Enrique Rodriguez (NPI# 1093058620, PAC ID# 3678706025) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1093058620 |
| PAC ID by PECOS | 3678706025 |
| Professional Enrollment ID | I20191002003134 |
| Full Name | Enrique Rodriguez |
| Organization Legal Name | COASTAL RADIOLOGY ASSOCIATES PLLC |
| Address |
6 Millwright Dr Hilton Head Island SC 29926-1234 |
| Phone Number | 8884772676 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8224002696 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340131 | CAROLINA EAST MEDICAL CENTER |
| 340042 | ONSLOW MEMORIAL HOSPITAL |
| 340050 | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| 420019 | CHESTER REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6 Millwright Dr, Hilton Head Island, SC 29926-1234 | 8884772676 | COASTAL RADIOLOGY ASSOCIATES PLLC |
| 1030 Medical Park Ave, New Bern, NC 28562-5248 | 2526375480 | COASTAL CAROLINA HEALTH CARE PA |
| Organization Legal Name | COASTAL RADIOLOGY ASSOCIATES PLLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Desmond | Diagnostic Radiology | Coastal Radiology Associates Pllc | 1003 N Duncan Ave, Amite, LA 70422-5503 |
| Elena Camelia Antonescu | Diagnostic Radiology | Coastal Radiology Associates Pllc | 720 Newman Rd, New Bern, NC 28562-5238 |
| Andrew S Bostaph | Diagnostic Radiology | Coastal Radiology Associates Pllc | 209 W 27th St, Lumberton, NC 28358-3016 |
| Nicholas Nathan Sweet | Diagnostic Radiology | Coastal Radiology Associates Pllc | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Andre Chartier | Diagnostic Radiology | Coastal Radiology Associates Pllc | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| James C. Lorentzen | Diagnostic Radiology | Coastal Radiology Associates Pllc | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Howard F Snyder | Diagnostic Radiology | Coastal Radiology Associates Pllc | 2000 Neuse Blvd, New Bern, NC 28560-3449 |
| Kristin Mary Wehrung | Diagnostic Radiology | Coastal Radiology Associates Pllc | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Timothy C Sloan | Diagnostic Radiology | Coastal Radiology Associates Pllc | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Christopher W. Flye | Diagnostic Radiology | Coastal Radiology Associates Pllc | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Street Address |
6 MILLWRIGHT DR |
| City | HILTON HEAD ISLAND |
| State | SC |
| Zip | 29926-1234 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Low | Maxillofacial Surgery | 10 Hospital Ctr Cmn D, Hilton Head Island, SC 29926 | |
| Alice Louise Moneypenny | Physical Therapy | Horizon Rehabilitation and Sports | 15 Moss Creek Vlg, Hilton Head, SC 29926-1105 |
| Christopher A Hulsey | Diagnostic Radiology | Atlantic Radiology Associates LLC | 15 Moss Creek Vlg, Hilton Head, SC 29926-1105 |
| Peter Romano | Diagnostic Radiology | Atlantic Radiology Associates LLC | 15 Moss Creek Vlg, Hilton Head, SC 29926-1105 |
| Jason T Snyder | Diagnostic Radiology | Atlantic Radiology Associates LLC | 15 Moss Creek Vlg, Hilton Head, SC 29926-1105 |
| Grant P Evans | Chiropractic | 15 Moss Creek Vlg, Hilton Head, SC 29926-1105 | |
| John Robert Gavin Jr. | Orthopedic Surgery | Gavin Orthopaedics | 15 Moss Creek Vlg, Hilton Head, SC 29926-1105 |
| William Greene | Diagnostic Radiology | Atlantic Radiology Associates LLC | 15 Moss Creek Vlg, Hilton Head, SC 29926-1105 |
| Richard B Allen | Diagnostic Radiology | Atlantic Radiology Associates LLC | 15 Moss Creek Vlg, Hilton Head, SC 29926-1105 |
| Miranda L Garcia | Physician Assistant | Paul Mitchell Pain Management Pa | 15 Moss Creek Vlg, Hilton Head, SC 29926-1105 |
| Find all physicians in zip 29926 | |||
| City | HILTON HEAD ISLAND |
| Zip Code | 29926 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | HILTON HEAD ISLAND + DIAGNOSTIC RADIOLOGY |
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| 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.