Coastal Podiatry LLC
NPI 1588965586ActiveOrganization· Podiatrist· Mount Pleasant, SC
Podiatrist in Mount Pleasant, South Carolina, registered in NPPES in November 2010. The authorized official on file is Tamika Michelle Bolden Ravenell, DPM, Dpm/ Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588965586 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 7, 2010 |
| Last updated in NPPES | Dec 13, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | POD 607 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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