Vito Speciale (NPI# 1689656498, PAC ID# 8820069941) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1689656498 |
| PAC ID by PECOS | 8820069941 |
| Professional Enrollment ID | I20130422000110 |
| Full Name | Vito Speciale |
| Organization Legal Name | COASTAL CAROLINA PODIATRY INC |
| Address |
2891 Tricom St Suite A North Charleston SC 29406-7110 |
| Phone Number | 8438519069 |
| Gender | M |
| Credential | DPM |
| Graduation Year | 2001 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7214932201 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420079 | TRIDENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4340 Ladson Rd, Suite C, Ladson, SC 29456-6444 | 8438519069 | COASTAL CAROLINA PODIATRY INC |
| 2891 Tricom St, Suite A, North Charleston, SC 29406-7110 | 8438519069 | COASTAL CAROLINA PODIATRY INC |
| Organization Legal Name | COASTAL CAROLINA PODIATRY INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William H Hatchett | Podiatry | Coastal Carolina Podiatry Inc | 2891 Tricom St, Suite A, North Charleston, SC 29406-7110 |
| Edwin Blitch | Podiatry | Coastal Carolina Podiatry Inc | 4340 Ladson Rd, Suite C, Ladson, SC 29456-6444 |
| Street Address |
2891 TRICOM ST SUITE A |
| City | NORTH CHARLESTON |
| State | SC |
| Zip | 29406-7110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua L Fischer | Physical Therapy | Progressive Physical Therapy, Pa | 2891 Tricom St, Suite B, North Charleston, SC 29406-7110 |
| William H Hatchett | Podiatry | Coastal Carolina Podiatry Inc | 2891 Tricom St, Suite A, North Charleston, SC 29406-7110 |
| Steven R Ehrlich | Physical Therapy | Progressive Physical Therapy, Pa | 2891 Tricom St, Suite B, North Charleston, SC 29406-7110 |
| 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 | NORTH CHARLESTON |
| Zip Code | 29406 |
| Specialty | PODIATRY |
| City + Specialty | NORTH CHARLESTON + PODIATRY |
Please comment or provide details below to improve the information on Vito Speciale.
| 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.