George Durst Jr.
EAST COOPER PHYSICIAN NETWORK, LLC


Address: 306 Station 22, Sullivans Island, SC 29482-9756
Phone: 8438833176

George Durst Jr. (NPI# 1174508378, PAC ID# 8022182823) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1174508378
PAC ID by PECOS 8022182823
Professional Enrollment ID I20080728000494
Full Name George Durst Jr.
Organization Legal Name EAST COOPER PHYSICIAN NETWORK, LLC
Address 306 Station 22
Sullivans Island
SC 29482-9756
Phone Number 8438833176
Gender M
Medical School MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year 1966
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 4587920145
Number of Group Practice Members 54
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420089 EAST COOPER MEDICAL CENTER

Other Locations

Address Phone Organization
306 Station 22, Sullivans Island, SC 29482-9756 8438833176 EAST COOPER PHYSICIAN NETWORK, LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name EAST COOPER PHYSICIAN NETWORK, LLC
Physicians 56

Physicians with the same organization

Name Specialty Organization Address
Susan George Knoche Colorectal Surgery (proctology) East Cooper Physician Network, LLC 903 N Fraser St, Suite B, Georgetown, SC 29440-2879
Margaret Jean Boyer Registered Dietitian Or Nutrition Professional East Cooper Physician Network, LLC 1280 Hospital Dr, Unit 302, Mount Pleasant, SC 29464-1901
John A Knepper Family Medicine East Cooper Physician Network, LLC 874 Whipple Rd, Suite 100, Mount Pleasant, SC 29464-8900
Maggie W Evans Obstetrics/gynecology East Cooper Physician Network, LLC 851 Leonard Fulghum Dr, Suite 201, Mount Pleasant, SC 29464-3793
Kay H Durst Family Medicine East Cooper Physician Network, LLC 306 Station 22, Sullivans Island, SC 29482-9756
Bridget T Williamson Obstetrics/gynecology East Cooper Physician Network, LLC 851 Leonard Fulghum Dr, Suite 200, Mount Pleasant, SC 29464-3793
William J Estes Orthopedic Surgery East Cooper Physician Network, LLC 851 Leonard Fulghum Dr, Suite 101, Mount Pleasant, SC 29464-3793
Sarah Branyon Voges Nurse Practitioner East Cooper Physician Network, LLC 2000 Hospital Dr, Mount Pleasant, SC 29464-3764
Jason D Stroud Family Medicine East Cooper Physician Network, LLC 851 Leonard Fulghum Dr, Suite 100, Mount Pleasant, SC 29464-3793
Justine D Decastro Family Medicine East Cooper Physician Network, LLC 874 Whipple Rd, Suite 100, Mount Pleasant, SC 29464-8900

Office Location

Street Address 306 STATION 22
City SULLIVANS ISLAND
State SC
Zip 29482-9756

Physicians in the same location

Name Specialty Organization Address
Cynthia Collie Ophthalmology 306 Station 22, Sullivans Island, SC 29482-9756
Kay H Durst Family Medicine East Cooper Physician Network, LLC 306 Station 22, Sullivans Island, SC 29482-9756
Christopher S Wilson Physical Therapy Agilitas Usa Inc 306 Station 22, Sullivans Island, SC 29482-9756
Rochelle Rutledge Family Medicine East Cooper Physician Network, LLC 306 Station 22, Sullivans Island, SC 29482-9756

Competitor

Search similar physicians

City SULLIVANS ISLAND
Zip Code 29482
Specialty FAMILY MEDICINE
City + Specialty SULLIVANS ISLAND + FAMILY MEDICINE

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Dataset Information

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.

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