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

Extended Care Physicians - Coastal, PA

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1114191525

Extended Care Physicians - Coastal, PA is a Geriatric Medicine (Family Medicine) Physician in Wilmington, North Carolina. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
7
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1013 Porters Neck Rd Ste 130
Wilmington, NC 28411-8130
Phone: (910) 795-1471
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X
Hospice and Palliative Medicine (Family Medicine) Physician Taxonomy 207QH0002X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Hospice and Palliative Medicine (Internal Medicine) Physician Taxonomy 207RH0002X
Geriatric Psychiatry Physician Taxonomy 2084P0805X
Family Nurse Practitioner Taxonomy 363LF0000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X

Record details

NPI number1114191525
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Gleeson-Warren — Director Of Credentialing · (828) 210-2678
NPI enumeratedApril 16, 2008
Last updated in NPPESMarch 19, 2014
Mailing addressPo Box 890194, Charlotte, NC 28289-0194

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