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Extended Care Physicians - Coastal, PA

Geriatric Medicine (Family Medicine) Physician in Wilmington, NC · enumerated 2008 · authorized official Robin Gleeson-Warren, Director of Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114191525

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Registry record

Entity type Organization (Type 2)
Legal business name Extended Care Physicians - Coastal, PA
Practice address 1013 Porters Neck Rd, Suite 130, Wilmington, NC, 28411
Phone (910) 795-1471
Enumeration date Apr 16, 2008
Last updated in NPPES Mar 19, 2014

Taxonomy & classification

207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary
207QH0002X Hospice and Palliative Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207RG0300X Geriatric Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207RH0002X Hospice and Palliative Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Secondary
2084P0805X Geriatric Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Robin Gleeson-Warren
Title Director of Credentialing
Phone (828) 210-2678

Other identifiers

Identifier Type State Issuer
5918852 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Extended Care Physicians - Coastal, PA?
NPPES lists Robin Gleeson-Warren (Director of Credentialing) as the authorized official for this organization.
What is the NPI number for Extended Care Physicians - Coastal, PA?
The NPI for Extended Care Physicians - Coastal, PA is 1114191525, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-03-19.