DR. DAVID WATSON RODWELL III (NPI# 1063687325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063687325 |
| Entity Type | Individual |
| Full Name | DR. DAVID WATSON RODWELL III |
| Credential | M.D. |
| Practice Address |
67 Broad St Suite 200 Charleston SC 29401-2936 |
| Practice Telephone | 8436281415 |
| Mailing Telephone | 8436281415 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2014-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
MD.206139 | LA | Allopathic & Osteopathic Physicians |
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
MD.206139 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
67 BROAD ST SUITE 200 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29401-2936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194144493 | Charleston Facial Plastic Surgery LLC | Otolaryngology | 67 Broad St, Suite 200, Charleston, SC 29401-2936 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162873 | Jonathan Hayes | Registered Nurse | 109 Bee St. Ralph H. Johnson Vamc, Charleston, SC 29401 | 2017-09-05 |
| 1659724904 | M & M Lineberger Dds Ms Pa | Dentist | 347 N. Caswell, Charlotte, NC 29401 | 2016-07-21 |
| 1619375185 | Zach Adams | Specialist/Technologist | 301 Meeting Street, Charleston, SC 29401 | 2014-12-15 |
| 1528469723 | Linda Graber | Occupational Therapist | 75 Calhoun Street, Charleston County Schools, Charleston, SC 29401 | 2014-09-08 |
| 1427497858 | Erika Lynn Wilson | Mechanotherapist | 310 King Street, Charleston, SC 29401 | 2013-06-19 |
| 1730525460 | Mary Beth Hill | Psychologist | 75 Cahoun Street, Charleston, SC 29401 | 2013-05-21 |
| 1699019810 | Chs Psychiatric Associates LLC | Psychiatric Hospital | 255 King Street #8, Charleston, SC 29401 | 2012-11-15 |
| 1255681581 | Parul Olivia Earley | Pharmacist | 59 George St., Charleston, SC 29401 | 2012-09-13 |
| 1669760815 | Dana Leigh Chiulli | Pharmacist | 109 Bee Street (119), Charleston, SC 29401 | 2011-07-20 |
| 1295028959 | Kathleen Anne Waters | Nurse Practitioner | Charleston Center, 5 Charleston Center Drive, Charleston, SC 29401 | 2011-05-26 |
| Find all providers in zip 29401 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194144493 | Charleston Facial Plastic Surgery LLC | Otolaryngology | 67 Broad St, Suite 200, Charleston, SC 29401-2936 | 2014-04-15 |
| 1487857272 | Patrick Constantine Angelos | Otolaryngology | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386989028 | Coastal Carolina Ent, Do, Pa | Otolaryngology | 110 Highway 17 S, Suite 112 - Sundial Center, North Myrtle Beach, SC 29582-3118 | 2012-12-06 |
| 1316917057 | Peter C Bondy | Otolaryngology | 808 Farrar Dr, Conway, SC 29526-8747 | 2006-01-25 |
| 1043471394 | Stephen J. Kroll, M.d. Pa | Otolaryngology | 338 Harbison Blvd, Columbia, SC 29212-2248 | 2008-06-19 |
| 1629299375 | Drew V Collins | Otolaryngology | 105 Carter Park Dr, Suite B, Seneca, SC 29678-1152 | 2007-05-01 |
| 1518181148 | Daniel Frederick Boxwell | Otolaryngology | 105 Carter Park Dr, Suite B, Seneca, SC 29678-1152 | 2007-04-13 |
| 1679594261 | Carolina Facial Plastic Surgery Pa | Otolaryngology | 1714 Gregg Ave, Florence, SC 29501-4120 | 2006-07-21 |
| 1386698165 | Seacoast Ent & Facial Plastic Surgery, Pa | Otolaryngology | 4000 Highway 9 E, Suite 270, Little River, SC 29566-7833 | 2006-05-19 |
| City | CHARLESTON |
| Zip Code | 29401 |
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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.