Coastal Cardiology, P.a.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

COASTAL CARDIOLOGY, P.A.

Practice address

1033 Saint Andrews Blvd
Charleston, SC 29407-7156

Phone

(843) 723-6161

Fax

(843) 723-0675

NPI assigned

May 15, 2006

Last updated

Mar 3, 2020By 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

Van C. Hendry

Title

Coo

Phone

(843) 377-1804

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 24

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.

• Troy Augustus Bunting, MD

  • Cardiovascular Disease Physician
  • Charleston, SC
  • NPI 1558588962
  Medicare reassignment NPD
• John M Ciccone, MD

  • Cardiovascular Disease Physician
  • Mount Pleasant, SC
  • NPI 1750378824
  Medicare reassignment NPD
• William Blount Ellison Jr., M.D.

  • Interventional Cardiology Physician
  • Charleston, SC
  • NPI 1356307318
  Medicare reassignment NPD
• Daniel Joseph Goldbach, D.O.

  • Cardiovascular Disease Physician
  • Charleston, SC
  • NPI 1447612213
  Medicare reassignment NPD
• Kristen P Nawabi, M.D.

  • Cardiovascular Disease Physician
  • Charleston, SC
  • NPI 1497702047
  Medicare reassignment NPD
• Matthew Beal O'Steen, M.D., F.A.C.C.

  • Interventional Cardiology Physician
  • Charleston, SC
  • NPI 1346285087

  Cardiovascular Disease

  Medicare reassignment NPD
• Jeffrey Michael Paulsen, M.D.

  • Cardiovascular Disease Physician
  • Charleston, SC
  • NPI 1609042431

  Single Specialty

  Medicare reassignment NPD
• Geetha Pinto, MD

  • Cardiovascular Disease Physician
  • Charleston, SC
  • NPI 1831350073
  Medicare reassignment NPD
• Jeffrey Stewart Rieder, MD

  • Interventional Cardiology Physician
  • Charleston, SC
  • NPI 1255397519
  Medicare reassignment NPD
• Lars Hokan Runquist, MD

  • Interventional Cardiology Physician
  • Charleston, SC
  • NPI 1821054537

  Cardiovascular Disease

  Medicare reassignment NPD
• James Anderson Smith, M.D.

  • Cardiovascular Disease Physician
  • Charleston, SC
  • NPI 1780023028
  Medicare reassignment NPD
• Minh Khoa Tran, D.O.

  • Cardiovascular Disease Physician
  • Charleston, SC
  • NPI 1346477494
  Medicare reassignment NPD

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1881645893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 SAINT ANDREWS BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077156",
            "telephone_number": "843-723-6111",
            "fax_number": "843-727-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 SAINT ANDREWS BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077156",
            "telephone_number": "843-723-6161",
            "fax_number": "843-723-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARDIOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "HENDRY",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "843-377-1804"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest B Clyburn, MD
• Coafs Lab
• Coalesce Health and Rehabilitation
• Coast Dialysis LLC (Charles Towne Home Program)
• Coastal Anesthesia Associates, LLC
• Coastal Carolina Nephrology LLC
• Coastal Carolina Rehabilitation, LLC
• Coastal Eye Care of Charleston, LLC
• Coastal Eye Care of Daniel Island
• Coastal Eye Care of James Island

• Cardiovascular Disease Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Cardiovascular Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.