DR. JEFFERY L DEAL (NPI# 1174520068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174520068 |
| Entity Type | Individual |
| Full Name | DR. JEFFERY L DEAL |
| Credential | M.D. |
| Practice Address |
1938 Charlie Hall Blvd Unit B Charleston SC 29414-6099 |
| Mailing Address |
1570 Spinnaker Ln Charleston SC 29407-9659 |
| Practice Telephone | 8434420227 |
| Mailing Telephone | 8437666082 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2013-11-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
12384 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 123841 | 05 |
| Street Address |
1938 CHARLIE HALL BLVD UNIT B |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-6099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396397691 | Nicole E Stasko | Nurse Practitioner | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414-6099 | 2019-07-16 |
| 1376106989 | Megan Scarlet Quinn | Nurse Practitioner | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414 | 2019-04-18 |
| 1164977195 | Julie Renee Scott | Nurse Practitioner | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414-6099 | 2016-08-19 |
| 1295119865 | Cameron J Selent | Internal Medicine | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414-6099 | 2015-07-14 |
| 1902292261 | Lorin Diamond Stein | Nurse Practitioner | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414-6099 | 2015-04-13 |
| 1558787275 | Emily N Mayer | Nurse Practitioner | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414-6099 | 2014-03-06 |
| 1598866592 | Joseph F John Jr. | Internal Medicine | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414-6099 | 2006-09-25 |
| 1194778548 | Lowcountry Infectious Diseases Pa | Internal Medicine | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414-6099 | 2006-05-18 |
| 1083619654 | Julia S Haile | Internal Medicine | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414-6099 | 2005-06-20 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447758032 | Crs Eyecare Services, Inc. | Clinic/Center | 112 Rutledge Ave Ste A, Charleston, SC 29401-1333 | 2018-01-29 |
| 1760829519 | Health First | Clinic/Center | 1115 Savannah Hwy, Charleston, SC 29407-7805 | 2013-06-03 |
| 1235108721 | Charleston Internal Medicine, LLC | Clinic/Center | 537 Folly Rd, Charleston, SC 29412-3007 | 2006-03-16 |
| 1033778642 | Kanawha County Emergency Ambulance Authority Health and Wellness Board | Clinic/Center | 601 Brooks St, Charleston, WV 25301-1319 | 2019-06-07 |
| 1376033829 | Charleston Medical Associates | Clinic/Center | 1483 Tobias Gadson Blvd Ste 101, Charleston, SC 29407-4795 | 2018-05-10 |
| 1528560083 | Kanawha County Emergency Ambulance Authority | Clinic/Center | 601 Brooks St, Charleston, WV 25301-1319 | 2018-03-01 |
| 1639604929 | Lowcountry Wellness Center LLC | Clinic/Center | 1941 Savage Rd Ste 100e, Charleston, SC 29407-4788 | 2017-04-25 |
| 1770905952 | Charleston Primary Care Inc. | Clinic/Center | 506 W Lincoln Ave, Suite 200, Charleston, IL 61920-2453 | 2014-01-07 |
| 1336577238 | Western Arkansas Primary Care | Clinic/Center | 2617 E Main St, Charleston, AR 72933-9637 | 2013-10-31 |
| 1417389594 | Building Blocks Family Chiropractic. LLC | Clinic/Center | 1001 Physicians Dr, Charleston, SC 29414-5746 | 2013-07-31 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on DR. JEFFERY L DEAL.
| 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.