Waccamaw Kidney & Hypertension Specialists,P.a.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

13126 Issued in SC

Legal business name

WACCAMAW KIDNEY & HYPERTENSION SPECIALISTS,P.A.

Practice address

1052A Huger Dr
Georgetown, SC 29440-3322

Phone

(843) 546-0223

Fax

(843) 545-0024

NPI assigned

May 20, 2006

Last updated

Aug 22, 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

Dr. Charles J Cohn Jr., M.D.NPI 1649249103

Title

President

Phone

(843) 546-0223

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 8

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.

• Charles Jacob Cohn, M.D.

  • Nephrology Physician
  • Georgetown, SC
  • NPI 1649249103
  Medicare reassignment NPD Authorized official
• Sean B Murphy

  • Nephrology Physician
  • Georgetown, SC
  • NPI 1720176647
  Medicare reassignment Care Compare group NPD
• David Anthony Rosnack, M.D.

  • Nephrology Physician
  • Georgetown, SC
  • NPI 1215906771
  Medicare reassignment Care Compare group NPD
• Timothy Roger Brown, DO

  • Hospitalist Physician
  • Clinton, SC
  • NPI 1902033624
  Medicare reassignment NPD
• Jon William Mares, D.O.

  • Nephrology Physician
  • Covington, LA
  • NPI 1023375300
  NPD
• Reynaldo Matute, M.D.

  • Nephrology Physician
  • Murrells Inlet, SC
  • NPI 1912915265
  NPD (past)
• Wen-Ting Ouyang, MD

  • Nephrology Physician
  • Florence, SC
  • NPI 1538158449
  NPD (past)
• Keith C Reinwald, PA-C

  • Surgical Physician Assistant
  • Conway, SC
  • NPI 1033278049
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972557494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2688",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294422688",
            "telephone_number": "843-546-0223",
            "fax_number": "843-545-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052A HUGER DR",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403322",
            "telephone_number": "843-546-0223",
            "fax_number": "843-545-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACCAMAW KIDNEY & HYPERTENSION SPECIALISTS,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COHN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-546-0223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "13126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131262",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267918",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan R Vigo Matos, MD
• Waccamaw Endoscopy Center, LLC
• Waccamaw Family Chiropractic, P.C.
• Waccamaw Gastroenterology, PC
• Waccamaw Hearing Specialist
• Waccamaw Nutrition (Bite Into Wellness)
• Waccamaw Oncology Physicians, LLC
• Waccamaw Oncology, PA
• Waccamaw Surgical Associates
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0625)

• Nephrology Physician in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Nephrology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.