THE COLORECTAL ENDOSURGERY INSTITUTE OF THE CAROLINAS (NPI# 1073789020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073789020 |
| Entity Type | Organization |
| Organization Name | THE COLORECTAL ENDOSURGERY INSTITUTE OF THE CAROLINAS |
| Practice Address |
1439 Stuart Engals Blvd Suite 100 Mt Pleasant SC 29464-3305 |
| Practice Telephone | 8438537730 |
| Practice Fax Number | 8437228766 |
| Mailing Telephone | 8438537730 |
| Mailing Fax Number | 8437228766 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2012-12-14 |
| Authorized Official Name | DR. RUDOLPH B RUSTIN (OWNER) |
| Authorized Official Telephone | 8438537730 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | GASTROINTESTINAL SURGICAL SPECIALISTS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PARENT ORGANIZATION TAX ID | 582454655 | 01 |
| SC | PARENT ORGANIZATION NPI | 1760411896 | 01 |
| Street Address |
1439 STUART ENGALS BLVD SUITE 100 |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750371662 | Maria Margarita Murphy | Colon & Rectal Surgery | 1439 Stuart Engals Blvd, Suite 100, Mt Pleasant, SC 29464-3305 | 2005-10-24 |
| 1962830703 | Aubrey Hughes Bauer | Physician Assistant | 1439 Stuart Engals Blvd, Ste 100, Mt Pleasant, SC 29464-3686 | 2013-10-14 |
| 1386916450 | Colorectal Surgery Clinic, LLC | Colon & Rectal Surgery | 1439 Stuart Engals Blvd, Suite 100, Mt Pleasant, SC 29464-3686 | 2012-02-03 |
| 1942228127 | Brendan Burke Murphy | Colon & Rectal Surgery | 1439 Stuart Engals Blvd, Suite 100, Mt Pleasant, SC 29464-3305 | 2006-07-17 |
| 1760411896 | Gastrointestinal Surgical Specialists, LLC | Colon & Rectal Surgery | 1439 Stuart Engals Blvd, Suite 100, Mt Pleasant, SC 29464-3305 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403385 | Signe Spine Surgical Center LLC | Clinic/Center | 929 Bowman Rd Ste 300, Mt Pleasant, SC 29464-3237 | 2020-03-24 |
| 1710336763 | Mt Pleasant Surgery Center LLC | Clinic/Center | 4851 E Pickard St, Mt Pleasant, MI 48858-2078 | 2016-06-10 |
| 1013226745 | Jcrk Management Inc | Clinic/Center | 1300 Hospital Dr, Ste 120, Mt Pleasant, SC 29464-3261 | 2010-09-29 |
| 1033373691 | The Southeastern Spine Institute Ambulatory Surgery Center, LLC | Clinic/Center | 1106 Chuck Dawley Blvd, Suite 100, Mt Pleasant, SC 29464-4183 | 2008-07-14 |
| 1073714713 | Lowcountry Gastroenterology Associates, Pa | Clinic/Center | 1300 Hospital Dr, Suite 300, Mt Pleasant, SC 29464-3261 | 2007-05-30 |
| 1124150297 | The Southeastern Spine Institute Ambulatory Surgery Center, LLC | Clinic/Center | 1106 Chuck Dawley Blvd, Mt Pleasant, SC 29464-4183 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194344606 | Tidelands Health Asc LLC | Clinic/Center | 2200 Crow Ln Ste 102, Myrtle Beach, SC 29577-1663 | 2020-04-14 |
| 1528602455 | Cornerstone Surgery Centers, LLC | Clinic/Center | 3911 Highway 17 Ste B, Murrells Inlet, SC 29576-5014 | 2019-11-04 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1265999197 | Medical University Hospital Authority | Clinic/Center | 1580 Freedom Blvd Ste 300, Florence, SC 29505-6074 | 2019-02-27 |
| 1194233189 | Chapin Orthopedic Surgery Center | Clinic/Center | 106 Ellett Road, Chapin, SC 29036-8248 | 2018-01-12 |
| 1124547617 | Southeastern Anesthesia Associates, LLC | Clinic/Center | 1 Wellness Blvd Ste 111, Irmo, SC 29063-2873 | 2017-09-15 |
| 1518338052 | Center for Advanced Surgery LLC | Clinic/Center | 3821 Commercial Center Drive, Ladson, SC 29456-4146 | 2015-10-09 |
| 1881094894 | Center for Colon and Digestive Diseases LLC | Clinic/Center | 103 Gregg Ave Nw, Suite 100, Aiken, SC 29801-6357 | 2014-08-27 |
| 1578986550 | Summerville Endoscopy Center, LLC | Clinic/Center | 328 Midland Pkwy, Summerville, SC 29485-8102 | 2014-01-28 |
| 1295176139 | Lowcountry Ambulatory Center, LLC | Clinic/Center | 1844 Wallace School Rd, Charleston, SC 29407-4822 | 2013-07-08 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on THE COLORECTAL ENDOSURGERY INSTITUTE OF THE CAROLINAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.