COASTAL CAROLINA UROLOGY GROUP LLC (NPI# 1124161682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124161682 |
| Entity Type | Organization |
| Organization Name | COASTAL CAROLINA UROLOGY GROUP LLC |
| Practice Address |
1010 Medical Center Dr Suite 100 Hardeeville SC 29927-3447 |
| Mailing Address |
Po Box 440007 Nashville TN 37244-0007 |
| Practice Telephone | 8433427607 |
| Practice Fax Number | 8433427640 |
| Mailing Telephone | 8884824871 |
| Mailing Fax Number | 6152616052 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TAMMY SUE HOWE (BILLING SUPERVISOR) |
| Authorized Official Telephone | 8884824871 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 10062233 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477612703 | Coastal Carolina Urology Group LLC | Urology | 1055 Ribaut Rd, Suite 10, Beaufort, SC 29902-5423 | 2006-12-06 |
| Street Address |
1010 MEDICAL CENTER DR SUITE 100 |
| City | HARDEEVILLE |
| State | SC |
| Zip Code | 29927-3447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417315771 | Hardeeville Medical Group, LLC | Internal Medicine | 1010 Medical Center Dr, Suite 210, Hardeeville, SC 29927-3447 | 2016-02-02 |
| 1316219686 | Costrini & Meadows, PC | Internal Medicine | 1010 Medical Center Dr, Suite 100, Hardeeville, SC 29927-3447 | 2012-02-02 |
| 1871870170 | Hardeeville Medical Group, LLC | Surgery | 1010 Medical Center Dr, Suite 240, Hardeeville, SC 29927-3447 | 2011-11-15 |
| 1528365111 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 1010 Medical Center Dr, Suite 100, Hardeeville, SC 29927-3447 | 2011-02-17 |
| 1144526500 | Coastal Carolina Medical Center, Inc. | Clinic/Center | 1010 Medical Center Dr, Suite 240, Hardeeville, SC 29927-3447 | 2011-02-02 |
| 1114167707 | Kidney Specialists of Southeast Georgia, Inc | Internal Medicine | 1010 Medical Center Dr, Suite 210, Hardeeville, SC 29927-3447 | 2009-02-23 |
| 1174786339 | Beaufort Memorial Hospital | Family Medicine | 1010 Medical Center Dr, Suite 240, Hardeeville, SC 29927-3447 | 2008-07-08 |
| 1336336908 | Nancy C Harris | Nurse Practitioner | 1010 Medical Center Dr, Suite D, Hardeeville, SC 29927-3447 | 2007-09-27 |
| 1174648802 | Coastal Carolina Physician Practices LLC | Otolaryngology | 1010 Medical Center Dr, Suite 210, Hardeeville, SC 29927-3447 | 2007-03-20 |
| 1558426361 | Howard S Freilich | Internal Medicine | 1010 Medical Center Dr, Suite 210, Hardeeville, SC 29927-3447 | 2006-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508305087 | Watauga Recovery Center,pc | Family Medicine | 21563 Whyte Hardee Blvd, Hardeeville, SC 29927 | 2017-02-17 |
| 1730546755 | Sara Silva | Counselor | 290 New River Parkway, Hardeville, SC 29927 | 2016-01-21 |
| 1952727992 | Genesis Foot & Leg Specialists, LLC | Podiatrist | 21563 Wyhte Hardee Blvd, Hardeeville, SC 29927 | 2014-03-14 |
| 1407283757 | Jann Denoncour | Occupational Therapist | 150 Hurricane Alley, Hardeeville, SC 29927 | 2013-10-02 |
| 1255609871 | Freds Stores of Tennessee Inc. | Pharmacy | 21361 Whyte Hardee Blvd., Hardeeville, SC 29927 | 2011-12-09 |
| 1538316575 | Coastal Carolina Medical Center Inc | Emergency Medicine | 1000 Medical Drive, Hardeeville, SC 29927 | 2008-08-21 |
| 1548350937 | Robert Leroy Irby | Pharmacist | 522 Stiney Rd, Hardeeville, SC 29927 | 2006-10-13 |
| 1467466300 | B-j-h Comp. Health Services | Pharmacy | 552 Stiney Rd, Hardeeville, SC 29927 | 2006-07-28 |
| 1720006554 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4400 Highway 278, Hardeeville, SC 29927 | 2006-07-18 |
| 1891737961 | Peter Frank | Family Medicine | 21563 A Whyte Hardee Blvd, Hardeeville, SC 29927 | 2006-06-12 |
| Find all providers in zip 29927 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393098 | Christopher William Ritchie | Urology | 135 Rutledge Ave Fl 5, Charleston, SC 29425-8903 | 2019-06-05 |
| 1780248211 | Spartanburg Medical Center | Urology | 2755 S Highway 14 Ste 2050a, Greer, SC 29650-4902 | 2019-04-30 |
| 1609345982 | Spartanburg Medical Center | Urology | 1552 N Limestone St Ste A, Gaffney, SC 29340-4750 | 2018-11-16 |
| 1942775952 | Roper Saint Francis Physicians Network | Urology | 300 Callen Blvd Ste 220, Summerville, SC 29486-2809 | 2018-10-05 |
| 1790131522 | Urology Clinic At Carolinas | Urology | 1594 Freedom Blvd Ste 203, Florence, SC 29505-6046 | 2016-05-11 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| 1154700367 | Gregory Slachta | Urology | 407 Broadview Dr, Ridgeland, SC 29936-5157 | 2015-05-20 |
| 1467893404 | Robert Strehlow Vi | Urology | 391 Serpentine Dr Ste 500, Spartanburg, SC 29303-3083 | 2013-07-06 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1790121424 | Philip Andre Fontenot Jr. | Urology | 50 Bear Dr, Greenville, SC 29605 | 2013-05-21 |
| Find all providers with the same taxonomy | ||||
| City | HARDEEVILLE |
| Zip Code | 29927 |
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| 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.