East Cooper OBGYN, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

EAST COOPER OBGYN, LLC

Practice address

851 Leonard Fulghum Blvd
Suite 200
Mt Pleasant, SC 29464-3787

Phone

(843) 856-3262

Fax

(843) 856-3268

NPI assigned

Sep 25, 2013

Last updated

Jun 6, 2016By 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

Mr. Wesley O. James

Title

Regional Cfo, Tenet

Phone

(404) 265-5009

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1427484245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742774",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742774",
            "telephone_number": "843-856-3262",
            "fax_number": "843-856-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 LEONARD FULGHUM BLVD",
            "address_2": "SUITE 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643787",
            "telephone_number": "843-856-3262",
            "fax_number": "843-856-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COOPER OBGYN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP6324",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Cooper Family Pharmacy
• East Cooper Hearing Center
• East Cooper Hyperbarics, LLC
• East Cooper Medical Center LLC (East Cooper Acute Rehab)
• East Cooper Medical Center LLC (Novant Health East Cooper Medical Center)
• East Cooper Physician Group LLC (Novant Health General Surgery & Bariatrics)
• East Cooper Physician Group LLC
• East Cooper Physician Group LLC (Hand Institute of Charleston East Cooper Medical Group)
• East Cooper Physician Group LLC (Novant Health Sewee Family Medicine)
• East Cooper Physician Group LLC (Novant Health Interventional Imaging at East Cooper)

• Obstetrics & Gynecology Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Obstetrics & Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.