COASTAL PAIN CARE PA
NPI 1891778171
Pain Medicine - Interventional Pain Medicine in Beaumont, TX

Q: What is Coastal Pain Care PA's NPI number?

The NPI number for Coastal Pain Care PA is 1891778171. It was assigned to this organization in the NPPES registry on November 21, 2005.

Q: What is Coastal Pain Care PA's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since November 21, 2005

755 N 11TH ST, SUITE P2280, BEAUMONT, TX 77702(409) 892-4600(409) 892-4605 Get Directions Write a Review

NPPES record last updated: August 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Coastal Pain Care Pa NPPES

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

COASTAL PAIN CARE PA (NPI 1891778171) is a healthcare organization registered as an interventional pain medicine in Beaumont, Texas and active in the NPI registry since November 2005. The organization lists Craig A Charleston, Owner, as its authorized official.

NPPES Registry Identity

NPI1891778171

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameCOASTAL PAIN CARE PA

Location Address755 N 11TH ST, SUITE P2280Beaumont, TX 77702-1501

Mailing Address755 N 11th St, Suite P2280Beaumont, TX 77702-1501 · (409) 892-4600 · Fax (409) 892-4605

Phone(409) 892-4600

Fax(409) 892-4605

Organization SubpartNo

Authorized OfficialCraig A CharlestonOwner · (409) 892-4600

Enumeration DateNovember 21, 2005

Last NPPES UpdateAugust 2, 2011

✔ NPI 1891778171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiologyTaxonomy 207L00000X

755 N 11TH ST, Beaumont, TX 77702

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Other Identifiers 3

Medicare PIN00438ZTX

Medicaid175364201TX

Other0027MWTX · Blue Cross

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

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.

MRS. BONNI BLUE STANCOVEN CRNA

Nurse Anesthetist, Certified Registered

755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702

Jefferson County (409) 838-5214

DR. MUSTAFA IBRAHIM MUSA M.D.

Internal Medicine

755 N 11TH ST, SUITE P-5200
BEAUMONT, TX 77702

Jefferson County (409) 898-2994

DR. TOBIN A. SLACK M.D.

Anesthesiology

755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702

Jefferson County (409) 838-5214

DR. MARIA SUSAN BLAHEY MD

Family Medicine

755 N 11TH ST, SUITE P-5200
BEAUMONT, TX 77702

Jefferson County (409) 898-2994

STEVEN CHAD WILLIAMS CRNA

Nurse Anesthetist, Certified Registered

755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702

Jefferson County (409) 838-5214

DR. MICHAEL J. MCCREDIE M.D.

Anesthesiology

755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702

Jefferson County (409) 838-5214

DEREK CHAMBLESS CRNA

Nurse Anesthetist, Certified Registered

755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702

Jefferson County (409) 838-5214

SHEILA DIAN DEVAUGH APRN

Nurse Practitioner (Family)

755 N 11TH ST, STE. P2200
BEAUMONT, TX 77702

Jefferson County (409) 892-1192

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 Pain Care PA's NPI number?

The NPI number for Coastal Pain Care PA is 1891778171. It was assigned to this organization in the NPPES registry on November 21, 2005.

Where is Coastal Pain Care PA located?

Coastal Pain Care PA is located at 755 N 11th St Suite P2280, Beaumont, TX 77702. The listed phone number is (409) 892-4600.

What is Coastal Pain Care PA's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Coastal Pain Care PA was last updated on August 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.