COASTAL CAROLINA CENTERS OF UROLOGY AND SURGERY LLC


Address: 822 Farrar Dr, Conway, SC 29526-8747
Phone: 8433479587

COASTAL CAROLINA CENTERS OF UROLOGY AND SURGERY LLC (NPI# 1205095080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205095080
Entity Type Organization
Organization Name COASTAL CAROLINA CENTERS OF UROLOGY AND SURGERY LLC
Other Organization Name RIVERTOWN SURGERY CENTER
Practice Address 822 Farrar Dr
Conway
SC 29526-8747
Practice Telephone 8433479587
Mailing Telephone 8433479587
Enumeration Date 2008-06-05
Last Update Date 2015-06-02
Authorized Official Name MRS. VIRGINIA A MCCURDY (BUSINESS OFFICE MANAGER)
Authorized Official Telephone 8433479587
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC GP4062 05

Other Provider/Organization Names

Other Name Type Code
Rivertown Surgery Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932274743 Coastal Carolina Centers of Urology and Surgery LLC Clinic/Center 822 Farrar Drive, Conway, SC 29526-8747 2006-11-21

Office Location

Street Address 822 FARRAR DR
City CONWAY
State SC
Zip Code 29526-8747

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326260167 Casmir Michal Kielar Anesthesiology 822 Farrar Dr, Conway, SC 29526-8747 2007-05-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457975237 Terri L Champion Massage Therapist 172 Waccamaw Medical Park Court, Conway, SC 29526 2020-06-08
1689204398 Alayna Defalco Clinical Exercise Physiologist 1320 501 Business, Unit E, Conway, SC 29526 2020-01-22
1124672662 Proxsys Rx - Sc, LLC Pharmacy 300 Singelton Ridge Road, Conway, SC 29526 2019-08-01
1598227431 Surgery Center of Conway Inc Clinic/Center 1405 Main Street, Conway, SC 29526 2019-04-01
1801374962 Trevor James Hess Specialist/Technologist 905 One Landon Loop, Conway, SC 29526 2018-08-01
1851800817 Katherine Ann Nimphius Behavioral Analyst 105 Timberline Dr, Conway, SC 29526 2017-09-21
1922544253 William Houck Specialist/Technologist 925 One Landon Loop, Conway, SC 29526 2017-01-10
1952857278 Courtney Jeanette Smith Counselor 164 Waccamaw Medical Park Dr., Conway, SC 29526 2016-08-28
1336502632 Jebediah S. Christy, D.d.s - Conway, Pllc Dentist 2756 Church St, Conway, SC 29526 2016-04-04
1447615208 Abl Enterprises, LLC Optometrist 113 Citadel Drive, Conway, SC 29526 2015-12-22
Find all providers in zip 29526

Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497053433 Kristin K Heitman Anesthesiology 2425 Prince St Ste 4, Conway, AR 72034-3701 2011-02-28
1326260167 Casmir Michal Kielar Anesthesiology 822 Farrar Dr, Conway, SC 29526-8747 2007-05-02
1902824378 Richard Blake Kline Anesthesiology 1500 Main St, Conway, SC 29526-3569 2006-07-17
1629052931 Thomas Gene Alfano Anesthesiology 1555 Exchange Ave, Conway, AR 72032-7824 2005-11-30
1689661696 Nurse Anesthetist Professionals Inc Anesthesiology 1101 Museum Rd Ste 5, Conway, AR 72032-8580 2005-10-04
1629460381 Atlantic Coast Pain Specialists, Inc Anesthesiology 1500 Main St, Conway, SC 29526-3569 2015-03-04
1184882789 Ihor V Melnytskyy Anesthesiology 300 Singleton Ridge Road, Conway Medical Center, Conway, SC 29526 2008-05-30
1992924203 Jonathan Edward Lee Anesthesiology 2302 College Ave, Conway, AR 72034-6297 2007-04-25
1346469681 Jevin Allen Smith Anesthesiology 525 Western Ave, Suite 201, Conway, AR 72034-4967 2007-04-25
1255486452 Edward Alton Wallace Anesthesiology 300 Singleton Ridge Rd, Conway, SC 29526-9142 2007-01-25
Find all providers in CONWAY

Competitor

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City CONWAY
Zip Code 29526

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Dataset Information

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.

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