Coastal Virginia Spine and Pain Center LLC
NPI 1114496734ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Virginia Beach, VA
Pain Medicine, Interventional Pain Medicine in Virginia Beach, Virginia, registered in NPPES in November 2018. The authorized official on file is Amanda Ward, Credentialing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114496734 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 14, 2018 |
| Last updated in NPPES | Oct 27, 2022 |
| Certified by provider | Oct 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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