ANNA C PRUITT (NPI# 1023057676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023057676 |
| Entity Type | Individual |
| Full Name | ANNA C PRUITT |
| Credential | MD |
| Practice Address |
3800 Faber Place Dr North Charleston SC 29405 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8437474647 |
| Practice Fax Number | 8437450969 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 19626 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 196264 | 05 | |
| SC | BCBS SC | 571020809002 | 01 |
| SC | TRICARE | 571020809034 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881847333 | Anna Marie Pruitt | Counselor | 145 Barham Rd, Comfort, TX 78013-3312 | 2008-10-28 |
| 1578085395 | Anna Beth Pruitt | Orthopaedic Surgery | 299 N Broad St, Winder, GA 30680-2155 | 2017-07-13 |
| Street Address |
3800 FABER PLACE DR |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518509249 | Engage In Life, LLC | Clinic/Center | 3800 Faber Place Dr, North Charleston, SC 29405-8532 | 2019-10-15 |
| 1417462193 | Susan Dale Bowers | Counselor | 3800 Faber Place Dr, North Charleston, SC 29405-8532 | 2017-12-04 |
| 1326087099 | Carol K Klauber | Pediatrics | 3800 Faber Place Dr, North Charleston, SC 29405 | 2006-06-06 |
| 1407806516 | Lowcountry Medical Associates | Pediatrics | 3800 Faber Place Dr, North Charleston, SC 29405-8532 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194139337 | Jordan Stuart Whatley | Pediatrics | 2250 Mall Dr, North Charleston, SC 29406-6563 | 2014-06-16 |
| 1710061270 | Shilpa Narendra Shah | Pediatrics | 2713 Dantzler Drive, North Charleston, SC 29406-9005 | 2006-10-24 |
| 1821089459 | Jennifer Ann Nordby | Pediatrics | 2781 Tricom St, Palmetto Pediatrics, Pa, North Charleston, SC 29406-9170 | 2005-11-02 |
| 1447250378 | Amy Rebman Dietrich | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2005-07-21 |
| 1336469527 | Morgan Murphy Glass | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2010-06-10 |
| 1205097359 | Casey Harvey King | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2008-06-21 |
| 1477744100 | Christina M Tripp | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2007-08-07 |
| 1245421056 | Farrow Counts Durant | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2007-08-06 |
| 1861560765 | Palmetto Pediatrics, Pa | Pediatrics | 2781 Tricom St, North Charleston, SC 29406-9170 | 2006-12-01 |
| 1366530511 | Kathryn Elizabeth Herwig | Pediatrics | 2713 Dantzler Dr, North Charleston, SC 29406-9005 | 2006-10-11 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29405 |
Please comment or provide details below to improve the information on ANNA C PRUITT.
| 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.