NPIMap

Organization Active NPI

Trident Cardiology Associates, PA

  • Cardiovascular Disease Physician
  • Ladson, SC
National Provider Identifier
1376592972
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
TRIDENT CARDIOLOGY ASSOCIATES, PA
Practice address
3601 Ladson Rd
Suite 100
Ladson, SC 29456-4304
Phone
(843) 285-2500
Fax
(843) 285-2505
NPI assigned
May 9, 2006
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Mark A Coker, M.D.NPI 1235189218
Title
President
Phone
(843) 285-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

3601 Ladson Rd
Suite 100
Ladson, SC 29456-4304

Mailing address

3601 Ladson Rd
Suite 100
Ladson, SC 29456-4304
Phone (843) 285-2500

Other identifiers 2

IdentifierTypeStateIssuer
CG1965OtherSCRAILROAD MEDICARE
GP2635MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051122000675 SC Part B Supplier - Clinic/Group Practice 8729008529 Receives reassigned benefits from 20 practitioners
Practice locations: Ladson, SC; Moncks Corner, SC

National Provider Directory

National Provider Directory

Locations

3601 Ladson Rd
Ste 100
Ladson, SC 29456
Phone (843) 285-2500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13532/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1376592972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 LADSON RD",
            "address_2": "SUITE 100",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564304",
            "telephone_number": "843-285-2500",
            "fax_number": "843-285-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 LADSON RD",
            "address_2": "SUITE 100",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564304",
            "telephone_number": "843-285-2500",
            "fax_number": "843-285-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT CARDIOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-285-2500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG1965",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2635",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.