MS. TAYLOR KASSIOTIS (NPI# 1205181658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205181658 |
| Entity Type | Individual |
| Full Name | MS. TAYLOR KASSIOTIS |
| Credential | DO |
| Practice Address |
169 Ashley Avenue Room 202 Main Hospital Msc333 Charleston SC 29455 |
| Mailing Address |
169 Ashley Avenue Room 202 Main Hospital Msc333 Charleston SC 29425-8905 |
| Practice Telephone | 8437928972 |
| Mailing Telephone | 8437928972 |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2018-06-28 |
| NPI Deactivation Date | 06/20/2018 |
| NPI Reactivation Date | 2018-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NY | Behavioral Health & Social Service Providers | |
| Y | 208000000X | Pediatrics | LL52027 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01013818 | 05 |
| Street Address |
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL MSC333 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770779308 | Jaime Elizabeth Snape | Physical Therapist | 169 Ashley Avenue, Rm 396 3sw Wing, Charleston, SC 29425 | 2007-09-18 |
| 1861019630 | Cecilia Allain Hernandez | Surgery | 169 Ashley Avenue, Msc333 Room 202 Main Hospital, Charleston, SC 29425 | 2020-06-28 |
| 1770109761 | John Ryan Gedney | Surgery | 169 Ashley Avenue, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2020-06-25 |
| 1548886344 | Mary Margaret Jordan | Surgery | 169 Ashley Avenue, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2020-06-18 |
| 1568088235 | Gabriel Gregory Gaweda | Surgery | 169 Ashley Avenue, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2020-06-18 |
| 1306462189 | Nimit Nitin Desai | Psychiatry & Neurology | 169 Ashley Avenue, Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2020-06-17 |
| 1487279501 | Ian Daniel Coate | Urology | 169 Ashley Avenue, Room 202 Main Hospital Msc333, Charleston, SC 29425-8905 | 2020-06-15 |
| 1437774676 | Lauren Leslie Yacobucci | Obstetrics & Gynecology | 169 Ashley Avenue, Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2020-06-13 |
| 1073138301 | Andres Felipe Ospina | Internal Medicine | 169 Ashley Avenue, Rm 202, Main Hospital, Charleston, SC 29425 | 2020-06-12 |
| 1902421233 | Benjamin Bortner | Internal Medicine | 169 Ashley Avenue, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689216863 | Live for Wellness Johns Island | Chiropractor | 1803 Crowne Commons Way, Suite 1-a, Johns Island, SC 29455 | 2019-10-09 |
| 1588180186 | Ashley Nicole Cox | Specialist/Technologist | 24 Surfsong Rd, Johns Island, SC 29455 | 2017-08-16 |
| 1568820173 | Bernard Mansheim | Internal Medicine | 3226 Maybank Highway Ste 1a, Johns Island, SC 29455 | 2016-02-10 |
| 1932527843 | Gordon Theodore Davis | General Practice | 3226 Maybank Highway Suite 1-a, Barrier Islands Free Medical Clinics, Johns Island, SC 29455 | 2014-03-29 |
| 1568749596 | Dawn Lachelle Sykes | Chiropractor | 3029 Maybank Highway, Suite 1, Johns Island, SC 29455 | 2011-11-04 |
| 1265765994 | Raymond David Mulligan | Psychologist | 431 Snowy Egret Lane, Kiawah Island, SC 29455 | 2009-09-14 |
| 1912172636 | Nicole Marie Juntz | Chiropractor | 3069 Maybank Hwy, Johns Island, SC 29455 | 2008-04-23 |
| 1972701803 | Village Optical LLC | Optometrist | 634 Freshfields Drive, Johns Island, SC 29455 | 2007-07-03 |
| 1902982945 | John Patrick Howard | Dentist | 1684 Brownswood Rd., Our Lady of Mercy Outreach, Johns Island, SC 29455 | 2006-10-31 |
| 1265515795 | Vincents Drug Store and Soda Fountain | Pharmacy | 110 Planted Row Lane, Johns Island, SC 29455 | 2006-10-20 |
| Find all providers in zip 29455 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632809 | Caitlin Marie Stoll | Pediatrics | 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414-6168 | 2020-06-08 |
| 1134743420 | Elizabeth Alden Mccants | Pediatrics | 125 Doughty St Ste 520d, Charleston, SC 29403-5736 | 2020-06-02 |
| 1770127516 | Nicole Danielle Clendenin | Pediatrics | 314 Goff Mountain Rd Ste 16, Charleston, WV 25313-6600 | 2019-11-05 |
| 1871059238 | Aminah Fraser- Abdur Rahim | Pediatrics | 1373 W Lenevar Dr, Charleston, SC 29407-5148 | 2019-02-11 |
| 1720518384 | Nicholas Matthew Cundiff | Pediatrics | 135 Rutledge Ave Dept Of, Charleston, SC 29425-8903 | 2017-06-15 |
| 1649632225 | Collin Dubick | Pediatrics | 1118 Sea Eagle Watch, Charleston, SC 29412-8249 | 2016-03-23 |
| 1417338781 | Heather Michelle Greene | Pediatrics | 169 Ashlet Avenue, Room 202 Main Hospital Msc 333, Charleston, SC 29425 | 2015-06-12 |
| 1780098160 | Matthew John Saia | Pediatrics | 2124 Telfair Way, Charleston, SC 29412-2370 | 2014-06-13 |
| 1770922601 | Lauren Simpson Tipton | Pediatrics | 1243 Savannah Hwy Ste B, Charleston, SC 29407-7817 | 2013-06-25 |
| 1467747527 | Pratikkumar Patel | Pediatrics | 830 Pennsylvania Ave Ste 401, Charleston, WV 25302-3390 | 2011-06-16 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29455 |
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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.