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EAST COOPER PODIATRY P.A. NPI 1124044201


NPI Information

NPI: 1124044201
Provider Name: EAST COOPER PODIATRY, P.A.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
389 JOHNNIE DODDS BLVD
SUITE 100
MOUNT PLEASANT, SC
ZIP 29464
Phone: (843) 881-3668
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EAST COOPER PODIATRY, P.A. is a podiatrist in Mount Pleasant, SC. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. EAST COOPER PODIATRY, P.A. NPI is 1124044201. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

389 JOHNNIE DODDS BLVD
SUITE 100
MOUNT PLEASANT, SC
ZIP 29464-950
Phone: (843) 881-3668
Fax: (843) 881-9191

The provider's authorized official is Thomas Richard Woods .
The authorized official title is Owner and has the following contact phone number (843) 881-3668.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 4/17/2008.


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
1213E00000XPodiatrist127SOUTH 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
1PD1279MEDICAIDSOUTH CAROLINA
25959970001MEDICARE NSCSOUTH CAROLINA
3U34001MEDICARE UPIN

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

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