EAST COOPER PHYSICIAN GROUP LLC
Complete NPI Record 1699641571
Radiology - Body Imaging in Mt Pleasant, SC
Active since October 16, 2025
Complete NPI Dataset
This page contains the complete raw NPPES record for East Cooper Physician Group Llc (NPI 1699641571), a radiology organization in Mt Pleasant, SC. All 27 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1699641571 Field 1/27
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/27
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/27
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: EAST COOPER PHYSICIAN GROUP LLC Field 4/27
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: PO BOX 604408 Field 5/27
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: CHARLOTTE Field 6/27
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: NC Field 7/27
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 282604408 Field 8/27
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/27
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider First Line Business Practice Location Address: 2000 HOSPITAL DR Field 10/27
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: MT PLEASANT Field 11/27
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: SC Field 12/27
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 294643764 Field 13/27
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 14/27
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8438810100 Field 15/27
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: WALTON Field 18/27
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: LEEA Field 19/27
- The first name of the authorized official.
- Authorized Official Middle Name: JEANINE Field 20/27
- The middle name of the authorized official.
- Authorized Official Title or Position: RCS MANAGER Field 21/27
- The title or position of the authorized official.
- Authorized Official Telephone Number: 7043166081 Field 22/27
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 2085B0100X Field 23/27
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 24/27
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 25/27
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 26/27
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Other Organization Names 1
Additional business and trade names this provider has on file with the NPPES registry.
Novant Health Diagnostic Imaging at East Cooper Doing Business As
Name 1/1Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Secondary Practice Locations 74
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
437 TRITON RD
Location 1/74ORMOND BEACH, FL 32176-5459 · Phone (843) 881-0100
1122 SE 46TH ST
Location 2/74OCALA, FL 34480-4734 · Phone (843) 881-0100
608 JOHN ANDERSON DR
Location 3/74ORMOND BEACH, FL 32176-4763 · Phone (843) 881-0100
129 ARNAU CT
Location 4/74ST AUGUSTINE, FL 32095-8873 · Phone (843) 881-0100
1920 W GRANADA BLVD
Location 5/74ORMOND BEACH, FL 32174-6739 · Phone (843) 881-0100
3707 BURNT PINE DR
Location 6/74JACKSONVILLE, FL 32224-0855 · Phone (843) 881-0100
2315 SE 24TH AVE
Location 7/74OCALA, FL 34471-8356 · Phone (843) 881-0100
56 FOXCROFT RUN
Location 8/74ORMOND BEACH, FL 32174-2475 · Phone (843) 881-0100
244 HORTON GROVE RD
Location 9/74FORT MILL, SC 29715-7845 · Phone (843) 881-0100
185 HEATHERTON WAY
Location 10/74WINSTON SALEM, NC 27104-4445 · Phone (843) 881-0100
3585 SW 38th Ter
Location 11/74Ocala, FL 34474-5808 · Phone (843) 881-0100
URB ASOMANTE 21 VIA GUAJANA # 523
Location 12/74CAGUAS, PR 00727-3057 · Phone (843) 881-0100
6118 SW 72ND TER
Location 13/74OCALA, FL 34474-9750 · Phone (843) 881-0100
1485 Ave. Ashfort Cond. St. Mary's Plaza Torre Norte,, Apt 12a
Location 14/74San Juan, PR 00907-1597 · Phone (843) 881-0100
4616 SE 12TH AVE
Location 15/74OCALA, FL 34480-4755 · Phone (843) 881-0100
1181 DIXON DR
Location 16/74GAINESVILLE, GA 30501-2920 · Phone (843) 881-0100
90 LAKEVIEW PASS WAY
Location 17/74SAINT JOHNS, FL 32259-5961 · Phone (843) 881-0100
202 PHILLIPS PL
Location 18/74ORLANDO, FL 32806-1218 · Phone (843) 881-0100
5601 SE HIGHWAY 42
Location 19/74SUMMERFIELD, FL 34491-5137 · Phone (843) 881-0100
918 DOMINION HILL DR
Location 20/74CARY, NC 27519-9347 · Phone (843) 881-0100
4507 GLEN KERNAN PKWY E
Location 21/74JACKSONVILLE, FL 32224-5628 · Phone (843) 881-0100
162 LAURELWOOD LN
Location 22/74ORMOND BEACH, FL 32174-4227 · Phone (843) 881-0100
878 CREEKWOOD DR
Location 23/74ORMOND BEACH, FL 32174-1445 · Phone (843) 881-0100
16 LYDA DR
Location 24/74MILFORD, CT 06460-3755 · Phone (843) 881-0100
2805 SE 22ND AVE
Location 25/74OCALA, FL 34471-1017 · Phone (843) 881-0100
1204 N PENINSULA AVE
Location 26/74NEW SMYRNA BEACH, FL 32169-2226 · Phone (843) 881-0100
2 SHEFFIELD PL
Location 27/74WINSTON SALEM, NC 27104-2046 · Phone (843) 881-0100
12724 WESTWOOD LAKES BLVD
Location 28/74TAMPA, FL 33626-2345 · Phone (843) 881-0100
190 CLEARBLUE LOOP
Location 29/74SUMMERVILLE, SC 29486-5405 · Phone (843) 881-0100
7091 SW 60TH LN
Location 30/74OCALA, FL 34474-1943 · Phone (843) 881-0100
2337 CRIMSON KING DR
Location 31/74BRASELTON, GA 30517-4020 · Phone (843) 881-0100
882 WHITE HORSE DR
Location 32/74GREENVILLE, NC 27834-7833 · Phone (843) 881-0100
5335 TILDENS GROVE BLVD
Location 33/74WINDERMERE, FL 34786-5706 · Phone (843) 881-0100
120 Ave Chardon, Apt 1501 Sur
Location 34/74San Juan, PR 00918-1721 · Phone (843) 881-0100
930 WYNHAVEN LN
Location 35/74BALLWIN, MO 63011-2938 · Phone (843) 881-0100
7254 SE 12TH CIR
Location 36/74OCALA, FL 34480-6650 · Phone (843) 881-0100
5637 SW 50TH TER
Location 37/74OCALA, FL 34474-4743 · Phone (843) 881-0100
1352 SE 42ND RD
Location 38/74OCALA, FL 34480-2769 · Phone (843) 881-0100
4363 S ATLANTIC AVE
Location 39/74PONCE INLET, FL 32127-6941 · Phone (843) 881-0100
10 CALLE M RIVERA FERRER
Location 40/74GUAYNABO, PR 00968-4611 · Phone (843) 881-0100
387 LEONI ST
Location 41/74NEW SMYRNA BEACH, FL 32168-4525 · Phone (843) 881-0100
511 PONCE DE LEON AVE
Location 42/74NORTH AUGUSTA, SC 29841-4166 · Phone (843) 881-0100
1209 SE 14TH ST
Location 43/74OCALA, FL 34471-4523 · Phone (843) 881-0100
1615 SE 7TH ST
Location 44/74OCALA, FL 34471-4004 · Phone (843) 881-0100
7627 SE 12TH CIR
Location 45/74OCALA, FL 34480-6648 · Phone (843) 881-0100
6211 Grand Marina Cir
Location 46/74Gainesville, GA 30506-7805 · Phone (843) 881-0100
1620 SW 55TH STREET RD
Location 47/74OCALA, FL 34471-0134 · Phone (843) 881-0100
6061 SW 13TH ST
Location 48/74WEST MIAMI, FL 33144-5720 · Phone (843) 881-0100
5455 SW 28TH AVE
Location 49/74OCALA, FL 34471-9549 · Phone (843) 881-0100
5 Washington St Apt 318
Location 50/74Brighton, MA 02135-7457 · Phone (843) 881-0100
1048 SE 69TH PL
Location 51/74OCALA, FL 34480-6642 · Phone (843) 881-0100
25 RIVER RIDGE TRL
Location 52/74ORMOND BEACH, FL 32174-4341 · Phone (843) 881-0100
1507 OAK FOREST DR
Location 53/74ORMOND BEACH, FL 32174-3409 · Phone (843) 881-0100
4820 SW 48th Ave Unit 305
Location 54/74Ocala, FL 34474-6303 · Phone (843) 881-0100
15517 SHOREBIRD LN
Location 55/74WINTER GARDEN, FL 34787-4379 · Phone (843) 881-0100
213 SE 15TH AVE
Location 56/74OCALA, FL 34471-2438 · Phone (843) 881-0100
3879 SE 6TH AVE
Location 57/74OCALA, FL 34480-4794 · Phone (843) 881-0100
31 HUNTER RIDGE RD
Location 58/74MONROE, CT 06468-2447 · Phone (843) 881-0100
4420 SE 48TH PLACE RD
Location 59/74OCALA, FL 34480-4906 · Phone (843) 881-0100
5964 SW 73RD TER
Location 60/74OCALA, FL 34474-2036 · Phone (843) 881-0100
647 OCEAN SHORE BLVD
Location 61/74ORMOND BEACH, FL 32176-4701 · Phone (843) 881-0100
7200 HOLYWELL LN
Location 62/74FALLS CHURCH, VA 22043-3081 · Phone (843) 881-0100
20 ACCLAIM AT LIONSPAW
Location 63/74DAYTONA BEACH, FL 32124-1512 · Phone (843) 881-0100
3038 SW 41ST LN
Location 64/74OCALA, FL 34474-5860 · Phone (843) 881-0100
1418 LAKE DANIEL DR
Location 65/74ORLANDO, FL 32804-3420 · Phone (843) 881-0100
7302 SE 12TH CIR
Location 66/74OCALA, FL 34480-6650 · Phone (843) 881-0100
3877 SE 5TH AVE
Location 67/74OCALA, FL 34480-2703 · Phone (843) 881-0100
1194 SW 37TH PLACE RD
Location 68/74OCALA, FL 34471-7232 · Phone (843) 881-0100
1111 ROSLAND CIR
Location 69/74AUGUSTA, GA 30909-9846 · Phone (843) 881-0100
1320 KAINUI DR
Location 70/74KAILUA, HI 96734-1935 · Phone (843) 881-0100
URB MONTEHIEDRA 238 CALLE JILGUERO
Location 71/74SAN JUAN, PR 00926-7107 · Phone (843) 881-0100
3100 SAINT JOHNS DR
Location 72/74DALLAS, TX 75205-2938 · Phone (843) 881-0100
87 S RIVERWALK DR
Location 73/74PALM COAST, FL 32137-1318 · Phone (843) 881-0100
1500 SW 5TH ST
Location 74/74FORT LAUDERDALE, FL 33312-7507 · Phone (843) 881-0100
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