Edwin Blitch (NPI# 1376518795, PAC ID# 0345351318) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1376518795 |
| PAC ID by PECOS | 0345351318 |
| Professional Enrollment ID | I20111230000104 |
| Full Name | Edwin Blitch |
| Organization Legal Name | COASTAL CAROLINA PODIATRY INC |
| Address |
4340 Ladson Rd Suite C Ladson SC 29456-6444 |
| Phone Number | 8438519069 |
| Gender | M |
| Medical School | BARRY UNIVERSITY SCHOOL PODIATRIC MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7214932201 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420079 | TRIDENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4340 Ladson Rd, Suite C, Ladson, SC 29456-6444 | 8438519069 | COASTAL CAROLINA PODIATRY INC |
| Organization Legal Name | COASTAL CAROLINA PODIATRY INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William H Hatchett | Podiatry | Coastal Carolina Podiatry Inc | 2891 Tricom St, Suite A, North Charleston, SC 29406-7110 |
| Vito Speciale | Podiatry | Coastal Carolina Podiatry Inc | 2891 Tricom St, Suite A, North Charleston, SC 29406-7110 |
| Street Address |
4340 LADSON RD SUITE C |
| City | LADSON |
| State | SC |
| Zip | 29456-6444 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Orlin Sergev | Endocrinology | Equilibrium Endocrinology, Pa | 4340 Ladson Rd, Suite A, Ladson, SC 29456-6444 |
| Kathryn D Wilson Horney | Podiatry | 4340 Ladson Rd, Suite C, Ladson, SC 29456-6444 | |
| Sasa Martinovic | Physical Therapy | Palmetto Primary Care Physicians | 4340 Ladson Rd, Suite B, Ladson, SC 29456-6444 |
| Lynnette R Booth | Physical Therapy | Palmetto Primary Care Physicians | 4340 Ladson Rd, Suite B, Ladson, SC 29456-6444 |
| Erica D Gunnells | Nurse Practitioner | Equilibrium Endocrinology, Pa | 4340 Ladson Rd, Suite A, Ladson, SC 29456-6444 |
| Nicole M Hall | Physical Therapy | Palmetto Primary Care Physicians | 4340 Ladson Rd, Suite B, Ladson, SC 29456-6444 |
| Kimberly H Lauer | Physical Therapy | Palmetto Primary Care Physicians | 4340 Ladson Rd, Suite B, Ladson, SC 29456-6444 |
| Raichelle Garcia | Physical Therapy | Palmetto Primary Care Physicians | 4340 Ladson Rd, Suite B, Ladson, SC 29456-6444 |
| Kathryn J Gershkowitz | Nurse Practitioner | Equilibrium Endocrinology, Pa | 4340 Ladson Rd, Summerville, SC 29485 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill A Kirar | Chiropractic | Kirar Chiropractic Wellness Inc | 551 College Park Rd, Ladson, SC 29456-3329 |
| Zachary A Edmonds | Chiropractic | Kirar Chiropractic Wellness Inc | 551 College Park Rd, Ladson, SC 29456-3329 |
| Vance C Kirar | Chiropractic | Kirar Chiropractic Wellness Inc | 551 College Park Rd, Ladson, SC 29456-3329 |
| Millin C Budev | Ophthalmology | Carolina Cataract and Vision Center LLC | 137 Gateway Dr, Ladson, SC 29456-3552 |
| Kristiana D Neff | Ophthalmology | Carolina Cataract and Vision Center LLC | 137 Gateway Dr, Ladson, SC 29456-3552 |
| David Vroman | Ophthalmology | Carolina Cataract and Vision Center LLC | 137 Gateway Dr, Ladson, SC 29456-3552 |
| Michelle Ying | Ophthalmology | Carolina Cataract and Vision Center LLC | 137 Gateway Dr, Ladson, SC 29456-3552 |
| Jason F Baldwin | Optometry | Carolina Cataract and Vision Center LLC | 137 Gateway Dr, Ladson, SC 29456-3552 |
| David W Bang | Optometry | 9565 Hwy 78, Suite 900, Ladson, SC 29456-3912 | |
| Ronald G W Teed | Ophthalmology | 9565 Hwy 78 600, Ladson, SC 29456-4116 | |
| Find all physicians in zip 29456 | |||
| City | LADSON |
| Zip Code | 29456 |
| Specialty | PODIATRY |
| City + Specialty | LADSON + PODIATRY |
Please comment or provide details below to improve the information on Edwin Blitch.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.