GERALD C WARREN (NPI# 1063417228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063417228 |
| Entity Type | Individual |
| Full Name | GERALD C WARREN |
| Credential | MD |
| Practice Address |
85 Springview Ln Unit A Summerville SC 29485-8119 |
| Mailing Address |
85a Springview Lane Summerville SC 29485 |
| Practice Telephone | 8438510200 |
| Practice Fax Number | 8438519398 |
| Mailing Telephone | 8438510200 |
| Mailing Fax Number | 8438519398 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2011-06-06 |
| NPI Deactivation Date | 03/17/2006 |
| NPI Reactivation Date | 2006-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 15402 | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | TL3921 | 05 | |
| SC | GP0766 | 05 | |
| SC | RAILROAD MEDICARE | 020021063 | 01 |
| Street Address |
85 SPRINGVIEW LN UNIT A |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-8119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003356213 | Jillian Jenay Mays | Specialist | 75 Old Trolley Rd Unit 8, Summerville, SC 29485-4900 | 2017-03-07 |
| 1164816245 | Imagine Physical Therapy Cane Bay | Specialist | 1600 State Rd, Summerville, SC 29486-2842 | 2015-03-26 |
| 1962658740 | Equilibrium Endocrinology, Pa | Specialist | 622 Trolley Rd, Suite 102, Summerville, SC 29485-5674 | 2008-08-13 |
| 1881859742 | E Yvonne Ouellette | Specialist | 121 Lipman St, Summerville, SC 29483-3673 | 2008-07-21 |
| 1083696413 | Articularis Healthcare Group Inc. | Specialist | 2001 2nd Ave Ste 201, Summerville, SC 29486 | 2005-11-21 |
| 1457333114 | Darlene Carolyn Bernard | Specialist | 75 Springview Lane, Summerville, SC 29485 | 2005-11-17 |
| 1235135112 | William Roger Lomax | Specialist | 208 E 2nd North St, Summerville, SC 29483-6858 | 2005-06-24 |
| 1366779779 | Alpha Medical | Specialist | 210 W 6th North St, Summerville, SC 29483-6617 | 2009-11-05 |
| 1164620779 | Lomax and Jordan Ent | Specialist | 208 E 2nd North St, Summerville, SC 29483-6858 | 2007-07-05 |
| 1902967912 | Summerville Surgical Associates, Pa | Specialist | 87 Springview Ln, Suite A, Summerville, SC 29485-8154 | 2006-12-13 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
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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.