Diana D Axiotis (NPI# 1063615383, PAC ID# 9931095239) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1063615383 |
| PAC ID by PECOS | 9931095239 |
| Professional Enrollment ID | I20070806000078 |
| Full Name | Diana D Axiotis |
| Organization Legal Name | COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC |
| Address |
295 Midland Pkwy Summerville SC 29485-8104 |
| Phone Number | 8437977000 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1987 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9931105046 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420079 | TRIDENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 295 Midland Pkwy, Summerville, SC 29485-8104 | 8437977000 | COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC |
| 120 Medical Park Dr, Walterboro, SC 29488-5719 | COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC |
| Organization Legal Name | COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Kalv | Orthopedic Surgery | Coastal Carolina Multispecialty Associates LLC | 295 A Midland Pkwy, Suite 260, Summerville, SC 29485-5901 |
| Christine Philbrick Brusman | Nurse Practitioner | Coastal Carolina Multispecialty Associates LLC | 9304 Medical Plaza Dr, Suite D, Charleston, SC 29406-9143 |
| Todd L Allen | Obstetrics/gynecology | Coastal Carolina Multispecialty Associates LLC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Darren Sidney | Cardiac Electrophysiology | Coastal Carolina Multispecialty Associates LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Michael Michel | General Surgery | Coastal Carolina Multispecialty Associates LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Brooke Elizabeth Watson | Physician Assistant | Coastal Carolina Multispecialty Associates LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| David C Blease | Physician Assistant | Coastal Carolina Multispecialty Associates LLC | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 |
| Robbie H Taha | Internal Medicine | Coastal Carolina Multispecialty Associates LLC | 120 Medical Park Dr, Walterboro, SC 29488-5719 |
| Karl D Stiegler | General Surgery | Coastal Carolina Multispecialty Associates LLC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Beth Damato | Nurse Practitioner | Coastal Carolina Multispecialty Associates LLC | 9313 Medical Plaza Dr, Charleston, SC 29406-9155 |
| Street Address |
295 MIDLAND PKWY |
| City | SUMMERVILLE |
| State | SC |
| Zip | 29485-8104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caron Gutovitz | Obstetrics/gynecology | Obhg South Carolina PC | 295 Midland Pkwy, Summerville, SC 29485-8104 |
| Sarah E Hearn | Physician Assistant | Coastal Carolina Primary Care, LLC | 295 Midland Pkwy, Summerville, SC 29485-8104 |
| David Frank Murray | Internal Medicine | Southeastern Hospitalist Services, PC | 295 Midland Pkwy, Summerville, SC 29485-8104 |
| Christopher K Corbit | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 295 Midland Pkwy, Summerville, SC 29485-8104 |
| Jessica Murner Hamilton | Nurse Practitioner | Southeastern Hospitalist Services, PC | 295 Midland Pkwy, Summerville, SC 29485-8104 |
| Wesley O Smith | Nurse Practitioner | Southeastern Hospitalist Services, PC | 295 Midland Pkwy, Summerville, SC 29485-8104 |
| Cheryl C Mahaffey | Certified Registered Nurse Anesthetist (crna) | Trident Anesthesia Group LLC | 295 Midland Pkwy, Summerville, SC 29485-8104 |
| Richard D Adams | Obstetrics/gynecology | Coastal Carolina Primary Care, LLC | 295 Midland Pkwy, Summerville, SC 29485-8104 |
| Aaron Garrett | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 295 Midland Pkwy, Summerville, SC 29485-8104 |
| David Jay Baggett | Family Medicine | 295 Midland Pkwy, Summerville, SC 29485-8104 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn J Gershkowitz | Nurse Practitioner | Equilibrium Endocrinology, Pa | 4340 Ladson Rd, Summerville, SC 29485 |
| Robert Stephen Iannace Jr. | Chiropractic | 1357 Bacons Bridge Rd, Summerville, SC 29485-3335 | |
| Marci H Woods | Nurse Practitioner | Roper Saint Francis Physicians Network | 9500 Dorchester Rd, Suite 362, Summerville, SC 29485-4304 |
| Judith L Hoffman | Clinical Social Worker | 89 B Old Trolley Rd, Suite 209, Summerville, SC 29485-4933 | |
| Christopher John Jones | Psychiatry | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| Susan S Crocker | Psychiatry | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| Christine Diane Hamolia | Certified Clinical Nurse Specialist (cns) | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| James C Turn | Chiropractic | Willturn PC | 705 Old Trolley Rd E, Summerville, SC 29485-5212 |
| Thomas Edewaard | Optometry | 705 Old Trolley Rd A, Summerville, SC 29485-5212 | |
| Virginia Chetverikov | Optometry | Mobile Vision of South Carolina LLC | 717 Trolley Rd, Summerville, SC 29485-5287 |
| Find all physicians in zip 29485 | |||
| City | SUMMERVILLE |
| Zip Code | 29485 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SUMMERVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Diana D Axiotis.
| 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.