Active NPIIndividual providerSole proprietor

Dr. Michael Coletta, MD

Emergency Medicine in Myrtle Beach, South Carolina

NPI Number1073059911
Practice location
809 82ND Pkwy, Myrtle Beach, SC 29572
Fax
—
Last updated
January 17, 2023

Michael Coletta is an Emergency Medicine based in Myrtle Beach, SC. Michael Coletta practices in Myrtle Beach, SC and has the professional credentials of MD. The NPI Number for Michael Coletta is 1073059911 and holds a License No. 82076 (SC). The current practice location address for Michael Coletta is 809 82ND Pkwy, Myrtle Beach, SC 29572 and can be reached out via phone at 843-692-1000.

Provider Profile Details

NPI Number
1073059911
Provider Name
Michael Coletta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
809 82ND Pkwy, Myrtle Beach, SC 29572
Phone Number
843-692-1000
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 17, 2017
Last Update Date
January 17, 2023
Certification Date
September 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
809 82ND Pkwy
Myrtle Beach, SC 29572
Zip
29572
Phone Number
843-692-1000
Myrtle Beach, SC 29572Get directions →

Provider Business Mailing Address Details

Address
701 N Clayton St
Wilmington, DE 19805-3155
City
Wilmington
State
DE
Zip
19805-3155
Phone Number
302-421-4100

License Information

License Number (1)
82076
License State (1)
SC
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
25MA11137100
License State (2)
NJ
Taxonomy (2)
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Michael Coletta, MD?

The NPI number of Dr. Michael Coletta, MD is 1073059911. It was assigned on January 17, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael Coletta, MD?

Dr. Michael Coletta, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in SC under license number 82076.

Where does Dr. Michael Coletta, MD practice?

The practice location is 809 82ND Pkwy, Myrtle Beach, SC 29572. The office can be reached at 843-692-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073059911 directly on the NPPES registry website.

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