NPIMap

Individual provider Active NPI

Sean J Hislop, MD

  • Vascular Surgery Physician
  • Charleston, SC
National Provider Identifier
1164536215
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
39157 Issued in SC
Practice address
1327 Ashley River Rd
Charleston, SC 29407-5384
Phone
(843) 577-4551
Fax
(843) 577-8868
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 39157 SC Primary

Addresses

Primary practice location

1327 Ashley River Rd
Charleston, SC 29407-5384

Mailing address

1327 Ashley River Rd
Charleston, SC 29407-5384
Phone (843) 577-4551

Other identifiers 1

IdentifierTypeStateIssuer
391579MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151231000795 WA Practitioner - Vascular Surgery 5597996348 Reassigns benefits to 1 organization
I20160606001243 SC Practitioner - Vascular Surgery 5597996348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Rochester School of Medicine and Dentistry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Vascular and Vein Center PAGroup PAC ID 4981660479, 11 clinicians

Practice addresses (Care Compare)

1327 Ashley River Rd
Suite B
Charleston, SC 29407-5384
Phone (843) 577-4551

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal323
Leg revascularization (restoring blood flow)76
Removal of tissue50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Vascular and Vein Institute LLC Vascular Surgery CurrentSince Oct 23, 2024 Accepting new patients
Multicare Health System CurrentSince Jan 1, 2016 Accepting new patients
Multicare Health System CurrentSince Jan 1, 2016 Accepting new patients
Multicare Health System Current Accepting new patients
Coastal Vascular & Vein Center, LLC Vascular Surgery CurrentSince Jul 25, 2016 Accepting new patients

Locations

1327 Ashley River Rd
Charleston, SC 29407
Phone (843) 300-3588

1327 Ashley River Rd
Ste B
Charleston, SC 29407
Phone (614) 591-4049

2575 Elms Center Rd
North Charleston, SC 29406
Phone (843) 792-9300

1229 Nexton Pkwy
Unit C3
Summerville, SC 29486
Phone (843) 851-9069

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Interoperability endpoints

  • Direct secure messaging: sean.hislop@cvvc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHDFBA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1164536215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 ASHLEY RIVER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075384",
            "telephone_number": "843-577-4551",
            "fax_number": "843-577-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 ASHLEY RIVER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075384",
            "telephone_number": "843-577-4551",
            "fax_number": "843-577-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISLOP",
        "first_name": "SEAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "39157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391579",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.