NPIMap

Organization Active NPI

Coastal Fertility Center

  • Reproductive Endocrinology Physician
  • Mount Pleasant, SC
National Provider Identifier
1356600878
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
COASTAL FERTILITY CENTER
Practice address
1375 Hospital Dr
Mount Pleasant, SC 29464-3254
Phone
(843) 883-5800
Fax
(843) 881-0362
NPI assigned
May 4, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Devon Ormson
Title
Regional Director
Phone
(843) 606-3943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X NU Primary

Addresses

Primary practice location

1375 Hospital Dr
Mount Pleasant, SC 29464-3254

Mailing address

1375 Hospital Dr
Mount Pleasant, SC 29464-3254
Phone (843) 883-5800

Other practice location 1

9100 White Bluff Rd Ste 201
Savannah, GA 31406-4600
Phone (912) 421-1285

National Provider Directory

National Provider Directory
Tax ID family
Coastal Fertility Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1375 Hospital Dr
Mt Pleasant, SC 29464
Phone (843) 881-3900

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1356600878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 HOSPITAL DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643254",
            "telephone_number": "843-883-5800",
            "fax_number": "843-881-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 HOSPITAL DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643254",
            "telephone_number": "843-883-5800",
            "fax_number": "843-881-0362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9100 White Bluff Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314064600",
            "country_code": "US",
            "telephone_number": "912-421-1285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL FERTILITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ORMSON",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "843-606-3943"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.