Rahn Ravenell (NPI# 1639492473, PAC ID# 8022204411) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1639492473 |
| PAC ID by PECOS | 8022204411 |
| Professional Enrollment ID | I20101124000604 |
| Full Name | Rahn Ravenell |
| Organization Legal Name | COASTAL PODIATRY LLC |
| Address |
2061 Hwy 52 Moncks Corner SC 29461-5017 |
| Phone Number | 8438565337 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7214110865 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420004 | MUSC MEDICAL CENTER |
| 420089 | EAST COOPER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2061 Hwy 52, Moncks Corner, SC 29461-5017 | 8438565337 | COASTAL PODIATRY LLC |
| 180 Wingo Way, Suite 201, Mount Pleasant, SC 29464-1811 | 8438565337 | COASTAL PODIATRY LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | COASTAL PODIATRY LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamika Michelle Bolden Ravenell | Podiatry | Coastal Podiatry LLC | 180 Wingo Way, Suite 201, Mount Pleasant, SC 29464-1811 |
| Street Address |
2061 HWY 52 |
| City | MONCKS CORNER |
| State | SC |
| Zip | 29461-5017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Kaye Heincelman | Family Medicine | Berkeley Family Practice LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Margaret V Sorrell | Family Medicine | Berkeley Family Practice LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Jeffrey Ramond Santi | Family Medicine | Berkeley Family Practice LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Jeremy Ackermann | Family Medicine | Berkeley Family Practice LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| John D Flaugher | Family Medicine | Berkeley Family Practice LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Kimberly Renee Stoltzfus | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Samuel W Adams Ii | Family Medicine | Berkeley Family Practice LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Kelly S Guerrero | Physician Assistant | Coastal Cardiology, P.a. | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Jillian Galan | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Gordon Wilhoit | Family Practice | Berkeley Family Practice LLC | 2061 Hwy 52, Moncks Corner, SC 29461-5017 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frances P Johnson | Physical Therapy | Moncks Corner Physical Therapy, LLC | 209 W Main St, Moncks Corner, SC 29461-2604 |
| Richard Gordon Johnson I | Physical Therapy | Moncks Corner Physical Therapy, LLC | 209 W Main St, Moncks Corner, SC 29461-2604 |
| Rodney N Tyler Jr. | Occupational Therapy | Moncks Corner Physical Therapy, LLC | 209 W Main St, Moncks Corner, SC 29461-2604 |
| Iwona Gasior | Physician Assistant | Ohio Valley Physicians Inc | 306 Airport Dr, Moncks Corner, SC 29461-2629 |
| Robert G Reuther | Ophthalmology | Carolina Eyecare Physicians LLC | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Nancy R Lembo | Physical Medicine and Rehabilitation | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 | |
| Cortney S Draper | Emergency Medicine | Roper Hospital, Inc. | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| John P Davis Jr. | Internal Medicine | Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Suite 200, Moncks Corner, SC 29461-2904 |
| Crystal G Whittington | Optometry | Carolina Eyecare Physicians LLC | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Alexander Marshall | Internal Medicine | Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Find all physicians in zip 29461 | |||
| City | MONCKS CORNER |
| Zip Code | 29461 |
| Specialty | PODIATRY |
| City + Specialty | MONCKS CORNER + PODIATRY |
Please comment or provide details below to improve the information on Rahn Ravenell.
| 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.