COASTAL GASTROENTEROLOGY & HEPATOLOGY LLC (NPI# 1295906816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295906816 |
| Entity Type | Organization |
| Organization Name | COASTAL GASTROENTEROLOGY & HEPATOLOGY LLC |
| Practice Address |
1616 Ashley River Rd Charleston SC 29407-5902 |
| Mailing Address |
Po Box 31297 Charleston SC 29417-1297 |
| Practice Telephone | 8435561285 |
| Practice Fax Number | 8435561286 |
| Mailing Telephone | 8435561285 |
| Mailing Fax Number | 8435561286 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2011-02-24 |
| Authorized Official Name | DR. JOHN DAVID BOHLER (OWNER) |
| Authorized Official Telephone | 8435561285 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
21101 | SC | Ambulatory Health Care Facilities |
| Street Address |
1616 ASHLEY RIVER RD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205801743 | Chad Emmett Hudson | Obstetrics & Gynecology | 1616 Ashley River Rd, West Ashley Colonoscopy Center, Charleston, SC 29407 | 2006-02-20 |
| 1710537279 | The Middle Path At Barrier Islands | Community/Behavioral Health | 1616 Ashley River Rd, Charleston, SC 29407-5902 | 2019-09-17 |
| 1396202180 | Jennifer Hayes | Physician Assistant | 1616 Ashley River Rd, Charleston, SC 29407-5902 | 2019-02-27 |
| 1760841035 | West Ashley Colonoscopy Center | Specialist | 1616 Ashley River Rd, Charleston, SC 29407-5902 | 2016-02-16 |
| 1295974616 | Julia Jaskwhich Rodriguez | Registered Nurse | 1616 Ashley River Rd, Charleston, SC 29407-5902 | 2009-02-09 |
| 1952517229 | Barrier Islands Psychiatry P A | Nurse Practitioner | 1616 Ashley River Rd, Charleston, SC 29407-5902 | 2007-05-15 |
| 1760493977 | Constance Jeanette Alexander | Psychiatry & Neurology | 1616 Ashley River Rd, Charleston, SC 29407-5902 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568769354 | Wvupc-medicine & Specialty Office | Clinic/Center | 4522 Maccorkle Ave Se, Charleston, WV 25304-1840 | 2011-02-15 |
| 1912204702 | Wvupc-camc Fam Med Surgery Center | Clinic/Center | 1201 Washington St E, Charleston, WV 25301-1834 | 2011-02-15 |
| 1275840423 | Medical University of South Carolina | Clinic/Center | 25 Courtenay Dr, Charleston, SC 29425-8911 | 2010-09-09 |
| 1922323740 | G T Little Md P.a. | Clinic/Center | 280 Rutledge Ave, Charleston, SC 29403-5352 | 2010-04-05 |
| 1285860098 | Palmetto Vein Specialists, LLC | Clinic/Center | 9313 Medical Plaza Dr, Ste 303, Charleston, SC 29406-9155 | 2009-06-08 |
| 1164690947 | Arrhythmia Specialists of Charleston | Clinic/Center | 125 Doughty St, Suite 695, Charleston, SC 29403-5736 | 2008-02-14 |
| 1033393954 | E Family Medicin Grp | Clinic/Center | 295 Calhoun St, Charleston, SC 29425-8904 | 2007-12-27 |
| 1174706337 | Seung-jun O, PC | Clinic/Center | 2097 Henry Tecklenburg Dr, Suite 212 West, Charleston, SC 29414-5740 | 2007-12-11 |
| 1962696112 | Jan H. Cunningham, Md, Pllc | Clinic/Center | 830 Pennsylvania Ave, 405, Charleston, WV 25302-3302 | 2007-08-30 |
| 1912029612 | Trident Medical Center, LLC | Clinic/Center | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2007-04-04 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
Please comment or provide details below to improve the information on COASTAL GASTROENTEROLOGY & HEPATOLOGY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.