DR. RYAN MICHAEL SOUTHARD (NPI# 1093178915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093178915 |
| Entity Type | Individual |
| Full Name | DR. RYAN MICHAEL SOUTHARD |
| Credential | M.D. |
| Practice Address |
105 Springhall Dr Goose Creek SC 29445-5370 |
| Mailing Address |
1871 Savage Rd Charleston SC 29407-4726 |
| Practice Telephone | 8437666308 |
| Practice Fax Number | 8665334473 |
| Mailing Telephone | 8437666308 |
| Mailing Fax Number | 8665334473 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2020-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 82349 | SC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1871 Savage Rd, Charleston, SC 294074726 | 8437666308 | 8665334473 |
| Street Address |
105 SPRINGHALL DR |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29445-5370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225016322 | Beng H Ho | Family Medicine | 105 Springhall Dr, Ste B, Goose Creek, SC 29445-5351 | 2006-01-09 |
| 1972040129 | Plantation Pediartics, LLC | Pediatrics | 105 Springhall Dr, Goose Creek, SC 29445-5351 | 2017-01-26 |
| 1942610647 | Anna Harper Tucker | Pediatrics | 105 Springhall Dr, Goose Creek, SC 29445-5351 | 2014-05-02 |
| 1699720250 | John Scott Stadalsky | Pediatrics | 105 Springhall Dr, Goose Creek, SC 29445-5370 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
| 1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
| 1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
| 1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
| 1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
| 1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
| 1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
| 1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
| Find all providers in zip 29445 | ||||
| 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 |
|---|---|---|---|---|
| 1972040129 | Plantation Pediartics, LLC | Pediatrics | 105 Springhall Dr, Goose Creek, SC 29445-5351 | 2017-01-26 |
| 1942610647 | Anna Harper Tucker | Pediatrics | 105 Springhall Dr, Goose Creek, SC 29445-5351 | 2014-05-02 |
| 1821412099 | Christine Marie Seminara | Pediatrics | 99 Bridgetown Rd, Goose Creek, SC 29445-5359 | 2014-02-09 |
| 1538374798 | Deborah Ann Marrington | Pediatrics | 110 Nnptc Cir, Goose Creek, SC 29445 | 2007-05-11 |
| 1699720250 | John Scott Stadalsky | Pediatrics | 105 Springhall Dr, Goose Creek, SC 29445-5370 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981833 | Kaitlyn Marie Skelston | Pediatrics | 2828 Bayboro St, Loris, SC 29569-2710 | 2020-10-28 |
| 1518571421 | Carolinas Physicians Network Inc | Pediatrics | 1154 Carolina Pl, Fort Mill, SC 29708-7063 | 2020-09-08 |
| 1952911075 | Medical University Hospital Authority | Pediatrics | 838 W Meeting St Ste E, Lancaster, SC 29720-6261 | 2020-08-04 |
| 1134738644 | Medical University Hospital Authority | Pediatrics | 1 Medical Park Dr Ste A, Chester, SC 29706-9769 | 2020-07-30 |
| 1023632809 | Caitlin Marie Stoll | Pediatrics | 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414-6168 | 2020-06-08 |
| 1972128742 | Emily Anne Cloessner | Pediatrics | Prisma Health Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-06-08 |
| 1134743420 | Elizabeth Alden Mccants | Pediatrics | 125 Doughty St Ste 520d, Charleston, SC 29403-5736 | 2020-06-02 |
| 1043833890 | Lauren F. Cook | Pediatrics | Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-27 |
| 1619598158 | Zeel Hiren Patel | Pediatrics | Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-06 |
| 1265066658 | Sahar Alavi | Pediatrics | 1439 Cambridge Lakes Dr, Mount Pleasant, SC 29464-7301 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | GOOSE CREEK |
| Zip Code | 29445 |
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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.