Active NPI
East Cooper Physician Network, LLC
- Durable Medical Equipment & Medical Supplies
- Mt Pleasant, SC
National Provider Identifier
1831797992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- EAST COOPER PHYSICIAN NETWORK, LLC
- Practice address
- 851 Leonard Fulghum Dr Ste 101
Mt Pleasant, SC 29464-3793 - Phone
- (843) 884-2133
- Fax
- (843) 884-2688
- NPI assigned
- Oct 12, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Rasmus
- Title
- VP, Cfo TPR
- Phone
- (469) 893-2532
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
851 Leonard Fulghum Dr Ste 101
Mt Pleasant, SC 29464-3793
Mailing address
851 Leonard Fulghum Dr Ste 101
Mt Pleasant, SC 29464-3793
Phone (843) 884-2133
Other names 1
- Hand Institute of Charleston East Cooper Medical Group
National Provider Directory
National Provider DirectoryLocations
851 Leonard Fulghum Dr
Ste 101
Mt Pleasant, SC 29464
Phone (843) 884-2133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602460800000",
"number": "1831797992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 LEONARD FULGHUM DR STE 101",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643793",
"telephone_number": "843-884-2133",
"fax_number": "843-884-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 LEONARD FULGHUM DR STE 101",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643793",
"telephone_number": "843-884-2133",
"fax_number": "843-884-2688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST COOPER PHYSICIAN NETWORK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-12",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A",
"authorized_official_last_name": "RASMUS",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "VP, CFO TPR",
"authorized_official_telephone_number": "469-893-2532"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hand Institute of Charleston East Cooper Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mt Pleasant, SC
- East Cooper Physician Group LLC
- East Cooper Physician Group LLC
- East Cooper Physician Group LLC
- East Cooper Physician Group LLC
- East Cooper Physician Group LLC
- East Cooper Physician Network, LLC
- East Cooper Plastic Surgery LLC
- East Cooper Podiatry
- East Cooper Podiatry, P.a.
- East Cooper Psychiatric Solutions, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.