Coastal Pain and Spine Center, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

18399 Issued in SC

Legal business name

COASTAL PAIN AND SPINE CENTER, INC

Practice address

38 Sheridan Park Cir
Suite F
Bluffton, SC 29910-7022

Phone

(843) 757-6744

Fax

(843) 757-6743

NPI assigned

Jul 22, 2006

Last updated

Oct 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan L Cramer, MD

Title

Owner/Doctor

Phone

(843) 757-6744

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1427079698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SHERIDAN PARK CIR",
            "address_2": "SUITE F",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107022",
            "telephone_number": "843-757-6744",
            "fax_number": "843-757-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 SHERIDAN PARK CIR",
            "address_2": "SUITE F",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107022",
            "telephone_number": "843-757-6744",
            "fax_number": "843-757-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PAIN AND SPINE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "CRAMER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "843-757-6744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "18399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183991",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4057",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID NUMB",
            "identifier": "P00203769",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8084",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemary Clark, LPC, LMFT
• Coastal Carolina Physician Practices LLC
• Coastal Empire Mental Health
• Coastal Foot & Ankle Center LLC
• Coastal Pain & Spine Center LLC
• Coastal Psychotherapy and Consulting Inc.
• Coastal Therapy Group
• Andrea Cole
• Colby Cole
• Caroline Coleman, LMT

• Specialist in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.