Coastline Surgical Group, PLLC
NPI 1629708821ActiveOrganization· Surgery· Englewood, FL
Surgery in Englewood, Florida, registered in NPPES in June 2022. The authorized official on file is Shea G. Jones, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629708821 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2022 |
| Last updated in NPPES | Oct 27, 2026 |
| Certified by provider | Oct 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
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 Part B Supplier - Clinic/Group Practice (FL) |
|---|
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