COASTAL CANCER CENTER LLC – NPI #1881614170
Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
COASTAL CANCER CENTER LLC is a provider located in MYRTLE BEACH, SC. NPPES has assigned the NPI number 1881614170 to COASTAL CANCER CENTER LLC on July 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology
The NPI profile was last updated on Sep 08, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COASTAL CANCER CENTER LLC below.
NPI Profile for
COASTAL CANCER CENTER LLC
(about 20 years ago)
MYRTLE BEACH, SC 29572-4128 Phone: (843) 692-5000 Fax: (843) 692-5015
3 Other location(s):
Conway, SC 29526-8946
Phone: (843) 692-5000
Myrtle Beach, SC 29577
Phone: (843) 449-9415
Fax: (843) 449-2160
Myrtle Beach, SC 29577-5742
Phone: (843) 449-9415
PRESIDENT
Phone: (843) 692-5000
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for COASTAL CANCER CENTER LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | NC | 7902484 | |
| medicaid | SC | PA8189 | |
| medicaid | SC | PG1907 | |
| medicaid | SC | PG1908 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RH0003X - Internal Medicine / Hematology & Oncology (Primary) |
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| 332B00000X - Durable Medical Equipment & Medical Supplies |
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| 2085R0001X - Radiology / Radiation Oncology |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.