HEALTH EDGE LASER LLC (NPI# 1003265828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003265828 |
| Entity Type | Organization |
| Organization Name | HEALTH EDGE LASER LLC |
| Other Organization Name | HEALTH EDGE MEDICAL AND WELLNESS CENTER |
| Practice Address |
4965 Centre Pointe Dr. Suite 100 North Charleston SC 29418 |
| Practice Telephone | 8435692225 |
| Practice Fax Number | 8438631830 |
| Mailing Telephone | 8435692225 |
| Mailing Fax Number | 8438631830 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | DR. CAROLYN LEIGH HUNTER (OWNER) |
| Authorized Official Telephone | 8438708703 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 2991 | SC | Chiropractic Providers |
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | 5337 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
18243 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3749 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 207Q00000X | Family Medicine | SC | Allopathic & Osteopathic Physicians | |
| N | 225100000X | Physical Therapist | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 111N00000X | Chiropractor | SC | Chiropractic Providers | |
| Y | 207Q00000X | Family Medicine | 25789 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PTAN MEDICARE | D992 | 01 |
| SC | GP6680 | 05 |
| Other Name | Type Code |
|---|---|
| Health Edge Medical and Wellness Center | Doing Business As Name - Organization |
| Street Address |
4965 CENTRE POINTE DR. SUITE 100 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710529235 | Safe Keeping Healthcare LLC | Home Health | 2850 Ashley Phoshate Rd Suite J, Charleston, SC 29418 | 2019-10-16 |
| 1487136180 | Aston J Rosenberg | Speech-Language Pathologist | 4362 Leslie St, North Charleston, SC 29418 | 2018-08-30 |
| 1285178996 | Aaron Brown | Counselor | 5060 Dorchester Road, Suite 200, North Charleston, SC 29418 | 2016-12-14 |
| 1568866481 | Rickey Ciapha Dennis Sr. | Social Worker | 108 Knightsbridge Drive, North Charleston, SC 29418 | 2014-10-21 |
| 1780086330 | Stephanie Washington | Specialist | 5060 Drochester Rd, North Charleston, SC 29418 | 2014-09-25 |
| 1043631369 | Julian H. Campbell, Dmd PC | Dentist | 3188 W. Montague Ave, North Charleston, SC 29418 | 2014-01-05 |
| 1750660676 | Marie's Home Care | Home Health | 7610 Mcknight St., Apt.a, North Charleston, SC 29418 | 2011-08-09 |
| 1437437548 | Trident General Dentistry, Douglas S Rawls, Dm | Dentist | 6335 Dorchester Road, North Carleston, SC 29418 | 2011-07-25 |
| 1508165291 | Patrick Michael Looser | Internal Medicine | 4969 Centre Pointe Dr Ste 100, North Charleston, SC 29418 | 2011-03-21 |
| 1235431784 | Divine Intervention Counseling Services | Community/Behavioral Health | 3236 Landmark Drive, Suite 124, North Charleston, SC 29418 | 2010-12-03 |
| Find all providers in zip 29418 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578115911 | Whole Heart Family Medicine | Family Medicine | 2891 Tricom St Ste C, North Charleston, SC 29406-7110 | 2019-07-16 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1366816977 | Paladina Health, LLC | Family Medicine | 5401 Netherby Rd Ste 101, North Charleston, SC 29420-7363 | 2015-11-19 |
| 1235434713 | Julie All Med Services Inc | Family Medicine | 1455 Remount Rd Ste I, North Charleston, SC 29406-3355 | 2011-01-14 |
| 1760642821 | Laura Lee Smith | Family Medicine | 1670 Dry Dock Ave, Building 10: Harvest Free Medical Clinic, North Charleston, SC 29405-2114 | 2008-06-12 |
| 1306033634 | Katherine Jaudon Richardson | Family Medicine | 4050 Bridge View Dr Ste 600, North Charleston, SC 29405 | 2007-10-01 |
| 1033316641 | Julie Fritz Casasco | Family Medicine | 3337 Business Cir, North Charleston, SC 29418-7415 | 2007-06-27 |
| 1528288560 | Stela Susac-pavic | Family Medicine | 8983 University Blvd # 104-334, North Charleston, SC 29406-7102 | 2007-05-01 |
| 1013087949 | Christopher James Raispis | Family Medicine | 1670 Drydock Ave, Bldg 10a Detyens Medical Center, North Charleston, SC 29405 | 2006-11-08 |
| 1548344096 | Kenneth Phylex Jones | Family Medicine | 3870 Leeds Avenue, Suite 114, North Charleston, SC 29405-7493 | 2006-10-24 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29418 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.