Provider Type Icon

DR. DAVID DWIGHT GOLTRA M.D. NPI 1477640647


NPI Information

NPI: 1477640647
Provider Name: DR. DAVID DWIGHT GOLTRA, M.D.
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

PECOS Registration: Yes

Address:
582 LONE TREE DRIVE
582 LONG POINT RD
MT PLEASANT, SC
ZIP 29464
Phone: (843) 352-0674
Get Directions

DR. David Dwight Goltra, M.D. is a neuroradiology radiology in Mt Pleasant, SC with 39 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. DR. David Dwight Goltra, M.D. NPI is 1477640647. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1985

The provider's business location address is:

582 LONE TREE DRIVE
582 LONG POINT RD
MT PLEASANT, SC
ZIP 29464
Phone: (843) 352-0674
Fax: (843) 971-8832

The NPI 1477640647 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of substance into spinal canal of lower back or sacrum using imaging guidance (HCPCS:62323)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)
  • Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan chest (HCPCS:71250)

The enumeration date for this NPI number is 10/6/2006 and was last updated on 10/15/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0700XRadiologyNeuroradiology14764SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A15601MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINAMEDICARE OF SC
2147647MEDICAIDSOUTH CAROLINA
3A15601MEDICARE UPINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.