East Cooper Primary Care Physicians, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EAST COOPER PRIMARY CARE PHYSICIANS, LLC

Practice address

306 Station 22 1/2 St
Sullivans Island, SC 29482-9756

Phone

(843) 883-3176

Fax

(843) 883-3459

NPI assigned

Dec 11, 2013

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

Other names 1

• Durst Family Medicine Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia E Collie, MD

  • Ophthalmology Physician
  • Sullinvans Island, SC
  • NPI 1023222734
  NPD (past)
• Jennifer Sue Pullano, D.O.

  • Family Medicine Physician
  • Mt Pleasant, SC
  • NPI 1730199936
  NPD (past)

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1902237357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742828",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742828",
            "telephone_number": "843-883-3176",
            "fax_number": "843-883-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 STATION 22 1/2 ST",
            "city": "SULLIVANS ISLAND",
            "state": "SC",
            "postal_code": "294829756",
            "telephone_number": "843-883-3176",
            "fax_number": "843-883-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COOPER PRIMARY CARE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2016-06-06",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durst Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Cummings, MPT
• Emily Curran, RN
• Isabella Ann Dolega-Kowalewski, P.T.
• Durst Family Medicine
• George Durst Jr., M.D.
• Barbara Easterling, RN
• Family and Restorative Dental Associates
• Charles Frederick Greer, MD
• James Thomas Kandl, D.D.S.
• Cynthia Wall Kirkland, LPC

• Family Medicine Physician in Sullivans Island, SC
• Providers in Sullivans Island, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.