COASTAL DERMATOLOGY & SURGERY CENTER, PA
NPI 1982820031
Specialist in Wilmington, NC

Active since April 17, 2007CLIA 34D0975613 · Certificate of Compliance
2504 DELANEY AVENUE, WILMINGTON, NC 28403(910) 343-0626(910) 343-8012 Get Directions Write a Review

NPPES record last updated: March 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coastal Dermatology & Surgery Center, Pa NPPES

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

COASTAL DERMATOLOGY & SURGERY CENTER, PA (NPI 1982820031) is a healthcare organization registered as a specialist in Wilmington, North Carolina and active in the NPI registry since April 2007. The organization holds a CLIA Certificate of Compliance certificate valid through May 14, 2028 and lists Heather A Loesch, Owner President, as its authorized official.

NPPES Registry Identity

NPI1982820031
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOASTAL DERMATOLOGY & SURGERY CENTER, PA
Location Address2504 DELANEY AVENUEWilmington, NC 28403-6002
Mailing Address2504 Delaney AveWilmington, NC 28403-6002 · (910) 343-0626 · Fax (910) 343-8012
Fax(910) 343-8012
Organization SubpartNo
Authorized OfficialHeather A LoeschOwner President · (910) 343-0626
Enumeration DateApril 17, 2007
Last NPPES UpdateMarch 13, 2013
NPI 1982820031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NC · 200000526
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2504 DELANEY AVENUE, Wilmington, NC 28403

Other Identifiers 3

Medicare UPINH16137NC
Medicare ID-Type Unspecified2320973NC
Medicaid89126ACNC

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 34D0975613

Coastal Dermatology And Surgery Center, PA · Wilmington, NC
Active · expires May 14, 2028
CLIA Number34D0975613
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorHeather A. Loesch
Laboratory Phone(910) 343-0626
Laboratory LocationCoastal Dermatology And Surgery Center, PA2504 Delaney Avenue, Wilmington, NC 28403
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

Dermatology
2504 DELANEY AVENUE
WILMINGTON, NC 28403

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 Dermatology & Surgery Center, PA's NPI number?

The NPI number for Coastal Dermatology & Surgery Center, PA is 1982820031. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Coastal Dermatology & Surgery Center, PA located?

Coastal Dermatology & Surgery Center, PA is located at 2504 Delaney Avenue, Wilmington, NC 28403. The listed phone number is (910) 343-0626.

What is Coastal Dermatology & Surgery Center, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Coastal Dermatology & Surgery Center, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D0975613) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coastal Dermatology & Surgery Center, PA accept?

Health plans from Blue Cross and Blue Shield of NC list Coastal Dermatology & Surgery Center, 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 Dermatology & Surgery Center, PA was last updated on March 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.