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

Coastal Vascular Institute, PA

Organization Surgery Physician · NPI 1578656773

Coastal Vascular Institute, PA provides Surgery Physician services 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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