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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP4062 | 05 |
Other Name | Type Code |
---|---|
Rivertown Surgery Center | Doing Business As Name - Organization |
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 |
Street Address |
822 FARRAR DR |
City | CONWAY |
State | SC |
Zip Code | 29526-8747 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326260167 | Casmir Michal Kielar | Anesthesiology | 822 Farrar Dr, Conway, SC 29526-8747 | 2007-05-02 |
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 Code | 207L00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
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. |
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 |
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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.