DR. JEFFREY WALTZ (NPI# 1104275528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104275528 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY WALTZ |
| Credential | M.D. |
| Practice Address |
9228 Medical Plaza Dr Charleston SC 29406-9125 |
| Practice Telephone | 8432240180 |
| Mailing Telephone | 8432240180 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
LL39669 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
9228 MEDICAL PLAZA DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29406-9125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376854117 | Molly Eloise Gentle | Family Medicine | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2010-06-26 |
| 1609403542 | Matthew Benjamin Mclaughlin | Family Medicine | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2020-03-23 |
| 1831726702 | Molly Keefe O'brien Haas | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2020-03-23 |
| 1043847940 | Joseph Robert Luvisi | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2020-03-23 |
| 1760942759 | Virginia Erin Gee | Family Medicine | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2019-03-25 |
| 1093275927 | Jonathan Edward Aker | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2019-03-25 |
| 1326508383 | Adam Ridley | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2019-03-24 |
| 1972063238 | Tristan Young | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2019-03-22 |
| 1922568393 | Koby Caplan | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2019-03-22 |
| 1275093031 | Daniel Slone | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2019-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194275941 | Florida United Radiology, Lc | Radiology | 7 Pear Tree Ct, Charleston, IL 61920-4415 | 2016-10-05 |
| 1245687540 | John Frederick Hughes | Radiology | 96 Jonathan Lucas St # 323, Charleston, SC 29425-3230 | 2016-05-17 |
| 1386030021 | Shawn Hobby | Radiology | 96 Jonathan Lucas St Charleston Sc 29425, Charleston, SC 29425-0001 | 2015-04-09 |
| 1962601096 | James A. Thesing D.o. P.C. | Radiology | 295 Seven Farms Dr., Ste C-103, Charleston, SC 29492 | 2007-07-18 |
| 1730387622 | Courtney Stewart | Radiology | 96 Jonathan Lucas, Msc 32, Musc, Department of Radiology, Charleston, SC 29425-3230 | 2007-07-03 |
| 1275753576 | Mountaineer Imaging Center | Radiology | 60 R H L Blvd, Charleston, WV 25309-8278 | 2007-04-27 |
| 1285711671 | Jared Mills | Radiology | 1028 Jamsie Cove Dr, Charleston, SC 29412-4965 | 2006-11-01 |
| 1114000882 | Darryl Randolph Pauls | Radiology | 261 Ashley Ave, Suite 100, Charleston, SC 29425-8908 | 2006-10-24 |
| 1790869311 | Joshua L. Sherwin | Radiology | 484 King St Ste 205, Charleston, SC 29403-6229 | 2006-10-24 |
| 1700895562 | Rand J Cuthbertson | Radiology | 474 King St Ste 205, Charleston, SC 29403 | 2006-08-07 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29406 |
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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.