Organization Active NPI

Phillip & Coker OB-GYN LLC

  • Obstetrics & Gynecology Physician
  • Florence, SC
National Provider Identifier
1285693606
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PHILLIP & COKER OB-GYN LLC
Practice address
1590 Freedom Blvd
Ste. B
Florence, SC 29505-6071
Phone
(843) 665-9581
Fax
(843) 669-6426
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Ms. Sharon Poston
Title
Chief Operating Officer
Phone
(843) 629-7074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1590 Freedom Blvd
Ste. B
Florence, SC 29505-6071

Mailing address

PO Box 60423
Charlotte, NC 28260-0423
Phone (843) 629-7074

Other identifiers 2

IdentifierTypeStateIssuer
GP4182MedicaidSC
DD5603OtherSCRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1285693606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60423",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600423",
            "telephone_number": "843-629-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 FREEDOM BLVD",
            "address_2": "STE. B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056071",
            "telephone_number": "843-665-9581",
            "fax_number": "843-669-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP & COKER OB-GYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "POSTON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "843-629-7074",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4182",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD5603",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.