COASTAL CARDIOVASCULAR CLINIC (NPI# 1447291828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447291828 |
| Entity Type | Organization |
| Organization Name | COASTAL CARDIOVASCULAR CLINIC |
| Practice Address |
990 Ribaut Rd Suite 102 Beaufort SC 29902-5601 |
| Mailing Address |
Po Box 370 Port Royal SC 29935-0370 |
| Practice Telephone | 8434700256 |
| Practice Fax Number | 8434700555 |
| Mailing Telephone | 8434700256 |
| Mailing Fax Number | 8434700555 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-12-05 |
| Authorized Official Name | MS. DEBRA MARIE HILLIARD (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8434700256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
18820 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 188200 | 05 |
| Street Address |
990 RIBAUT RD SUITE 102 |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902-5601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831175694 | Moore Surgical and Women's Healthcare Associates, Pa | Specialist | 990 Ribaut Rd, Suite 102, Beaufort, SC 29902-5601 | 2005-12-22 |
| 1710533617 | Joseph P Trpcic | Physical Therapist | 990 Ribaut Rd, Beaufort, SC 29902-8011 | 2019-08-15 |
| 1841854841 | Mary Kathryn Benedict | Physical Therapist | 990 Ribaut Rd, Beaufort, SC 29902-8011 | 2019-04-24 |
| 1922557537 | Shanae White | Dietitian, Registered | 990 Ribaut Rd, Beaufort, SC 29902-8011 | 2016-09-23 |
| 1285001834 | Kimberly Edwards | Dietitian, Registered | 990 Ribaut Rd, Beaufort, SC 29902-8011 | 2015-08-31 |
| 1477920015 | Kassie Nicknadarvich | Dietitian, Registered | 990 Ribaut Rd, Beaufort, SC 29902-8011 | 2015-08-31 |
| 1194129965 | Bailee Kennedy | Physical Therapist | 990 Ribaut Rd, Beaufort, SC 29902-8011 | 2014-10-22 |
| 1871891184 | Jennifer Hill Craft | Dietitian, Registered | 990 Ribaut Rd, Beaufort, SC 29902-8011 | 2011-03-10 |
| 1558597468 | Susan L Mastromauro | Physical Therapist | 990 Ribaut Rd, Beaufort Memorial Hospital, Beaufort, SC 29902-8011 | 2009-06-05 |
| 1528182417 | Kelly Lynn Mccombs | Dietitian, Registered | 990 Ribaut Rd, Lifefit Diabetes Center, Beaufort, SC 29902-8011 | 2007-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568401099 | Lee O Butterfield | Internal Medicine | Beaufort Memorial Heart Specialist, 300 Midtown Dr, Beaufort, SC 29906 | 2006-06-06 |
| 1609870450 | Barney B. Beaver | Internal Medicine | Beaufort Memorial Heart Specialists, 300 Midtown Dr, Beaufort, SC 29906-5200 | 2005-06-09 |
| 1427126663 | Stuart Smalheiser | Internal Medicine | Beaufort Memorial Heart Specialists, 300 Midtown Dr, Beaufort, SC 29906-5200 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366070237 | Richard Ying Lim | Internal Medicine | 1752 Greenspoint Ct, Mt Pleasant, SC 29466-8132 | 2020-03-27 |
| 1205499217 | Spartanburg Medical Center | Internal Medicine | 104 Professional Park Ste C, Gaffney, SC 29340-2319 | 2019-04-16 |
| 1316416688 | Spartanburg Medical Center | Internal Medicine | 104 Professional Park Ste B, Gaffney, SC 29340-2319 | 2018-11-16 |
| 1376050534 | Khoury Cardiology, Pa | Internal Medicine | 151 Saluda Ave, Columbia, SC 29205-3080 | 2018-01-09 |
| 1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
| 1669919247 | Hari Gnanasekeram, PC | Internal Medicine | 207 Zeigler St, Columbia, SC 29217-0001 | 2017-01-20 |
| 1649636390 | Jeffrey Clyde Sloan | Internal Medicine | 1565 Blanchard Bnd, Rock Hill, SC 29732-9658 | 2016-01-11 |
| 1033514120 | Palmetto Health | Internal Medicine | 6 Richland Medical Park Dr, Suite 2100, Columbia, SC 29203-6864 | 2014-10-31 |
| 1164821104 | Hilton Head Cardiology, Consultants, LLC | Internal Medicine | 25 Hospital Center Blvd Ste 309, Hilton Head, SC 29926-2739 | 2014-08-15 |
| 1033522610 | Ashley Arana Waring | Internal Medicine | 30 Courtney Drive Msc 592, Charleston, SC 29425-8905 | 2014-06-11 |
| Find all providers with the same taxonomy | ||||
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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.