Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coastal Vascular Institute, PA

Organization Surgery Physician · NPI 1578656773

Coastal Vascular Institute, PA is a Surgery Physician in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1411 Physicians Dr
Wilmington, NC 28401-7338
Phone: (910) 343-0811
Fax: (910) 343-5719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence CERTIFICATE # 40958 (NC)
Surgery Physician Taxonomy 208600000X · Licence CERTIFICATE # 40958 (NC)
Surgery Physician Taxonomy 208600000X · Licence 40958 (NC)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 40958 (NC)

Record details

NPI number1578656773
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kara Marcussen — Ceo · (910) 343-0811
Other names Coastal Carolina Surgical Associates, Pa
NPI enumeratedOctober 2, 2006
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023
Mailing address1411 Physicians Drive, Wilmington, NC 28401-7338

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