Coastal Neurosurgical Specialists, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

DO789 Issued in SC

Legal business name

COASTAL NEUROSURGICAL SPECIALISTS, LLC

Practice address

9313 Medical Plaza Dr Ste 305
North Charleston, SC 29406-9197

Phone

(843) 553-7615

NPI assigned

Nov 20, 2014

Last updated

Nov 20, 2014By 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

Sabino Dagostino, DO

Title

Owner

Phone

(843) 813-6364

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1649677568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 26TH AVE",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294512311",
            "telephone_number": "843-813-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR STE 305",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069197",
            "telephone_number": "843-553-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL NEUROSURGICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "DAGOSTINO",
        "authorized_official_first_name": "SABINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-813-6364",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SC",
            "license": "DO789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Neurological Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.