DR. JORDAN STUART WHATLEY


Address: 2250 Mall Dr, North Charleston, SC 29406-6563
Phone: 8438760444

DR. JORDAN STUART WHATLEY (NPI# 1194139337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194139337
Entity Type Individual
Full Name DR. JORDAN STUART WHATLEY
Credential M.D.
Practice Address 2250 Mall Dr
North Charleston
SC 29406-6563
Mailing Address Po Box 751461
Charlotte
NC 28275-1461
Practice Telephone 8438760444
Practice Fax Number 3102060203
Mailing Telephone 8437926200
Enumeration Date 2014-06-16
Last Update Date 2020-09-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 4301105294 MI Allopathic & Osteopathic Physicians
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
84088 SC Allopathic & Osteopathic Physicians
N 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
A148950 CA Allopathic & Osteopathic Physicians

Other Providers JORDAN WHATLEY

NPI Name Taxonomy Address Enumeration
1063603397 Jordan Lynn Whatley Dermatology 5326 Odonovan Dr, Baton Rouge, LA 70808-4691 2007-08-01

Office Location

Street Address 2250 MALL DR
City NORTH CHARLESTON
State SC
Zip Code 29406-6563

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730707217 Hannah Kathleen Bieze Dietitian, Registered 2250 Mall Dr, North Charleston, SC 29406-6563 2020-07-10
1104476944 Savannah Faye Wawner Physician Assistant 2250 Mall Dr, North Charleston, SC 29406-6563 2019-09-13
1396391009 Bailey Christine Goggin Dietitian, Registered 2250 Mall Dr, North Charleston, SC 29406-6563 2019-08-18

Providers in the same zip code

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 Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154775963 Jeffrey Lee Pediatrics 135 Rutledge Ave # 489b, Charleston, SC 29425 2016-04-18
1932177052 Sudipta Misra Pediatrics 295a Midland Pkwy Ste 260, Summerville, SC 29485-9039 2006-03-14
1609851336 Yuliya Rekhtman Pediatrics 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6883 2005-12-15
1962994160 Stormy B Walker Pediatrics 3240 Sunset Blvd, West Columbia, SC 29169-3428 2018-06-04
1760800650 Carmine Suppa Pediatrics 171 Ashley Ave, Charleston, SC 29425-3816 2014-03-28
1992146419 Narendra Yallanki Pediatrics 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203 2013-07-12
1649532367 Lindsay M Moye Pediatrics 200 Patewood Dr Ste A140, Greenville, SC 29615 2012-06-08
1578852828 Nagraj Kasi Pediatrics 171 Ashley Ave, Charleston, SC 29425-8908 2011-04-06
1225281124 University Medical Associates Pediatrics 171 Ashley Ave, Charleston, SC 29425-8908 2008-10-23
1063672475 Candi S Jump Pediatrics 171 Ashley Ave, Charleston, SC 29425-8908 2008-06-10
Find all providers with the same taxonomy

Competitor

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City NORTH CHARLESTON
Zip Code 29406

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Dataset Information

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.

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