CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC – NPI #1013401561
Anesthesiology

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Health Care Provider Taxonomy Code for Anesthesiology

CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC is an anesthesiologist located in JACKSONVILLE, NC. NPPES has assigned the NPI number 1013401561 to CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC on June 19, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207LP2900X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Pain Medicine

The NPI profile was previously updated about 6 years ago on Oct 26, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC below.

NPI Profile for
CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC

NPI Number
1013401561
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC
Primary location
57 OFFICE PARK DR
JACKSONVILLE, NC 28546
Phone: (252) 636-0300 Fax:
Mailing address
2111 NEUSE BLVD STE J
NEW BERN, NC 28560-4318
Phone: (125) 263-6030 Fax:
Organization Subpart
No
Authorized Official
RACHEL LOOK
PRACTICE MANAGER
Phone: (252) 636-0300
Updated
Certification Date
Oct 26, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LP2900X
- Anesthesiology / Pain Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.