
PASCAGOULA, MS 39581
Jackson County (228) 283-4140
DR. JOHN CHURCHILL HUNTWORK M.D.
Internal Medicine (Rheumatology)
4211 HOSPITAL ST, SUITE 206
PASCAGOULA, MS 39581
Jackson County (228) 696-9995

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 Cardiology, PC's NPI number?

The NPI number for Coastal Cardiology, PC is 1639239387. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Coastal Cardiology, PC located?

Coastal Cardiology, PC is located at 4211 Hospital St Suite 107, Pascagoula, MS 39581. The listed phone number is (228) 202-3335.

What is Coastal Cardiology, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Coastal Cardiology, PC was last updated on January 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.