Coastal Vascular Institute, PA
NPI 1578656773ActiveOrganization· Surgery, Vascular Surgery· Wilmington, NC
Surgery, Vascular Surgery in Wilmington, North Carolina, registered in NPPES in October 2006. The authorized official on file is Kara Florence Marcussen, Ceo. Enrolled in Medicare as dme supplier - physician - general practice and part b supplier - clinic/group practice.
Overview
| NPI | 1578656773 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 2, 2006 |
| Last updated in NPPES | Apr 25, 2023 |
| Certified by provider | Apr 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | CERTIFICATE # 40958 | NC |
| Surgery | 208600000X | CERTIFICATE # 40958 | NC |
| Surgery | 208600000X | 40958 | NC |
| Surgery, Vascular Surgery | 2086S0129X | 40958 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - General Practice (NC); Part B Supplier - Clinic/Group Practice (NC) |
|---|
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