COASTAL PODIATRY, LLC
NPI 1659648152
Podiatrist in Mount Pleasant, SC

Q: What is Coastal Podiatry, LLC's NPI number?

The NPI number for Coastal Podiatry, LLC is 1659648152. It was assigned to this organization in the NPPES registry on November 28, 2011.

Q: What is Coastal Podiatry, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since November 28, 2011

180 WINGO WAY, SUITE 201, MOUNT PLEASANT, SC 29464(916) 215-1234(843) 606-2483 Get Directions Write a Review

NPPES record last updated: December 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Coastal Podiatry, Llc NPPES

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

COASTAL PODIATRY, LLC (NPI 1659648152) is a healthcare organization registered as a podiatrist in Mount Pleasant, South Carolina and active in the NPI registry since November 2011. The organization lists Tamika Michelle Bolden Ravenell, Owner, as its authorized official.

NPPES Registry Identity

NPI1659648152

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameCOASTAL PODIATRY, LLC

Location Address180 WINGO WAY, SUITE 201Mount Pleasant, SC 29464-1810

Mailing AddressPo Box 783Mount Pleasant, SC 29465-0783 · (916) 215-1234 · Fax (843) 606-2483

Phone(916) 215-1234

Fax(843) 606-2483

Organization SubpartNo

Authorized OfficialTamika Michelle Bolden RavenellOwner · (916) 215-1234

Enumeration DateNovember 28, 2011

Last NPPES UpdateDecember 13, 2013

✔ NPI 1659648152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in SC · 607

Definition

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.

180 WINGO WAY, Mount Pleasant, SC 29464

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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 20

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

DR. MICHAEL MIKOLA MD

Internal Medicine

180 WINGO WAY, STSE 306
MT PLEASANT, SC 29464

Charleston County (843) 884-1777

MR. MARK S PRINCIPE PA-C

Physician Assistant (Medical)

180 WINGO WAY, SUITE 304
MT PLEASANT, SC 29464

Charleston County (843) 884-8045

BRIAN R OBENZA PA-C

Physician Assistant (Medical)

180 WINGO WAY, SUITE 204
MT PLEASANT, SC 29464

Charleston County (843) 534-1770

CHARLESTON CANCER CENTER

Internal Medicine (Hematology & Oncology)

180 WINGO WAY, SUITE 205
MT PLEASANT, SC 29464

Charleston County (843) 572-9211

MR. JESSE WILLIAM PRICE III PA-C

Physician Assistant (Medical)

180 WINGO WAY, SUITE 306
MT PLEASANT, SC 29464

Charleston County (843) 884-1777

MRS. NICOLE PERRIN KETCHIN PAC

Physician Assistant (Medical)

180 WINGO WAY, SUITE 307
MT PLEASANT, SC 29464

Charleston County (843) 884-1777

CAROLINA AESTHETIC PLASTIC SURGERY INSTITUTE PA

Surgery (Plastic and Reconstructive Surgery)

180 WINGO WAY, SUITE 205
MT PLEASANT, SC 29464

Charleston County (843) 884-1400

ROPER SAINT FRANCIS PHYSICIANS NETWORK

Surgery

180 WINGO WAY, SUITE 308
MT PLEASANT, SC 29464

Charleston County (843) 881-2423

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 Podiatry, LLC's NPI number?

The NPI number for Coastal Podiatry, LLC is 1659648152. It was assigned to this organization in the NPPES registry on November 28, 2011.

Where is Coastal Podiatry, LLC located?

Coastal Podiatry, LLC is located at 180 Wingo Way Suite 201, Mount Pleasant, SC 29464. The listed phone number is (916) 215-1234.

What is Coastal Podiatry, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Coastal Podiatry, LLC was last updated on December 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.