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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063603397 | Jordan Lynn Whatley | Dermatology | 5326 Odonovan Dr, Baton Rouge, LA 70808-4691 | 2007-08-01 |
Street Address |
2250 MALL DR |
City | NORTH CHARLESTON |
State | SC |
Zip Code | 29406-6563 |
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 |
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 | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
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. |
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 |
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.