Coastal Carolina Podiatry Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0556 Issued in SC

Legal business name

COASTAL CAROLINA PODIATRY INC

Practice address

299 Midland Pkwy # B
Summerville, SC 29485-8104

Phone

(843) 851-9069

Fax

(843) 871-8248

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Hal HatchettNPI 1083689400

Title

President

Phone

(843) 851-9069

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Coastal Carolina Podiatry2 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.

• Coastal Carolina Podiatry Inc

  • Foot & Ankle Surgery Podiatrist
  • Ladson, SC
  • NPI 1154331544
  NPD tax ID

Locations

Practitioners 2

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

• William Hal Hatchett, DPM

  • Foot & Ankle Surgery Podiatrist
  • Summerville, SC
  • NPI 1083689400
  NPD Authorized official
• Vito Speciale, DPM

  • Podiatrist
  • Summerville, SC
  • NPI 1689656498
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1629282744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 MIDLAND PKWY # B",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858104",
            "telephone_number": "843-851-9069",
            "fax_number": "843-871-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 MIDLAND PKWY # B",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858104",
            "telephone_number": "843-851-9069",
            "fax_number": "843-871-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HATCHETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-851-9069",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "0556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF0094",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD5561",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "CM2497",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Denise Clyburn, DPT
• CMJ Concrete LLC
• Jeannie Arlene Coale, LMT, NCTMB
• Coastal Carolina Medical Services LLC
• Coastal Carolina Multispecialty Associates, LLC
• Coastal Communication
• Coastal Communicators, LLC
• Coastal Inpatient Physicians, LLC
• Coastal Senior Care, LLC
• Coastal Vascular and Vein Institute LLC

• Foot & Ankle Surgery Podiatrist in Summerville, SC
• Providers in Summerville, SC by specialty
• Foot & Ankle Surgery Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.