East Cooper Coastal Internal Medicine Associates, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EAST COOPER COASTAL INTERNAL MEDICINE ASSOCIATES, LLC

Practice address

1300 Hospital Dr
Suite 210
Mt Pleasant, SC 29464-3261

Phone

(843) 856-0700

Fax

(843) 856-0604

NPI assigned

Jun 11, 2009

Last updated

May 26, 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

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1639306137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR",
            "address_2": "SUITE 210",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643261",
            "telephone_number": "843-856-0700",
            "fax_number": "843-856-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR",
            "address_2": "SUITE 210",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643261",
            "telephone_number": "843-856-0700",
            "fax_number": "843-856-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COOPER COASTAL INTERNAL MEDICINE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2016-05-26",
        "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": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Eaddy, RPH
• Lynn Dorris Earle, PTA
• East Coast Dermatology (East Coast Dermaesthetics)
• East Cooper Coastal Family Physicians
• East Cooper Coastal Family Physicians, LLC
• East Cooper Community Hospital, Inc. (East Cooper Medical Center)
• East Cooper Community Hospital, Inc. (East Cooper Medical Center)
• East Cooper Dental Excellence
• East Cooper Emergency Physicians, LLC
• East Cooper Family Pharmacy

• Internal Medicine Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.