Charles G Shissias (NPI# 1124039334, PAC ID# 6608965710) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
Nation Provider ID (NPI) | 1124039334 |
PAC ID by PECOS | 6608965710 |
Professional Enrollment ID | I20071127000603 |
Full Name | Charles G Shissias |
Organization Legal Name | COASTAL INPATIENT PHYSICIANS LLC |
Address |
9330 Medical Plaza Dr Charleston SC 29406-9104 |
Phone Number | 8438474372 |
Gender | M |
Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
Graduation Year | 1994 |
Primary Specialty | NEUROLOGY |
Secondary Specialties | PSYCHIATRY |
Group Practice PAC ID | 4688671365 |
Number of Group Practice Members | 16 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
420079 | TRIDENT MEDICAL CENTER |
420030 | COLLETON MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 8438474372 | COASTAL INPATIENT PHYSICIANS LLC |
501 Robertson Blvd, Walterboro, SC 29488-2787 | 8737822767 | COASTAL INPATIENT PHYSICIANS LLC |
Organization Legal Name | COASTAL INPATIENT PHYSICIANS LLC |
Physicians | 17 |
Name | Specialty | Organization | Address |
---|---|---|---|
Fazal M Khan | Psychiatry | Coastal Inpatient Physicians LLC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
Kathleen Marie Wiese | Neurology | Coastal Inpatient Physicians LLC | 9300 Medical Plaza Dr, Charleston, SC 29406-9334 |
Yevgeniy Gelfand | Internal Medicine | Coastal Inpatient Physicians LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
Holly B Miller | Physician Assistant | Coastal Inpatient Physicians LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
Karen R Smith | Nurse Practitioner | Coastal Inpatient Physicians LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
Jeffrey S Cluver | Psychiatry | Coastal Inpatient Physicians LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
Julio Rentas Reyes | Neurology | Coastal Inpatient Physicians LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
Thomas A Privett | Neurology | Coastal Inpatient Physicians LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
Meenakshi Parmar | Psychiatry | Coastal Inpatient Physicians LLC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
Maria Elena Moreno | Psychiatry | Coastal Inpatient Physicians LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
Street Address |
9330 MEDICAL PLAZA DR |
City | CHARLESTON |
State | SC |
Zip | 29406-9104 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paul G Del Valle | Anesthesiology | Trident Anesthesia Group LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
Drew P Cardwell | Certified Registered Nurse Anesthetist (crna) | Trident Anesthesia Group LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
Yevgeniy Gelfand | Internal Medicine | Coastal Inpatient Physicians LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
Rima P Patel | Internal Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
Fritz E Jean-gilles | Internal Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
Farnel F Backer | Family Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
Holly B Miller | Physician Assistant | Coastal Inpatient Physicians LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
Emily Whitman | Physician Assistant | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
Christopher W Phillips | Internal Medicine | Southeastern Hospitalist Services, PC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
Darren Sidney | Cardiac Electrophysiology | Coastal Carolina Multispecialty Associates LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark A Coker | Cardiovascular Disease (cardiology) | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
Mary L Bowen | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
Jason B Coker | Internal Medicine | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
Dana West | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
Victoria M Adams | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
Kirsten Lynn Paris | Physician Assistant | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, North Charleston, SC 29406 |
Jack Stansbury | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
Jennifer M Lesslie | Optometry | 1370 Remount Rd, Suite B, N Charleston, SC 29406-3322 | |
Francis Akom | Obstetrics/gynecology | 1370 Remount Rd D, North Charleston, SC 29406-3322 | |
Michael David Schall | Optometry | 1415 Remount Rd, N Charleston, SC 29406-3326 | |
Find all physicians in zip 29406 |
City | CHARLESTON |
Zip Code | 29406 |
Specialty | NEUROLOGY |
City + Specialty | CHARLESTON + NEUROLOGY |
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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.