Coastal Sleep Lab, Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

COASTAL SLEEP LAB, INC

Practice address

4420 Oleander Dr
Myrtle Beach, SC 29577-5720

Phone

(843) 445-9700

Fax

(843) 946-9460

NPI assigned

May 4, 2006

Last updated

Feb 7, 2012By 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. Frank Rizzo

Title

Owner/Manager

Phone

(843) 445-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC3 enrollments

Enrollment records 3

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2129/brand/1/csg/22/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thaddeus W. Golden, M.D.

  • Pulmonary Disease Physician
  • Myrtle Beach, SC
  • NPI 1205832193
  NPD
• Maria Baens, M.D.

  • Internal Medicine Physician
  • Myrtle Beach, SC
  • NPI 1447256672
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1710935523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 OLEANDER DR",
            "address_2": "STE 105",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775720",
            "telephone_number": "843-445-9700",
            "fax_number": "843-946-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 OLEANDER DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775720",
            "telephone_number": "843-445-9700",
            "fax_number": "843-946-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SLEEP LAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "RIZZO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "843-445-9700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PL0082",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Podiatry Associates, PA
• Coastal Recovery & Wellness, LLC (Coastal Recovery)
• Coastal Rejuvenation Solutions
• Coastal Renal Care
• Coastal Samaritan Counseling Center
• Coastal Springs Counseling LLC
• Coastal Wellness Center, LLC
• Chrystal M Coates-Gal, MD
• Stephanie C. Cobb, DO
• Tracy M Cobb, P.T.

• Sleep Disorder Diagnostic Clinic/Center in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Sleep Disorder Diagnostic Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.