Justine D Decastro (NPI# 1194936831, PAC ID# 9537308242) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1194936831 |
| PAC ID by PECOS | 9537308242 |
| Professional Enrollment ID | I20130726000539 |
| Full Name | Justine D Decastro |
| Organization Legal Name | EAST COOPER PHYSICIAN NETWORK, LLC |
| Address |
874 Whipple Rd Suite 100 Mount Pleasant SC 29464-8900 |
| Phone Number | 8438842133 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4587920145 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420089 | EAST COOPER MEDICAL CENTER |
| 420104 | MOUNT PLEASANT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 511 Beltline Blvd, Columbia, SC 29205-3627 | 8037824051 | DOCTORS CARE, PA |
| 874 Whipple Rd, Suite 100, Mount Pleasant, SC 29464-8900 | 8438842133 | EAST COOPER PHYSICIAN NETWORK, LLC |
| Organization Legal Name | EAST COOPER PHYSICIAN NETWORK, LLC |
| Physicians | 56 |
| 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 |
| George Durst Jr. | Family Medicine | East Cooper Physician Network, LLC | 306 Station 22, Sullivans Island, SC 29482-9756 |
| Jason D Stroud | Family Medicine | East Cooper Physician Network, LLC | 851 Leonard Fulghum Dr, Suite 100, Mount Pleasant, SC 29464-3793 |
| Street Address |
874 WHIPPLE RD SUITE 100 |
| City | MOUNT PLEASANT |
| State | SC |
| Zip | 29464-8900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Knepper | Family Medicine | East Cooper Physician Network, LLC | 874 Whipple Rd, Suite 100, Mount Pleasant, SC 29464-8900 |
| Julie S Bullard | Ophthalmology | 874 Whipple Rd, Suite 200, Mount Pleasant, SC 29464-8901 | |
| Elizabeth T Whirrett | Family Medicine | East Cooper Physician Network, LLC | 874 Whipple Rd, Suite 100, Mount Pleasant, SC 29464-8900 |
| Stefanie A Seixas-mikelus | Urology | East Cooper Physician Network, LLC | 874 Whipple Rd, Suite 100, Mount Pleasant, SC 29464-8900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dale Friar | Chiropractic | 1909 N Hwy 17, Suite I, Mount Pleasant, SC 29464 | |
| Frederick Shinners | Optometry | 1903 Hwy 17 N, Suite 100, Mt.pleasant, SC 29464 | |
| Carolyn R Word | Pediatric Medicine | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Andrew Evin Davidson | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Thomas Bailey Harper Iii | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Jeffrey J Dietrich | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Lindsey Paige Stoltz | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Bruce Ball | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Tiffany L. Dellinger | Nurse Practitioner | Roper Saint Francis Physicians Network | 180 Wingo Way, Suite 110, Mt Pleasant, SC 29464-1810 |
| Lisa Carol Tabakian | Nurse Practitioner | Roper Saint Francis Physicians Network | 180 Wingo Way, Suite 110, Mt Pleasant, SC 29464-1810 |
| Find all physicians in zip 29464 | |||
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MOUNT PLEASANT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Justine D Decastro.
| 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.