| East Cooper Physician Group Llc | |
|
880 Island Park Dr Unit 210 Daniel Island SC 29492-2902 | |
| (843) 380-9330 | |
| (843) 380-8212 |
| Full Name | East Cooper Physician Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 880 Island Park Dr Unit 210, Daniel Island, South Carolina |
| Authorized Official Name and Position | Doreatha Rogers (RCS MANAGER) |
| Authorized Official Contact | 9803027992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Cooper Physician Group Llc Po Box 37642 Belfast ME 04915-1218 Ph: () - | East Cooper Physician Group Llc 880 Island Park Dr Unit 210 Daniel Island SC 29492-2902 Ph: (843) 380-9330 |
| NPI Number | 1861253981 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 01/24/2024 |
| Medicare PECOS PAC ID | 1254775687 |
|---|---|
| Medicare Enrollment ID | O20240214000176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861253981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher J Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750353355 PECOS PAC ID: 6901881192 Enrollment ID: I20040622000633 |
| Provider Name | Elizabeth T Whirrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962502211 PECOS PAC ID: 5193613966 Enrollment ID: I20040824000938 |
| Provider Name | Ann M Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154545465 PECOS PAC ID: 1759350606 Enrollment ID: I20040928000975 |
| Provider Name | Toya D Pound |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427164805 PECOS PAC ID: 7416997218 Enrollment ID: I20050511000629 |
| Provider Name | Bridget T Williamson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104932524 PECOS PAC ID: 5890730659 Enrollment ID: I20050622000550 |
| Provider Name | Melissa Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437107851 PECOS PAC ID: 3870529589 Enrollment ID: I20050714000519 |
| Provider Name | Christian Smith Cook |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861499295 PECOS PAC ID: 4284663485 Enrollment ID: I20050808001157 |
| Provider Name | Rex S Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992771000 PECOS PAC ID: 9335178284 Enrollment ID: I20050811000016 |
| Provider Name | Laura L Stickler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669588034 PECOS PAC ID: 9032188149 Enrollment ID: I20050923000232 |
| Provider Name | William J Estes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124080684 PECOS PAC ID: 5294709150 Enrollment ID: I20060213000164 |
| Provider Name | Lara C Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649233412 PECOS PAC ID: 0143236570 Enrollment ID: I20060222000686 |
| Provider Name | Maggie W Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003832155 PECOS PAC ID: 5890798870 Enrollment ID: I20060811000148 |
| Provider Name | Natalie A Hammond |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558459610 PECOS PAC ID: 9133220890 Enrollment ID: I20070725000004 |
| Provider Name | Harold D Schutte |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740201805 PECOS PAC ID: 9638266638 Enrollment ID: I20071107000168 |
| Provider Name | Alison E Dillon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326007170 PECOS PAC ID: 9133200074 Enrollment ID: I20080116000562 |
| Provider Name | Brodie E Mckoy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598777864 PECOS PAC ID: 4789657735 Enrollment ID: I20081120000187 |
| Provider Name | Jerry G Back |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821181868 PECOS PAC ID: 6002910064 Enrollment ID: I20090311000240 |
| Provider Name | Neil S Mcdevitt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649242447 PECOS PAC ID: 7113078551 Enrollment ID: I20090625000341 |
| Provider Name | Lee Allison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417037078 PECOS PAC ID: 6608922380 Enrollment ID: I20090922000311 |
| Provider Name | Edward Chisolm Morrison |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1740379916 PECOS PAC ID: 2668513664 Enrollment ID: I20100113000572 |
| Provider Name | Katharine White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598728362 PECOS PAC ID: 1355357658 Enrollment ID: I20100406000584 |
| Provider Name | Lynn Crymes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720049414 PECOS PAC ID: 8527059880 Enrollment ID: I20100408000173 |
| Provider Name | Molly Mary Teresa Joseph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396708145 PECOS PAC ID: 4082605340 Enrollment ID: I20100408000208 |
| Provider Name | Granger Osborne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477516607 PECOS PAC ID: 3274524533 Enrollment ID: I20100408000313 |
| Provider Name | Amy Warner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932112604 PECOS PAC ID: 2769676634 Enrollment ID: I20101104000709 |
| Provider Name | Meghan Lynch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912082595 PECOS PAC ID: 5496941650 Enrollment ID: I20101130000714 |
| Provider Name | John A Knepper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063495067 PECOS PAC ID: 9739125162 Enrollment ID: I20110107000381 |
| Provider Name | Lorianne Therese Ezman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588635429 PECOS PAC ID: 1254511355 Enrollment ID: I20110207000692 |
| Provider Name | Jeffrey Ritchie Joyner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134235278 PECOS PAC ID: 6901908698 Enrollment ID: I20110222000842 |
| Provider Name | Maggie L Ray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790775625 PECOS PAC ID: 5799702858 Enrollment ID: I20111028000062 |
| Provider Name | Celeste Julayne Curnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184997348 PECOS PAC ID: 0547421539 Enrollment ID: I20120419000023 |
| Provider Name | Jessica L Keller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588858146 PECOS PAC ID: 1153583190 Enrollment ID: I20120508000655 |
| Provider Name | Amy C King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356567747 PECOS PAC ID: 8527145572 Enrollment ID: I20130415000282 |
| Provider Name | Eric W Angermeier |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1720285539 PECOS PAC ID: 3779717897 Enrollment ID: I20131003000381 |
| Provider Name | Kyle P Kokko |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1902984990 PECOS PAC ID: 6901030030 Enrollment ID: I20131003000469 |
| Provider Name | Debra E Erich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588061865 PECOS PAC ID: 3072832021 Enrollment ID: I20150424002086 |
| Provider Name | Sarah Branyon Voges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154433852 PECOS PAC ID: 2961713847 Enrollment ID: I20150618001601 |
| Provider Name | Laura A Cramer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760851273 PECOS PAC ID: 8022328517 Enrollment ID: I20151112003009 |
| Provider Name | Carrie Danielle Funkhauser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285651208 PECOS PAC ID: 4981603891 Enrollment ID: I20170109000001 |
| Provider Name | Alyssa Beth Petry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649718834 PECOS PAC ID: 5698051886 Enrollment ID: I20170425001232 |
| Provider Name | John Gardner Inman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255495644 PECOS PAC ID: 0143124941 Enrollment ID: I20180117002861 |
| Provider Name | Cary Nelson Davis Fishburne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285624031 PECOS PAC ID: 9234167958 Enrollment ID: I20180712000277 |
| Provider Name | Jennifer Anne Donlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336772557 PECOS PAC ID: 5698105773 Enrollment ID: I20200414002474 |
| Provider Name | Jamie Schultis Marth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124447370 PECOS PAC ID: 3870718729 Enrollment ID: I20210715003407 |
| Provider Name | Kristina Ellen Manniello |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639238975 PECOS PAC ID: 2365414307 Enrollment ID: I20210909000679 |
| Provider Name | Sara Gail |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003558545 PECOS PAC ID: 6002293610 Enrollment ID: I20220520001834 |
| Provider Name | Kayla Marie Windham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093447518 PECOS PAC ID: 1254714801 Enrollment ID: I20220816000276 |
| Provider Name | Jonathan Parrack |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043453046 PECOS PAC ID: 7214257898 Enrollment ID: I20221117003064 |
| Provider Name | Christina Nicole Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083330179 PECOS PAC ID: 7416328851 Enrollment ID: I20230124000376 |
| Provider Name | Alexandra B Stiles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992369946 PECOS PAC ID: 3375871569 Enrollment ID: I20230828000468 |
Sports Medicine & Orthopaedic Centers, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 Island Park Dr Ste 105, Daniel Island, SC 29492 Phone: 843-284-5200 | |
Tenet South Carolina Island Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 Seven Farms Dr, Suite 110, Daniel Island, SC 29492 Phone: 843-856-1771 Fax: 843-856-8788 | |
Liberty Doctors, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 297 Seven Farms Dr Ste 202, Daniel Island, SC 29492 Phone: 843-936-4470 Fax: 843-256-6877 | |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 899 Island Park Dr, Ste 200, Daniel Island, SC 29492 Phone: 843-856-6402 Fax: 843-216-5068 | |
Daniel Island Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Island Park Dr Ste 202b, Daniel Island, SC 29492 Phone: 843-856-1771 | |
High Tide Internal Medicine - East Cooper Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 880 Island Park Dr Unit 220, Daniel Island, SC 29492 Phone: 843-380-9330 Fax: 843-380-8212 | |
East Cooper Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 880 Island Park Dr Unit 230, Daniel Island, SC 29492 Phone: 843-380-9330 |