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COASTAL GRANDE OB-GYN,LLC
NPI 1811935463
Specialist in Myrtle Beach, SC

Active since June 04, 2006
1021 CIPRIANA DRIVE, SUITE 250, MYRTLE BEACH, SC 29572(843) 421-8200(843) 839-3634 Get Directions Write a Review

NPPES record last updated: July 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coastal Grande Ob-gyn,llc NPPES

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

COASTAL GRANDE OB-GYN,LLC (NPI 1811935463) is a healthcare organization registered as a specialist in Myrtle Beach, South Carolina and active in the NPI registry since June 2006. The organization lists Kenneth Spielvogel, Owner/m.d., as its authorized official.

NPPES Registry Identity

NPI1811935463
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOASTAL GRANDE OB-GYN,LLC
Location Address1021 CIPRIANA DRIVE, SUITE 250Myrtle Beach, SC 29572-4619
Mailing Address1021 Cipriana Drive, 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 DateJune 4, 2006
Last NPPES UpdateJuly 21, 2011
✔ NPI 1811935463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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 CIPRIANA DRIVE, Myrtle Beach, SC 29572
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Other Identifiers 3

Medicare PINH425298654SC
Medicare UPINH42529SC
MedicaidGP4188SC

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

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 Grande Ob-Gyn,llc's NPI number?

The NPI number for Coastal Grande Ob-Gyn,llc is 1811935463. It was assigned to this organization in the NPPES registry on June 4, 2006.

Where is Coastal Grande Ob-Gyn,llc located?

Coastal Grande Ob-Gyn,llc is located at 1021 Cipriana Drive Suite 250, Myrtle Beach, SC 29572. The listed phone number is (843) 421-8200.

What is Coastal Grande Ob-Gyn,llc'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 Grande Ob-Gyn,llc was last updated on July 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.