COASTAL NEUROLOGY, P.A. (NPI# 1750346789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750346789 |
| Entity Type | Organization |
| Organization Name | COASTAL NEUROLOGY, P.A. |
| Practice Address |
1833 N. Paris Avenue Port Royal SC 29935-2029 |
| Practice Telephone | 8435221420 |
| Practice Fax Number | 8435221460 |
| Mailing Telephone | 8435221420 |
| Mailing Fax Number | 8435221460 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2010-10-22 |
| Authorized Official Name | DR. PAUL MAZZEO (PRESIDENT) |
| Authorized Official Telephone | 8435221420 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP1188 | 05 |
| Street Address |
1833 N. PARIS AVENUE |
| City | PORT ROYAL |
| State | SC |
| Zip Code | 29935-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568432185 | Paul Mazzeo | Psychiatry & Neurology | 1833 N. Paris Avenue, Port Royal, SC 29935-2029 | 2006-01-25 |
| 1033180039 | Norman Bettle | Psychiatry & Neurology | 1833 N. Paris Avenue, Port Royal, SC 29935-2029 | 2006-01-28 |
| 1689645996 | Anne Marie Taylor | Nurse Practitioner | 1833 N. Paris Avenue, Port Royal, SC 29935-2029 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747138 | Angels Helping Hands | In Home Supportive Care | 1640 Ribaut Rd, Apt. 132, Port Royal, SC 29935 | 2020-10-14 |
| 1821371733 | Michelle Hanna Hiers | Speech-Language Pathologist | 10a Marshellen Drive, Beaufort, SC 29935 | 2011-09-27 |
| 1912194218 | Assisted Living Concepts Inc | Assisted Living Facility | 1624 Paris Avenue, Port Royal, SC 29935 | 2007-10-01 |
| 1285759282 | Angelique Whitmire Gray | Social Worker | 1114 13th Street, Port Royal, SC 29935 | 2007-03-20 |
| 1316330475 | Ashley Pierce | Occupational Therapist | 1873 N Paris Ave, Port Royal, SC 29935 | 2015-03-13 |
| 1750630570 | Daniel Winters | Pharmacist | 1500 Ribaut Rd, Port Royal, SC 29935 | 2012-09-07 |
| 1144579012 | Jennifer Marie Berg | Pharmacist | 1500 Ribaut Rd, Port Royal, SC 29935 | 2012-09-06 |
| 1770771784 | Vanessa Motos | Dentist | 1 Pinckney Blvd, Naval Branch Health Clinic-dental Mcrd, Parris Island, SC 29935 | 2007-10-04 |
| 1366643546 | Mcknight & Weaver, LLC | Dentist | 1869 N. Paris Ave., Port Royal, SC 29935 | 2007-05-29 |
| 1790138014 | Beaufort-jasper-hampton Comprehensive Health Services Inc. | General Practice | 2210-b Mossy Oaks Rd., Port Royal, SC 29935-1046 | 2016-07-21 |
| Find all providers in zip 29935 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843804 | Holistic Healthcare | Clinic/Center | 1024 Cane Branch Rd, Walterboro, SC 29488-0802 | 2020-08-24 |
| 1043846595 | Vip Cosmetic Surgery, Pa | Clinic/Center | 10 William Pope Dr Ste 4, Bluffton, SC 29909-7550 | 2020-03-17 |
| 1720638026 | Veinart Diagnostics and Aesthetics | Clinic/Center | 531 Pine Trl, Williamston, SC 29697-9263 | 2019-09-18 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1477881126 | Baptist Easley Hospital | Clinic/Center | 1807a East Main St., Easley, SC 29640-0000 | 2009-11-18 |
| 1265674253 | Plastic Surgery Center of The Carolinas | Clinic/Center | 391 Serpentine Dr Ste 300, Spartanburg, SC 29303-3080 | 2009-04-06 |
| 1770723512 | May River Dermatology | Clinic/Center | 350 Fording Island Rd, Suite 100, Bluffton, SC 29910-5168 | 2009-03-05 |
| 1215183215 | The Head and Neck Center: for Otolaryngology, Facial Plastic and Recon | Clinic/Center | 2 Leas Courtyard Dr, Seneca, SC 29672-6660 | 2008-08-11 |
| 1447468111 | George Richmond Mushet | Clinic/Center | 117 Pine Needle Rd, Aiken, SC 29803-2631 | 2007-05-18 |
| 1730225178 | Caroline R. Price Md Pa | Clinic/Center | 10 Enterprise Blvd Ste 107, Greenville, SC 29615-3534 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
| City | PORT ROYAL |
| Zip Code | 29935 |
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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.