MS. BROOKE ELIZABETH WATSON (NPI# 1114402153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114402153 |
| Entity Type | Individual |
| Full Name | MS. BROOKE ELIZABETH WATSON |
| Credential | PA-C |
| Practice Address |
9221 University Blvd Ste 102 North Charleston SC 29406-9148 |
| Practice Telephone | 8435760700 |
| Practice Fax Number | 8435760701 |
| Mailing Telephone | 8435760700 |
| Mailing Fax Number | 8435760701 |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033378286 | Brooke Watson | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2008-06-03 |
| Street Address |
9221 UNIVERSITY BLVD STE 102 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-9148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821257676 | Coastal Carolina Primary Care, LLC | Internal Medicine | 9221 University Blvd Ste 102, North Charleston, SC 29406-9148 | 2008-06-06 |
| 1649746025 | Kimberly Lynn Russell | Physician Assistant | 9221 University Blvd Ste 102, North Charleston, SC 29406-9148 | 2018-10-23 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383719 | Kaytlin Blake Hollingsworth | Physician Assistant | 2774 Shadow Ln, North Charleston, SC 29406-9065 | 2020-10-12 |
| 1649813106 | Sandy Pang | Physician Assistant | 2448 Melville Rd, North Charleston, SC 29406-8905 | 2019-10-28 |
| 1568933877 | April Marie Ridenhour | Physician Assistant | 7713 Brookdale Blvd, North Charleston, SC 29418-2139 | 2018-12-13 |
| 1659822823 | Lauren Olson | Physician Assistant | 2998 W Montague Ave Ste 117, North Charleston, SC 29418-5931 | 2016-10-21 |
| 1730581257 | Vanessa A Hajzus | Physician Assistant | 8950 University Blvd Ste 150, North Charleston, SC 29406-9115 | 2014-09-16 |
| 1205168960 | Robert Michael Drew | Physician Assistant | 2233 Northwoods Blvd., Roper Northwoods Emergency Department, North Charleston, SC 29406 | 2010-02-05 |
| 1558512525 | Amanda Rene Thomasson | Physician Assistant | 8091 Rivers Avenue, North Charleston, SC 29406 | 2008-10-08 |
| 1750578688 | Christopher Chillura | Physician Assistant | 7750 Northwoods Blvd, North Charleston, SC 29406-4034 | 2007-09-25 |
| 1477508901 | Steven Scott Garver | Physician Assistant | 8992 University Blvd, Ste 300, North Charleston, SC 29406-8104 | 2006-05-23 |
| 1336113232 | Rebecca Hamilton Miller | Physician Assistant | 9213a University Blvd, Trident Executive Village, North Charleston, SC 29406 | 2006-02-15 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH 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.