Robbie H Taha (NPI# 1235251042, PAC ID# 7810020443) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1235251042 |
| PAC ID by PECOS | 7810020443 |
| Professional Enrollment ID | I20110907001593 |
| Full Name | Robbie H Taha |
| Organization Legal Name | COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC |
| Address |
120 Medical Park Dr Walterboro SC 29488-5719 |
| Phone Number | 8437824141 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GASTROENTEROLOGY |
| Group Practice PAC ID | 9931105046 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| 420079 | TRIDENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES | |
| 468 Cadieux Rd, Fl 2, Grosse Pointe, MI 48230-1507 | 3134736900 | BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES |
| 25250 Kelly Rd, Suite 100, Roseville, MI 48066-4473 | 5867774668 | BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES |
| 25631 Little Mack Ave, Saint Clair Shores, MI 48081-2108 | BEAUMONT MEDICAL GROUP-SPECIALTY SERVICES | |
| 120 Medical Park Dr, Walterboro, SC 29488-5719 | 8437824141 | COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Kalv | Orthopedic Surgery | Coastal Carolina Multispecialty Associates LLC | 295 A Midland Pkwy, Suite 260, Summerville, SC 29485-5901 |
| Christine Philbrick Brusman | Nurse Practitioner | Coastal Carolina Multispecialty Associates LLC | 9304 Medical Plaza Dr, Suite D, Charleston, SC 29406-9143 |
| Todd L Allen | Obstetrics/gynecology | Coastal Carolina Multispecialty Associates LLC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Diana D Axiotis | Physician Assistant | Coastal Carolina Multispecialty Associates LLC | 295 Midland Pkwy, Summerville, SC 29485-8104 |
| Darren Sidney | Cardiac Electrophysiology | Coastal Carolina Multispecialty Associates LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Michael Michel | General Surgery | Coastal Carolina Multispecialty Associates LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Brooke Elizabeth Watson | Physician Assistant | Coastal Carolina Multispecialty Associates LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| David C Blease | Physician Assistant | Coastal Carolina Multispecialty Associates LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Karl D Stiegler | General Surgery | Coastal Carolina Multispecialty Associates LLC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Beth Damato | Nurse Practitioner | Coastal Carolina Multispecialty Associates LLC | 9313 Medical Plaza Dr, Charleston, SC 29406-9155 |
| Street Address |
120 MEDICAL PARK DR |
| City | WALTERBORO |
| State | SC |
| Zip | 29488-5719 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frances Murray | Family Medicine | United Physicians Care Inc | 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330-9013 |
| Sharifeh Farasat | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| John G Hancox | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| James Malone | Family Medicine | United Physicians Care Inc | 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330-9013 |
| William Thomas Corder | Allergy/immunology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| Charles Bradley Franz | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| Aaradhana Kaul | Rheumatology | United Hospital Center Inc | 120 Medical Park Dr, Suite 100, Bridgeport, WV 26330-9013 |
| Meranda Danielle Chipps | Nurse Practitioner | United Hospital Center Inc | 120 Medical Park Dr, Suite 100, Bridgeport, WV 26330-9013 |
| Stephen F Fryer Ii | Family Medicine | United Physicians Care Inc | 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330-9013 |
| Anthony Catania | Podiatry | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lance A Sims | Podiatry | 841 Robetson Blvd, Walterboro, SC 29488 | |
| Alyssa W Ursini | Nurse Practitioner | Lowcountry Urgent Care LLC | 1515 Bells Hwy, Walterboro, SC 29488-2517 |
| Quana Mardena Singleton | Nurse Practitioner | Lowcountry Urgent Care LLC | 1515 Bells Hwy, Walterboro, SC 29488-2517 |
| Robert H Payne Jr. | Psychiatry | Charleston Family Center, LLC | 303 Maxey St, Walterboro, SC 29488-2546 |
| Harriet A Nason | Clinical Social Worker | Charleston Family Center, LLC | 303 Maxey St, Walterboro, SC 29488-2546 |
| Stuart A Eder | Chiropractic | 975 Bells Hwy, Walterboro, SC 29488-2565 | |
| Robert L Thomas | Internal Medicine | 300 Ruby St, Walterboro, SC 29488-2758 | |
| Alison Renee Brown | Physician Assistant | Walterboro Adult and Pediatric Medicine,llc | 447 Spruce St, Walterboro, SC 29488-2766 |
| Brandon Eugene Marshall | Optometry | Carolina Eyecare Physicians,llc | 459 Spruce St, Walterboro, SC 29488-2766 |
| Michael L Blubaugh | Internal Medicine | Carolina Medical Center of Walterboro P A | 461 Spruce St, Walterboro, SC 29488-2766 |
| Find all physicians in zip 29488 | |||
| City | WALTERBORO |
| Zip Code | 29488 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WALTERBORO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Robbie H Taha.
| 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.