John Ciccone (NPI# 1750378824, PAC ID# 8022048305) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1750378824 |
| PAC ID by PECOS | 8022048305 |
| Professional Enrollment ID | I20120827000836 |
| Full Name | John Ciccone |
| Organization Legal Name | COASTAL CARDIOLOGY PA |
| Address |
3510 N Hwy 17 Suite 110 Mt Pleasant SC 29466-8228 |
| Phone Number | 8437236111 |
| Gender | M |
| Credential | MD |
| Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1850484783 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420104 | MOUNT PLEASANT HOSPITAL |
| 420089 | EAST COOPER MEDICAL CENTER |
| 420087 | ROPER HOSPITAL |
| 420065 | BON SECOURS-ST FRANCIS XAVIER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3510 N Hwy 17, Suite 110, Mt Pleasant, SC 29466-8228 | 8437236111 | COASTAL CARDIOLOGY PA |
| Organization Legal Name | COASTAL CARDIOLOGY PA |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Jean Byrd | Physician Assistant | Coastal Cardiology Pa | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 |
| Kristen P Nawabi | Cardiovascular Disease (cardiology) | Coastal Cardiology Pa | 3510 N Hwy 17, Suite 110, Mt Pleasant, SC 29466-8228 |
| Brett Raul Dalmau | Physician Assistant | Coastal Cardiology Pa | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 |
| Jeffrey S Rieder | Cardiovascular Disease (cardiology) | Coastal Cardiology Pa | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 |
| Christy Hawkins | Physician Assistant | Coastal Cardiology Pa | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 |
| Matthew B O Steen | Cardiovascular Disease (cardiology) | Coastal Cardiology Pa | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 |
| Minh K Tran | Cardiovascular Disease (cardiology) | Coastal Cardiology Pa | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 |
| William B Ellison | Cardiovascular Disease (cardiology) | Coastal Cardiology Pa | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 |
| Troy A Bunting | Cardiovascular Disease (cardiology) | Coastal Cardiology Pa | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 |
| Scott Latimer Woodfield | Cardiovascular Disease (cardiology) | Coastal Cardiology Pa | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 |
| Street Address |
3510 N HWY 17 SUITE 110 |
| City | MT PLEASANT |
| State | SC |
| Zip | 29466-8228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen P Nawabi | Cardiovascular Disease (cardiology) | Coastal Cardiology Pa | 3510 N Hwy 17, Suite 110, Mt Pleasant, SC 29466-8228 |
| Nichole M Watson | Family Medicine | Roper Saint Francis Physicians Network | 3510 N Hwy 17, Suite 320, Mount Pleasant, SC 29466-8232 |
| Amy H Mendez | Registered Dietitian Or Nutrition Professional | Roper Saint Francis Physicians Network | 3510 N Hwy 17, Suite 110, Mt Pleasant, SC 29466-8228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherry Looman | Physician Assistant | Sea Island Medical Care | 2114 Hwy 41, Suite 105, Mt Pleasant, SC 29466 |
| Anoma S Gamage | Family Medicine | Sea Island Medical Care | 2114 Hwy 41, Suite 105, Mt Pleasant, SC 29466 |
| Lauren Dubose Neese | Nurse Practitioner | Sea Island Medical Care | 2114 Hwy 41, Suite 105, Mt Pleasant, SC 29466 |
| Jessica Leigh Watson | Physician Assistant | Sea Island Medical Care | 2114 Hwy 41, Suite 105, Mt Pleasant, SC 29466 |
| Lee C Ross | Nurse Practitioner | Sea Island Medical Care | 2114 Hwy 41, Suite 105, Mt Pleasant, SC 29466 |
| Nathan L Karpinsky | Chiropractic | Elite Health Solutions LLC | 2191n Hwy 17 A, Mount Pleasant, SC 29466-6805 |
| Paul A Kukes | Chiropractic | Elite Health Solutions LLC | 2191n Hwy 17 A, Mount Pleasant, SC 29466-6805 |
| Rick Anthony Digregorio | Chiropractic | 3400 Salterbeck St, Suite 102, Mount Pleasant, SC 29466-7118 | |
| Colleen Manning | Physician Assistant | East Cooper Physician Network, LLC | 3400 Salterbeck St, Mount Pleasant, SC 29466-7118 |
| Jacklyn Pearson Wurthmann | Physician Assistant | East Cooper Physician Network, LLC | 3400 Salterbeck St, Mount Pleasant, SC 29466-7118 |
| Find all physicians in zip 29466 | |||
| City | MT PLEASANT |
| Zip Code | 29466 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | MT PLEASANT + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.