Coastal Carolina Centers of Urology and Surgery LLC
A Medicare group practice based in Conway, SC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7214989359), with 35 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7214989359
- Provider type
- Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- SC
- Enrollments
- 2
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050216000738 | SC | Part B Supplier - Clinic/Group Practice | 1205095080 |
| O20080609000605 | SC | Part B Supplier - Ambulatory Surgical Center | 1932274743 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Coastal Carolina Centers of Urology and Surgery LLC
dba Rivertown Surgery Center
- Anesthesiology Physician
- Conway, SC
- NPI 1205095080
-
Coastal Carolina Centers of Urology and Surgery LLC
dba Rivertown Surgery Center
- Ambulatory Surgical Clinic/Center
- Conway, SC
- NPI 1932274743
Practice locations
- Conway, SC2
Clinicians 35
Clinicians who reassign their Medicare benefits to this group (35) or whom Care Compare lists as members (3).
-
Donya T Baker, CRNA
- Certified Registered Nurse Anesthetist
- Conway, SC
- NPI 1336165695
-
Susan C Barbieri, MD
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1891745279
-
Kevin Matthew Behney, CRNA
- Certified Registered Nurse Anesthetist
- Myrtle Beach, SC
- NPI 1194107110
-
Billy Joe Bowman, APRN
- Certified Registered Nurse Anesthetist
- Greenville, SC
- NPI 1366769309
-
Jennifer Elizabeth Cerio, CRNA
- Certified Registered Nurse Anesthetist
- Syracuse, NY
- NPI 1730587395
-
Danielle Michelle Clark, CRNA
- Certified Registered Nurse Anesthetist
- Castle Rock, CO
- NPI 1821352485
-
David R Davis, CRNA
- Certified Registered Nurse Anesthetist
- Myrtle Beach, SC
- NPI 1609820588
-
Christopher Len Deese, CRNA
- Certified Registered Nurse Anesthetist
- Tripler AMC, HI
- NPI 1447230362
-
John Paul Dexter, CRNA
- Certified Registered Nurse Anesthetist
- Florence, SC
- NPI 1740208131
-
Ann E Didelot, MD
- Anesthesiology Physician
- Shelbyville, IN
- NPI 1306809934
-
Bryan Patrick Fleming, CRNA
- Certified Registered Nurse Anesthetist
- Myrtle Beach, SC
- NPI 1962843755
-
Shawn Sullivan Fleming, CRNA
- Certified Registered Nurse Anesthetist
- Raleigh, NC
- NPI 1740542752
-
Joanna F Fletcher, CRNA
- Certified Registered Nurse Anesthetist
- Charleston, WV
- NPI 1447489794
-
Michael Ford, M.D.
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1457402513
-
James David Forrest, CRNA
- Certified Registered Nurse Anesthetist
- Murrells Inlet, SC
- NPI 1154306215
-
Diane W Fox, CRNA
- Certified Registered Nurse Anesthetist
- Georgetown, SC
- NPI 1700886413
-
Jamie Edens Gilligan, CRNA
- Certified Registered Nurse Anesthetist
- Columbia, SC
- NPI 1972860344
-
Jaime C Gremillion, CRNA
- Certified Registered Nurse Anesthetist
- Myrtle Beach, SC
- NPI 1710205679
-
Shawn Michael Guerette, CRNA
- Certified Registered Nurse Anesthetist
- Conway, SC
- NPI 1952046690
-
Matthew Halliday, CRNA
- Certified Registered Nurse Anesthetist
- Murrells Inlet, SC
- NPI 1932184751
-
Melinda Hensley, CRNA
- Certified Registered Nurse Anesthetist
- Ladson, SC
- NPI 1679729743
-
Thomas L Holt, CRNA
- Certified Registered Nurse Anesthetist
- Conway, SC
- NPI 1780698258
-
Freda Marie Kerr, CRNA
- Certified Registered Nurse Anesthetist
- Clinton, NC
- NPI 1821255449
-
Kenneth Earl Kerr, CRNA
- Certified Registered Nurse Anesthetist
- Whiteville, NC
- NPI 1750334777
-
Katherine Anne Kocek, CRNA
- Certified Registered Nurse Anesthetist
- Savannah, GA
- NPI 1952869307
-
Janet Ann Lee, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Marriottsville, MD
- NPI 1194721761
-
Robert Michael Marrero Jr., CRNA
- Certified Registered Nurse Anesthetist
- Conway, SC
- NPI 1912546383
-
Laura Leigh Matthews, CRNA
- Certified Registered Nurse Anesthetist
- Columbia, SC
- NPI 1558338657
-
Derek Christian May, CRNA
- Certified Registered Nurse Anesthetist
- Myrtle Beach, SC
- NPI 1902314123
-
Jessica Sue Mendelsohn, CRNA
- Certified Registered Nurse Anesthetist
- Myrtle Beach, SC
- NPI 1861615676
-
Ashlyn Parker, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Myrtle Beach, SC
- NPI 1457021651
-
Amy L Roberts, CRNA
- Certified Registered Nurse Anesthetist
- Lumberton, NC
- NPI 1013915966
-
Eric J Swanson, CRNA
- Certified Registered Nurse Anesthetist
- Myrtle Beach, SC
- NPI 1245565050
-
Angela Annette Wilson, MNA, CRNA
- Certified Registered Nurse Anesthetist
- Monroe, NC
- NPI 1477739035
-
Larry John Yoder, CRNA
- Certified Registered Nurse Anesthetist
- Elizabethtown, NC
- NPI 1326046434
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.