JENNIFER KINWA POON (NPI# 1013114263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013114263 |
| Entity Type | Individual |
| Full Name | JENNIFER KINWA POON |
| Credential | MD |
| Practice Address |
171 Ashley Ave Charleston SC 29425-8903 |
| Mailing Address |
Po Box 751461 Charlotte NC 28275-1461 |
| Practice Telephone | 8437921414 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
30795 | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 30795 | SC | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437604907 | Jennifer Poon | Physical Therapist | 1460 Ameluxen Ave, Hacienda Heights, CA 91745-2502 | 2016-08-24 |
| 1356865026 | Jennifer Kwan Poon | Respiratory Therapist, Certified | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2017-08-03 |
| 1477083087 | Jennifer Nguyen Poon | Occupational Therapist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2017-06-15 |
| Street Address |
171 ASHLEY AVE |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203922 | Nicholas J Pastis Jr. | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-8900 | 2005-05-24 |
| 1760083745 | Eleta Lazar Donelan | Physician Assistant | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-11-05 |
| 1285231340 | Bree Romecki | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-10-02 |
| 1942812078 | Warren Allen James | Student in an Organized Health Care Education/Training Program | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-08-19 |
| 1457962060 | Rosmary Ros-demarize | Psychologist | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-08-17 |
| 1558971390 | Auryelle Ascue | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-08-06 |
| 1396361994 | David Gonzalez | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8911 | 2020-06-19 |
| 1003432592 | Hannah Burrick | Audiologist | 171 Ashley Ave, Charleston, SC 29425-8903 | 2020-06-19 |
| 1528683562 | Kelsey Renee Full | Emergency Medicine | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-06-16 |
| 1861017949 | Christina Lee | Anesthesiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336339191 | Beth Bloom Emrick | Pediatrics | 830 Pennsylvania Ave Ste 104, Charleston, WV 25302-3389 | 2007-07-27 |
| 1073875670 | Silvia Pereira-smith | Pediatrics | 171 Ashley Ave, Charleston, SC 29425 | 2012-06-11 |
| 1972810539 | Anacani Fonseca | Pediatrics | 135 Rutledge Ave, Msc 567, Charleston, SC 29425-8903 | 2010-09-02 |
| 1811149008 | University Medical Associates | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-21 |
| 1316055361 | Jane M Charles | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1114035060 | Michelle Macias | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1710095674 | Angela Larosa | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023407996 | Eau Claire Cooperative Health Center, Inc. | Pediatrics | 4601 Monticello Road, Columbia, SC 29203 | 2015-01-15 |
| 1417985177 | Lawrence Kenneth Siegel | Pediatrics | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2006-06-29 |
| 1134164437 | Tuomey Medical Professionals, Inc | Pediatrics | 250 W Wesmark Blvd, Sumter, SC 29150-1986 | 2006-06-19 |
| 1518917061 | Rae Lynne Hornsby | Pediatrics | 142 Milestone Way, Greenville, SC 29615-5065 | 2006-05-12 |
| 1639127673 | Susan Walden Md Pa | Pediatrics | 55 Alston Rd, Pawleys Island, SC 29585 | 2006-05-04 |
| 1649261462 | Greenwood Genetics Center, Inc. | Pediatrics | 106 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2005-11-01 |
| 1073506333 | Frank Reginald Brown IIi | Pediatrics | 305 E Cheves St, Suite 330, Florence, SC 29506-2610 | 2005-08-23 |
| 1629688171 | Metta Vita Health LLC | Pediatrics | 331 E Main St Ste 200, Rock Hill, SC 29730-5384 | 2020-08-08 |
| 1114483294 | Samantha Lynn Cliborne | Pediatrics | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2019-02-14 |
| 1457848848 | Prisma Health Medical Group-midlands | Pediatrics | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2018-04-20 |
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| City | CHARLESTON |
| Zip Code | 29425 |
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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.