ROPER HOSPITAL, INC. (NPI# 1205388618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205388618 |
| Entity Type | Organization |
| Organization Name | ROPER HOSPITAL, INC. |
| Other Organization Name | VASCULAR MEDICINE AND WOUND MANAGEMENT CLINIC |
| Practice Address |
149 Saint James Ave Goose Creek SC 29445-2923 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8435530926 |
| Practice Fax Number | 8436068038 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | MR. WILLIAM ANTHONY JACKSON (CEO) |
| Authorized Official Telephone | 8437242954 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP7573 | 05 |
| Other Name | Type Code |
|---|---|
| Roper St. Francis Wound Management Center | Doing Business As Name - Organization |
| Vascular Medicine and Wound Management Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786710 | Roper Hospital, Inc. | Preventive Medicine | 1 Bishop Gadsden Way, Charleston, SC 29412-3506 | 2017-05-05 |
| 1932553484 | Roper Hospital, Inc. | Clinical Medical Laboratory | 316 Calhoun St, Charleston, SC 29401-1113 | 2016-04-21 |
| 1447618418 | Roper Hospital, Inc. | Preventive Medicine | 316 Calhoun St, Charleston, SC 29401-1113 | 2016-02-05 |
| 1932565090 | Roper Hospital, Inc. | Psychiatry & Neurology | 316 Calhoun St, Charleston, SC 29401-1113 | 2016-01-05 |
| 1235535279 | Roper Hospital, Inc. | Anesthesiology | 125 Doughty St, Suite 300, Charleston, SC 29403-5736 | 2014-11-18 |
| 1992090229 | Roper Hospital, Inc. | Physical Medicine & Rehabilitation | 316 Calhoun St, Charleston, SC 29401-1113 | 2011-06-15 |
| 1053640078 | Roper Hospital, Inc. | Internal Medicine | 316 Calhoun St, Charleston, SC 29401-1113 | 2009-12-22 |
| 1104150739 | Roper Hospital, Inc. | Internal Medicine | 1481 Tobias Gadson Blvd, Suite 1, Charleston, SC 29407-4794 | 2009-09-30 |
| 1366591703 | Roper Hospital, Inc. | Clinical Neuropsychologist | 125 Doughty St, Suite 400, Charleston, SC 29403-5736 | 2007-01-08 |
| 1710915251 | Roper Hospital, Inc. | Internal Medicine | 316 Calhoun St, Charleston, SC 29401-1113 | 2006-06-30 |
| Street Address |
149 SAINT JAMES AVE |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29445-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205877198 | Leah S Trantham | Family Medicine | 149 Saint James Ave, Goose Creek, SC 29445-2923 | 2006-06-09 |
| 1811520562 | Roper Saint Francis Physicians Network | Colon & Rectal Surgery | 149 Saint James Ave, Goose Creek, SC 29445-2923 | 2020-02-20 |
| 1073095014 | Roper Saint Francis Physicians Network | Surgery | 149 Saint James Ave, Goose Creek, SC 29445-2923 | 2018-09-06 |
| 1821599143 | Ryan Wayne Seidl | Physician Assistant | 149 Saint James Ave, Goose Creek, SC 29445-2923 | 2018-02-22 |
| 1841679925 | Roper Saint Francis Physicians Network | Family Medicine | 149 Saint James Ave, Goose Creek, SC 29445 | 2015-05-22 |
| 1427392281 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 149 Saint James Ave, Goose Creek, SC 29445-2923 | 2012-11-19 |
| 1932210929 | Cayce C. Tangeman | Family Medicine | 149 Saint James Ave, Goose Creek, SC 29445-2923 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
| 1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
| 1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
| 1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
| 1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
| 1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
| 1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
| 1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
| Find all providers in zip 29445 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942284047 | Thomas Gardner Foreman | Preventive Medicine | 5050 Highway 17 Byp S, South Strand Medical Center, Myrtle Beach, SC 29588-4500 | 2005-12-01 |
| 1740802297 | Roper Hospital, Inc | Preventive Medicine | 3500 N Highway 17, Mt Pleasant, SC 29466-9123 | 2020-05-07 |
| 1447724588 | Hilton Head Hyperbarics | Preventive Medicine | 2 Marshland Rd, Hilton Head Island, SC 29926-2305 | 2019-01-11 |
| 1740795012 | Roper Hospital, Inc | Preventive Medicine | 316 Calhoun St, Charleston, SC 29401-1113 | 2017-12-08 |
| 1447786710 | Roper Hospital, Inc. | Preventive Medicine | 1 Bishop Gadsden Way, Charleston, SC 29412-3506 | 2017-05-05 |
| 1427598580 | Dermaheal, LLC | Preventive Medicine | 207 Chartwell Ct, Myrtle Beach, SC 29588-7273 | 2017-03-08 |
| 1447618418 | Roper Hospital, Inc. | Preventive Medicine | 316 Calhoun St, Charleston, SC 29401-1113 | 2016-02-05 |
| 1013156306 | Hyperbaric Therapy of The Low Country | Preventive Medicine | 94 Main Street, Suite E, Hilton Head, SC 29926 | 2009-02-11 |
| 1700035938 | Hyperbarics of Hilton Head | Preventive Medicine | 58 Shelter Cove Lane, Suite B, Hilton Head, SC 29928-3571 | 2008-09-11 |
| 1003864521 | Lance L Davis | Preventive Medicine | 316 Calhoun St, Charleston, SC 29401-1113 | 2006-05-05 |
| Find all providers with the same taxonomy | ||||
| City | GOOSE CREEK |
| Zip Code | 29445 |
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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.