Coastal Gastroenterology & Hepatology LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

21101 Issued in SC

Legal business name

COASTAL GASTROENTEROLOGY & HEPATOLOGY LLC

Practice address

1616 Ashley River Rd
Charleston, SC 29407-5902

Phone

(843) 556-1285

Fax

(843) 556-1286

NPI assigned

Mar 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John David Bohler, M.D.

Title

Owner

Phone

(843) 556-1285

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Chad Alexander Thomas, PA-C

  • Physician Assistant
  • Summerville, SC
  • NPI 1528030863
  NPD (past)
• Thomas Carico, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Statesboro, GA
  • NPI 1205814175
  NPD (past)

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1295906816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31297",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294171297",
            "telephone_number": "843-556-1285",
            "fax_number": "843-556-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 ASHLEY RIVER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075902",
            "telephone_number": "843-556-1285",
            "fax_number": "843-556-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL GASTROENTEROLOGY & HEPATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "BOHLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-556-1285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SC",
            "license": "21101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Carolina Rehabilitation, LLC
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• Coastal Eye Care of Daniel Island
• Coastal Eye Care of James Island
• Coastal Family Dentistry of West Ashley, PA
• Coastal Gynecology and Obstetrics PA
• Coastal Inpatient Physicians, LLC
• Coastal Kids Dental
• Coastal Kids Dental & Braces
• Coastal Management Group

• All providers in Charleston, SC
• Medical Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.