SOUTHERN COAST SPECIALISTS, LLC (NPI# 1386148617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386148617 |
| Entity Type | Organization |
| Organization Name | SOUTHERN COAST SPECIALISTS, LLC |
| Practice Address |
9565 Highway 78 Bldg 100 Ladson SC 29456 |
| Practice Telephone | 8435537615 |
| Practice Fax Number | 8435531008 |
| Mailing Telephone | 8435537615 |
| Mailing Fax Number | 8435531008 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | SABINO DAGOSTINO (MANAGING MEMBER) |
| Authorized Official Telephone | 8435537615 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Pine St W, Varnville, SC 299444750 | 8435537615 | |
| 1055 Ribaut Rd Ste 30, Beaufort, SC 299025447 | 8435537615 | |
| 16 Okatie Center Blvd S, Bluffton, SC 299097533 | 8435537615 | |
| 2061 Us-52, Moncks Corner, SC 29461 | 8435537615 |
| 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 |
| 1154935856 | Southern Coast Specialists, LLC | Anesthesiology | 1000 Pine St W, Varnville, SC 29944-4750 | 2020-09-01 |
| 1285276931 | Southern Coast Specialists, LLC | Anesthesiology | 1055 Ribaut Rd Ste 30, Beaufort, SC 29902-5447 | 2019-10-15 |
| Street Address |
9565 HIGHWAY 78 BLDG 100 |
| City | LADSON |
| State | SC |
| Zip Code | 29456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121015 | Marianne S Geraci | Ophthalmology | 9565 Highway 78, Bldg 100, Ladson, SC 29456-4118 | 2005-08-11 |
| 1225431455 | Brandon Mychael Ware | Physician Assistant | 9565 Highway 78, Suite 400, Ladson, SC 29456-4118 | 2014-10-02 |
| 1568895357 | Jennie O Reardon | Dentist | 9565 Highway 78, Unit 600b, Ladson, SC 29456-4118 | 2013-08-15 |
| 1558794396 | Dr. Patricia Nicklas | Dentist | 9565 Highway 78, Unit 600b, Ladson, SC 29456-4118 | 2013-08-15 |
| 1225391915 | Childrens Eye Specialists LLC | Ophthalmology | 9565 Highway 78, Bldg 600, Ladson, SC 29456-4118 | 2012-06-19 |
| 1548534381 | Phelan Giles Piehota | Ophthalmology | 9565 Highway 78, Bldg 200, Ladson, SC 29456-4118 | 2012-02-24 |
| 1316182249 | Amanda W. Lee | Speech-Language Pathologist | 9565 Highway 78, Building 700 Suite 102, Ladson, SC 29456 | 2008-12-05 |
| 1629220611 | Cataract and Laser Center of Charleston | Ophthalmology | 9565 Highway 78, Suite 100, Ladson, SC 29456-4118 | 2008-10-21 |
| 1538323654 | Dr. David W. Bang, P.C. | Optometrist | 9565 Highway 78, Building 900, Ladson, SC 29456-3912 | 2008-07-17 |
| 1710174297 | Dr. David W. Bang, P.C. | Optometrist | 9565 Highway 78, Bldg 900, Ladson, SC 29456-3912 | 2007-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174159248 | Ingleside Family Dental, LLC | Dentist | 9403 Highway 78, Suite 201, Ladson, SC 29456 | 2020-03-20 |
| 1598231359 | Destiny Jenay Adkins | Specialist/Technologist | 9525 Highway 78 Apartment 400-207, Ladson, SC 29456 | 2018-10-19 |
| 1477049484 | Adebambo Adesanya | Driver | 1008 Turtle Dove Ln, Ladson, SC 29456 | 2018-07-03 |
| 1184117327 | Lauren Elizabeth Bradley | Speech-Language Pathologist | 9565 Hwy 78, Bldg. 700, Ste. 102, Ladson, SC 29456 | 2018-06-12 |
| 1205348067 | Samantha Marie Grimes | Speech-Language Pathologist | 9565 Highway 78 Bldg 102, Ladson, SC 29456 | 2017-11-01 |
| 1699295915 | Sara Paige Gagnier | Occupational Therapist | 9565 Hwy 78 Bldg 700 Ste 102, Ladson, SC 29456 | 2017-06-27 |
| 1467982728 | Heritage Dental LLC | Clinic/Center | 9598 Palmetto Commerce Parkway, Ladson, SC 29456 | 2017-06-19 |
| 1013384239 | Zachary Jordan | Pharmacist | 3685 Ladson Rd., Ladson, SC 29456 | 2015-08-24 |
| 1831534676 | Tracie Jo Horton | Registered Nurse | 3321 Ladson Rd., Ladson, SC 29456 | 2013-05-07 |
| 1972859684 | Nicole Marie Hall | Physical Therapist | 4340 Ladson Rd Ste B, Ladson, SC 29456 | 2012-07-31 |
| Find all providers in zip 29456 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285259374 | Brian Fabian Saway | Neurological Surgery | 96 Jonathan Lucas St Rm 301, Charleston, SC 29425-8900 | 2020-06-15 |
| 1548819170 | Carolina Neurosurgery & Spine Associates Pa | Neurological Surgery | 937 Riverwalk Pkwy Ste 101, Rock Hill, SC 29730-0179 | 2019-09-06 |
| 1487909081 | Lexington County Health Services District, Inc. | Neurological Surgery | 146 East Hospital Dr, Ste 120a, West Columbia, SC 29169 | 2012-07-19 |
| 1497016778 | Adam R Mathes | Neurological Surgery | Piedmont Spine and Neurosurgical Group, 3 St. Francis Drive, Ste 490, Greenville, SC 29601-3973 | 2012-06-04 |
| 1427358951 | The Neurological Institute of Savannah & Center for Spine P C | Neurological Surgery | 12b Arley Way Ste 103, Bluffton, SC 29910-8860 | 2010-11-01 |
| 1104142223 | Malcolm Daniel Eggart | Neurological Surgery | 4040 Highway 17 Ste 306, Murrells Inlet, SC 29576-5098 | 2010-04-14 |
| 1780917518 | Roper Saint Francis Physicians Network | Neurological Surgery | 56 Persimmons St, Suite C, Bluffton, SC 29910-7641 | 2009-09-11 |
| 1417198573 | Edward Bernard Byrd | Neurological Surgery | 2735 Royal Trace Ln, Mt Pleasant, SC 29466-8124 | 2009-03-18 |
| 1720205016 | Sharon Woods Webb | Neurological Surgery | 3 Saint Francis Dr Ste 490, Greenville, SC 29601-3973 | 2007-04-19 |
| 1841350451 | Clarendon Memorial Hospital | Neurological Surgery | 20 Hospital St, Manning, SC 29102 | 2006-12-12 |
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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.