DR. MICHAEL ALAN SPANDORFER (NPI# 1134122112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134122112 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ALAN SPANDORFER |
| Credential | MD |
| Practice Address |
2097 Henry Tecklenburg Dr Ste 305 Charleston SC 29414-5744 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8437633360 |
| Practice Fax Number | 8437633038 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2015-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
20019 | SC | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
20019 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 200197 | 05 | |
| SC | RAILROAD MC ID-RSFPN | P00799634 | 01 |
| Street Address |
2097 HENRY TECKLENBURG DR STE 305 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073066932 | Mark J Segal Md LLC | Specialist | 2097 Henry Tecklenburg Dr, Suite 212w, Charleston, SC 29414-5740 | 2016-07-27 |
| 1194132852 | Roper Saint Francis Physicians Network | Internal Medicine | 2097 Henry Tecklenburg Dr, Suite 201w, Charleston, SC 29414 | 2014-07-15 |
| 1144647850 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 2097 Henry Tecklenburg Dr, Suite 322 W, Charleston, SC 29414-5740 | 2014-03-20 |
| 1356636682 | Roper Saint Francis Physicians Network | Internal Medicine | 2097 Henry Tecklenburg Dr, Ste 316 W, Charleston, SC 29414-5740 | 2011-06-15 |
| 1407141633 | John Daniel Gentry | Psychiatry & Neurology | 2097 Henry Tecklenburg Dr, Suite 316 W, Charleston, SC 29414-5740 | 2011-06-15 |
| 1003114406 | Palmetto Primary Care Physicians | Family Medicine | 2097 Henry Tecklenburg Dr, Charleston, SC 29414-5740 | 2011-03-09 |
| 1164733366 | Erin Victoria Sparks | Psychiatry & Neurology | 2097 Henry Tecklenburg Dr, Suite 322w, Charleston, SC 29414-5740 | 2010-06-23 |
| 1841515152 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 2097 Henry Tecklenburg Dr, Suite 218 West, Charleston, SC 29414-5740 | 2010-03-30 |
| 1225366719 | Roper Saint Francis Physicians Network | Internal Medicine | 2097 Henry Tecklenburg Dr, Suite 305 West, Charleston, SC 29414 | 2009-11-23 |
| 1487989489 | Roper Saint Francis Physicians Network | Internal Medicine | 2097 Henry Tecklenburg Dr, Ste 206 West, Charleston, SC 29414-5740 | 2009-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982756094 | Mallinath Kayi | Internal Medicine | 401 Division St Ste 305, Charleston, WV 25309-1455 | 2007-01-17 |
| 1699786939 | Sleepmed Inc. | Internal Medicine | 1867 Savage Rd, Charleston, SC 29407 | 2006-08-11 |
| 1144256819 | Robert E Hillberg | Internal Medicine | 300 First Ave., Charleston, MA 02129-1101 | 2006-06-24 |
| 1063465250 | Coastal Pulmonary, LLP | Internal Medicine | 63 Gadsden St, Charleston, SC 29401-1211 | 2006-05-18 |
| 1457322059 | Daniel Kassaye Game | Internal Medicine | 1866 Raoul Wallenberg Blvd, Suite B, Charleston, SC 29407-3545 | 2006-01-31 |
| 1629061973 | Lo'ay M. Al-asadi | Internal Medicine | 2335 Chesterfield Ave Ste 103, Charleston, WV 25304 | 2005-08-23 |
| 1053312314 | Kurt M. Nellhaus, M.d. | Internal Medicine | 3100 Maccorkle Ave Se, Suite 806, Charleston, WV 25304-1223 | 2005-08-09 |
| 1255738308 | Roper Saint Francis Physicians Network | Internal Medicine | 2095 Henry Tecklenburg Dr, Charleston, SC 29414 | 2014-12-04 |
| 1033485156 | Bradley William Petkovich | Internal Medicine | 171 Ashley Avenue, Charleston, SC 29425-0001 | 2012-03-23 |
| 1386930105 | Mario Carlos Ponce Alvarez | Internal Medicine | 96 Jonathan Lucas St, Csb Suite 812, Msc 630, Charleston, SC 29425-8900 | 2011-06-20 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on DR. MICHAEL ALAN SPANDORFER.
| 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.