MICHAEL B CAROTHERS (NPI# 1063797447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063797447 |
| Entity Type | Individual |
| Full Name | MICHAEL B CAROTHERS |
| Credential | PA |
| Practice Address |
2030 Wambaw Crk Charleston SC 29492-8382 |
| Practice Telephone | 8434754392 |
| Mailing Telephone | 8434754392 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2013-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1922 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA055229 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380337 | Michael Clayton Carothers | Social Worker | 19 E Front St, Oil City, PA 16301-2363 | 2020-09-10 |
| Street Address |
2030 WAMBAW CRK |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29492-8382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144877333 | Megan Potter | Speech-Language Pathologist | Wellmore Daniel Island, 580 Robert Daniel Drive, Charleston, SC 29492 | 2019-08-22 |
| 1013408301 | River Landing Dentistry LLC | Clinic/Center | 145 River Landing Drive, Suite 102, Daniel Island, SC 29492 | 2018-05-23 |
| 1972018026 | Wellmore of Daniel Island LLC | Skilled Nursing Facility | 580 Robert Daniel Drive, Charleston, SC 29492 | 2017-12-12 |
| 1245758283 | Lindsey Alyse Vanbeusecum | Speech-Language Pathologist | 211 River Landing Dr, Daniel Island, SC 29492 | 2017-08-30 |
| 1508302423 | Sleep Better Sc, LLC | Clinic/Center | 210 Seven Farms Drive # 103, Daniel Island, SC 29492 | 2017-01-17 |
| 1164899696 | Employer's Collective | Pharmacy | 100 Calhoun Street, Suite 210, Charleston, SC 29492 | 2015-09-01 |
| 1376933440 | Rachel F. Henry | Counselor | 260 Seven Farms Dr Ste C, Daniel Island, SC 29492 | 2015-01-28 |
| 1417352253 | Kristen Helmly | Speech-Language Pathologist | 135 Pier View Street, Unit 304, Charleston, SC 29492 | 2014-10-22 |
| 1215268578 | Newton Gaston Quantz Jr. | Otolaryngology | 401 Ralston Creek Street, Charleston, SC 29492 | 2010-01-26 |
| 1053541581 | Chet Allen Tharpe Jr. | Allergy & Immunology | 6051 Grand Council St, Daniel Island, SC 29492 | 2009-07-17 |
| Find all providers in zip 29492 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
| 1316228679 | Joanna Harvey | Physician Assistant | 2085 H Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-7710 | 2011-08-31 |
| 1689825895 | Jeffrey Russell Pike | Physician Assistant | 2097 Henry Tecklenburg Dr Ste 305w, Charleston, SC 29414-5744 | 2008-10-07 |
| 1073662664 | Kenneth Neil Dippel | Physician Assistant | 3200 Maccorkle Ave. Se, Camc Memorial Hospital, Charleston, WV 25304 | 2007-01-10 |
| 1790873099 | Steven L Russell | Physician Assistant | 191 Rutledge Ave, Charleston, SC 29403-5822 | 2006-10-11 |
| 1376649723 | Irene Belinda Coley | Physician Assistant | Ralph H. Johnson Va Medical Center, 109 Bee Street, Charleston, SC 29401 | 2006-09-15 |
| 1578597480 | David Laurence Gross | Physician Assistant | 9313 Medical Plaza Dr Ste 102, Charleston, SC 29406-9153 | 2006-07-10 |
| 1851331714 | Caroline M Bailey | Physician Assistant | 1 Bishop Gadsden Way, Suite 97, Charleston, SC 29412-3506 | 2006-06-08 |
| 1952357899 | Constantina Helen Panos | Physician Assistant | 129 Queen St, Charleston, SC 29401-2424 | 2006-05-25 |
| 1609840206 | Kara Compton | Physician Assistant | 776 Daniel Ellis Dr, Charleston, SC 29412-3094 | 2006-02-13 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29492 |
Please comment or provide details below to improve the information on MICHAEL B CAROTHERS.
| 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.