SOUTHERN COAST SPECIALISTS, LLC (NPI# 1154935856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154935856 |
Entity Type | Organization |
Organization Name | SOUTHERN COAST SPECIALISTS, LLC |
Practice Address |
1000 Pine St W Varnville SC 29944-4750 |
Mailing Address |
1055 Ribaut Rd Ste 30 Beaufort SC 29902-5447 |
Practice Telephone | 8434764702 |
Mailing Telephone | 8434764702 |
Mailing Fax Number | 8434764290 |
Enumeration Date | 2020-09-01 |
Last Update Date | 2020-09-01 |
Authorized Official Name | DR. SABINO D'AGOSTINO (OWNER/MEDICAL DOCTOR) |
Authorized Official Telephone | 8435537615 |
Authorized Official Credential | DO |
Is Organization Subpart | Y |
Parent Organization Name | SOUTHERN COAST SPECIALISTS, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP9372 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982246633 | Southern Coast Specialists, LLC | Anesthesiology | 16 Okatie Center Blvd S Ste 201, Bluffton, SC 29909-7544 | 2019-10-15 |
1285276931 | Southern Coast Specialists, LLC | Anesthesiology | 1055 Ribaut Rd Ste 30, Beaufort, SC 29902-5447 | 2019-10-15 |
1386148617 | Southern Coast Specialists, LLC | Anesthesiology | 9565 Highway 78, Bldg 100, Ladson, SC 29456 | 2018-03-21 |
Street Address |
1000 PINE ST W |
City | VARNVILLE |
State | SC |
Zip Code | 29944-4750 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609284223 | Brad Richard Kelly | Family Medicine | 1000 Pine St W, Varnville, SC 29944-4750 | 2014-07-28 |
1619475274 | Southern Coast Pain Specialists, LLC | Anesthesiology | 1000 Pine St W, Varnville, SC 29944-4750 | 2018-01-30 |
1346780673 | Constance Forester | Adult Companion | 1000 Pine St W, Varnville, SC 29944-4750 | 2017-03-06 |
1003368416 | Carolina Pediatric Therapy Services, LLC | Speech-Language Pathologist | 1000 Pine St W, Varnville, SC 29944-4750 | 2016-11-02 |
1609220086 | Rebecca Swofford | Physician Assistant | 1000 Pine St W, Varnville, SC 29944-4750 | 2016-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497304992 | Lillie Bing | Technician | 200 King Circle, Varnville, SC 29944 | 2019-09-06 |
1578030003 | Kayla Stroble Colson | Registered Nurse | 531 W Carolina Ave, Varnville, SC 29944 | 2018-11-02 |
1427502160 | Earl B Hartzog Dmd Pa | Dentist | 649 West Carolina Ave, Varnville, SC 29944 | 2016-08-11 |
1356740765 | Hampton County Disabilities and Special Needs Board | Day Training, Developmentally Disabled Services | 294 Hampton Road, Varnville, SC 29944 | 2014-08-21 |
1609284199 | Marie Singletary | Respiratory Therapist, Certified | 97 Melody Lane, Hampton, SC 29944 | 2014-07-28 |
1568881118 | Jill Thomas Knight | Registered Nurse | 531 West Caroline Ave, Varnville, SC 29944 | 2014-04-10 |
1578980082 | Gerri Buhler | Registered Nurse | 531 West Carolina Avenue, Varnville, SC 29944 | 2014-03-21 |
1568889079 | Teresa Mccrary | Registered Nurse | 531 West Carolina Ave. West, Varnville, SC 29944 | 2014-03-21 |
1720410657 | Comfort To You | In Home Supportive Care | 33 E. Palmetto Ave, Varnville, SC 29944 | 2013-08-02 |
1376840504 | Hampton Regional Medical Center - Swingbed | Medicare Defined Swing Bed Unit | 595 W. Carolina Ave, Varnville, SC 29944 | 2011-02-24 |
Find all providers in zip 29944 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619475274 | Southern Coast Pain Specialists, LLC | Anesthesiology | 1000 Pine St W, Varnville, SC 29944-4750 | 2018-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982246633 | Southern Coast Specialists, LLC | Anesthesiology | 16 Okatie Center Blvd S Ste 201, Bluffton, SC 29909-7544 | 2019-10-15 |
1487120622 | Pain Specialists of Charleston | Anesthesiology | 135 Sea Island Pkwy, Beaufort, SC 29907-1500 | 2018-10-15 |
1235610767 | Premier Pain Solutions Pllc | Anesthesiology | 201 Richard St Ste A, Easley, SC 29640-1442 | 2018-08-23 |
1902316557 | Anesthesia Aficianados, LLC | Anesthesiology | 10630 Clemson Blvd Ste 200, Seneca, SC 29678-4545 | 2017-10-10 |
1285157735 | Sgkf LLC | Anesthesiology | 764 Saint Andrews Blvd, Charleston, SC 29407-7168 | 2017-07-17 |
1053860841 | Emergencymd, LLC | Anesthesiology | 2555 Boiling Springs Rd, Boiling Springs, SC 29316-5351 | 2016-09-22 |
1992156400 | Arcis Healthcare, LLC | Anesthesiology | 109 Park Place Ct, Lexington, SC 29072-6690 | 2016-06-27 |
1215302823 | Low Country Pain & Spine | Anesthesiology | 9180 Ocean Hwy Unit 6, Pawleys Island, SC 29585-8670 | 2015-12-08 |
1760888127 | Seaside Professional Services LLC | Anesthesiology | 25 Sherington Park Drive, Suite D-1, Bluffton, SC 29910 | 2014-11-13 |
1336559830 | Ryan Peyton Hostutler | Anesthesiology | 201 Richard St Unit A, Easley, SC 29640-1442 | 2014-05-06 |
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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.