| Musc Physicians Coosaw Internal Medicine | |
|
8992 University Blvd Suite 300 North Charleston SC 29406-8104 | |
| (843) 876-8279 | |
| (843) 876-1649 |
| Full Name | Musc Physicians Coosaw Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 8992 University Blvd, North Charleston, South Carolina |
| Authorized Official Name and Position | Karyn Rae (MANAGER) |
| Authorized Official Contact | 8438761344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Musc Physicians Coosaw Internal Medicine Po Box 602108 Charlotte NC 28260-2108 Ph: (843) 792-6200 | Musc Physicians Coosaw Internal Medicine 8992 University Blvd Suite 300 North Charleston SC 29406-8104 Ph: (843) 876-8279 |
| NPI Number | 1649533662 |
|---|---|
| Provider Enumeration Date | 06/25/2012 |
| Last Update Date | 01/09/2019 |
| Medicare PECOS PAC ID | 4587557731 |
|---|---|
| Medicare Enrollment ID | O20120828000616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649533662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John Woodbury Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053376848 PECOS PAC ID: 0244123404 Enrollment ID: I20040203000662 |
| Provider Name | Jill H Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902002900 PECOS PAC ID: 4284608993 Enrollment ID: I20040819001124 |
| Provider Name | Maria Viadimir Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649388596 PECOS PAC ID: 2860428489 Enrollment ID: I20050714000300 |
| Provider Name | John R Freedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336257377 PECOS PAC ID: 4688602618 Enrollment ID: I20050801000784 |
| Provider Name | Jennifer R. Palo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215048764 PECOS PAC ID: 2163451998 Enrollment ID: I20050811000407 |
| Provider Name | Lyle Walsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962464875 PECOS PAC ID: 5092629626 Enrollment ID: I20101122000038 |
| Provider Name | Samuel Mcnulty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922263888 PECOS PAC ID: 6002081106 Enrollment ID: I20111219000122 |
| Provider Name | Toni C Pinckney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982958971 PECOS PAC ID: 1951553791 Enrollment ID: I20121130000393 |
| Provider Name | Jon M Mcgough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639499254 PECOS PAC ID: 5799928966 Enrollment ID: I20130909000295 |
| Provider Name | Veronica Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114019247 PECOS PAC ID: 6305941998 Enrollment ID: I20131021001391 |
| Provider Name | Tracy L Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730502311 PECOS PAC ID: 2062645740 Enrollment ID: I20140505000002 |
| Provider Name | Ashley E Wing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730529009 PECOS PAC ID: 5991938581 Enrollment ID: I20140506001740 |
| Provider Name | Laura K Lybarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649535626 PECOS PAC ID: 4385894989 Enrollment ID: I20140930002576 |
| Provider Name | Katherine Pfeninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053669283 PECOS PAC ID: 8426206418 Enrollment ID: I20150508001563 |
| Provider Name | Richard E Kidd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629456983 PECOS PAC ID: 1052305059 Enrollment ID: I20150813010392 |
| Provider Name | Anemaria Lutas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437115870 PECOS PAC ID: 5890747455 Enrollment ID: I20151014001464 |
| Provider Name | Colleen J Mattocks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134387830 PECOS PAC ID: 9133398555 Enrollment ID: I20151109000351 |
| Provider Name | Arthur J Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639499577 PECOS PAC ID: 1850532664 Enrollment ID: I20160202001988 |
| Provider Name | Adrian L Strand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053502948 PECOS PAC ID: 4082744636 Enrollment ID: I20170117000006 |
| Provider Name | Mary C Lasater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760904114 PECOS PAC ID: 4789958927 Enrollment ID: I20170926004119 |
| Provider Name | Scott S Lloyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013355544 PECOS PAC ID: 9638493968 Enrollment ID: I20171010003365 |
| Provider Name | Steven R Cumberledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568003721 PECOS PAC ID: 2567897168 Enrollment ID: I20200108001331 |
| Provider Name | Stephanie Fnpc Luke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760932057 PECOS PAC ID: 0345520714 Enrollment ID: I20201204001184 |
| Provider Name | Caitlin S Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013406404 PECOS PAC ID: 4486907300 Enrollment ID: I20210921000066 |
| Provider Name | Gillian Maro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225737646 PECOS PAC ID: 3476915562 Enrollment ID: I20230822002374 |
| Provider Name | Madison B Sheheane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114706777 PECOS PAC ID: 7012364607 Enrollment ID: I20231102003513 |
| Provider Name | Manoraj Ratnaraj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003379363 PECOS PAC ID: 9234506841 Enrollment ID: I20231201001627 |
Northwoods Family Practice, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9313 Medical Plaza Dr, Suite 302, North Charleston, SC 29406 Phone: 843-553-0484 Fax: 843-569-1556 | |
Coosaw Eye Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8484 Dorchester Rd, B-3, North Charleston, SC 29420 Phone: 843-767-2328 | |
Family Wellness Center Of Charleston Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9217 University Blvd, Suite C1b, North Charleston, SC 29406 Phone: 843-729-8269 | |
Morningside Middle School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1999 Singley St, North Charleston, SC 29405 Phone: 843-745-2000 | |
Roper St. Francis Physician Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9165 University Blvd, North Charleston, SC 29406 Phone: 843-212-8038 | |
Low Country Internal Medicine Of Sc, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2845 Tricom St, North Charleston, SC 29406 Phone: 843-797-1770 | |
Avant Mso, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Elms Center Rd, North Charleston, SC 29406 Phone: 843-572-7727 |