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COASTAL GRAND OBGYN PC
NPI 1083777486
Specialist in Myrtle Beach, SC

Active since December 18, 2006
1021 MEDICAL CIR, SUITE 250, MYRTLE BEACH, SC 29572(843) 421-8200(843) 839-3634 Get Directions Write a Review

NPPES record last updated: February 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Grand Obgyn Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL GRAND OBGYN PC (NPI 1083777486) is a healthcare organization registered as a specialist in Myrtle Beach, South Carolina and active in the NPI registry since December 2006. The organization lists Kenneth Spielvogel, Owner/m.d., as its authorized official.

NPPES Registry Identity

NPI1083777486
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOASTAL GRAND OBGYN PC
Location Address1021 MEDICAL CIR, SUITE 250Myrtle Beach, SC 29572-4619
Mailing Address1021 Medical Cir, Suite 250Myrtle Beach, SC 29572-4619 · (843) 421-8200 · Fax (843) 839-3634
Phone(843) 421-8200
Fax(843) 839-3634
Organization SubpartNo
Authorized OfficialKenneth SpielvogelOwner/m.d. · (843) 421-8200
Enumeration DateDecember 18, 2006
Last NPPES UpdateFebruary 13, 2008
✔ NPI 1083777486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 222100
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1021 MEDICAL CIR, Myrtle Beach, SC 29572
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Other Identifiers 2

MedicaidGP4188SC
Medicare UPINH42529SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINA REGIONAL SURGERY CENTER. LTD
Clinic/Center (Ambulatory Surgical)
1021 MEDICAL CIR, SUITE 100
MYRTLE BEACH, SC 29572
Horry County (843) 449-7885
STRAND PHYSICIAN SPECIALISTS
Pain Medicine (Interventional Pain Medicine)
1021 MEDICAL CIR
MYRTLE BEACH, SC 29572
Horry County (843) 449-7885
DAVID R DAVIS CRNA
Nurse Anesthetist, Certified Registered
1021 MEDICAL CIR, #100
MYRTLE BEACH, SC 29572
Horry County (843) 692-1062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Grand Obgyn PC's NPI number?

The NPI number for Coastal Grand Obgyn PC is 1083777486. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Coastal Grand Obgyn PC located?

Coastal Grand Obgyn PC is located at 1021 Medical Cir Suite 250, Myrtle Beach, SC 29572. The listed phone number is (843) 421-8200.

What is Coastal Grand Obgyn PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Coastal Grand Obgyn PC was last updated on February 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.