COASTAL MEDICAL – NPI #1497347041
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

COASTAL MEDICAL is a radiologist located in PROVIDENCE, RI. NPPES has assigned the NPI number 1497347041 to COASTAL MEDICAL on February 05, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COASTAL MEDICAL” is a dba name, the actual legal business name for this organization is COASTAL MEDICAL PHYSICIANS, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 5 years ago on Oct 22, 2021. 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 COASTAL MEDICAL below.

NPI Profile for
COASTAL MEDICAL PHYSICIANS, INC.

NPI Number
1497347041
Enumeration Date

(more than 5 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
COASTAL MEDICAL PHYSICIANS, INC.
Doing Business As (dba): COASTAL MEDICAL
Primary location
10 DAVOL SQ STE 300
PROVIDENCE, RI 02903-4754
Phone: (401) 421-4000 Fax: (401) 272-1456
1 Other location(s):
593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-6779
Fax: (401) 444-6912
Mailing address
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4541
Phone: (401) 444-6779 Fax: (401) 444-6912
Organization Subpart
Yes - COASTAL MEDICAL is subpart of another organization.
Authorized Official
DAVID KIRSHNER
CFO
Phone: (401) 444-7914
Updated
Certification Date
Oct 22, 2021

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.

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.