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COASTAL UROLOGY CENTER, PA
NPI 1528010378
Urology in Conway, SC

Active since May 17, 2006
394 SINGLETON RIDGE RD, CONWAY, SC 29526(843) 347-8765(843) 347-3466 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coastal Urology Center, Pa NPPES

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

COASTAL UROLOGY CENTER, PA (NPI 1528010378) is a healthcare organization registered as an urology in Conway, South Carolina and active in the NPI registry since May 2006. The organization lists Timothy Joseph Quillen, President, as its authorized official.

NPPES Registry Identity

NPI1528010378
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameCOASTAL UROLOGY CENTER, PA
Location Address394 SINGLETON RIDGE RDConway, SC 29526-9150
Mailing Address394 Singleton Ridge RdConway, SC 29526-9150 · (843) 347-8765 · Fax (843) 347-3466
Phone(843) 347-8765
Fax(843) 347-3466
Organization SubpartNo
Authorized OfficialTimothy Joseph QuillenPresident · (843) 347-8765
Enumeration DateMay 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1528010378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
394 SINGLETON RIDGE RD, Conway, SC 29526
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

MELANIE D. LAWRENCE NP
Nurse Practitioner
394 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-8765
MS. COLLEEN ELIZABETH FARLEY FNP-BC
Nurse Practitioner (Family)
394 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-8050
MS. SUDEEPTHI BANDIKATLA MD
Internal Medicine (Hematology & Oncology)
394 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-8050
COTY HP HO MD
Internal Medicine (Medical Oncology)
394 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-8050
CHARLES ERIC FLYNN PA-C
Physician Assistant (Medical)
394 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-8050
CONWAY HOSPITAL, INC.
Internal Medicine (Hematology & Oncology)
394 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-8050
KATLYN A PASCALE LISW-CP
Social Worker (Clinical)
394 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 234-5089
AMANDA D. VUPPALA M.D.
Internal Medicine (Hospice and Palliative Medicine)
394 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-8050

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 Urology Center, PA's NPI number?

The NPI number for Coastal Urology Center, PA is 1528010378. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Coastal Urology Center, PA located?

Coastal Urology Center, PA is located at 394 Singleton Ridge Rd, Conway, SC 29526. The listed phone number is (843) 347-8765.

What is Coastal Urology Center, PA's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Coastal Urology Center, PA was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.