DR. WADDELL H GILMORE III (NPI# 1205823754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205823754 |
| Entity Type | Individual |
| Full Name | DR. WADDELL H GILMORE III |
| Credential | M.D. |
| Practice Address |
180 Wingo Way Ste 301 Mount Pleasant SC 29464-1812 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8438840302 |
| Practice Fax Number | 8438499308 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2015-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 9782 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RAILROAD MEDICARE ID-RSFPN | P00834851 | 01 |
| SC | DM0683 | 05 | |
| SC | 097825 | 05 |
| Street Address |
180 WINGO WAY STE 301 |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29464-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154845717 | Christen Marie Mackorell | Physician Assistant | 180 Wingo Way Ste 301, Mount Pleasant, SC 29464-1812 | 2017-07-26 |
| 1134155914 | Palmetto Ortho of Chas, Pa | Prosthetic/Orthotic Supplier | 180 Wingo Way Ste 301, Mount Pleasant, SC 29464-1812 | 2006-06-24 |
| 1174510622 | James R Demarco | Internal Medicine | 180 Wingo Way Ste 301, Mount Pleasant, SC 29464-1812 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124231949 | Orthopaedic Specialists of Charleston | Orthopaedic Surgery | 594 Lone Tree Dr, Mount Pleasant, SC 29464-8170 | 2007-05-08 |
| 1669583332 | Michael James Moutsatson | Orthopaedic Surgery | 2890 Health Parkway, Mount Pleasant, MI 48858 | 2006-08-31 |
| 1306336003 | Benjamin Cox Do Pllc | Orthopaedic Surgery | 2600 Three Leaves Dr, Mount Pleasant, MI 48858-5523 | 2018-05-17 |
| 1497132054 | Ortho Spine Surgery Associates | Orthopaedic Surgery | 6226 Bankers Rd, Suite 11, Mount Pleasant, WI 53403-9799 | 2015-05-04 |
| 1134460066 | Branko Prpa Md LLC | Orthopaedic Surgery | 6233 Bankers Rd, Suite 11, Mount Pleasant, WI 53403-9700 | 2013-03-01 |
| 1306104476 | Benjamin Andrew Cox | Orthopaedic Surgery | 2600 Three Leaves Dr, Mount Pleasant, MI 48858-5523 | 2012-04-26 |
| 1003112947 | Brian Thomas Zafonte | Orthopaedic Surgery | 3811 Spring St, Suite 102, Mount Pleasant, WI 53405-1667 | 2011-02-09 |
| 1205132321 | David Albert Liebelt | Orthopaedic Surgery | 3811 Spring St, Suite 102, Mount Pleasant, WI 53405-1667 | 2011-02-07 |
| 1811153158 | David R Ross | Orthopaedic Surgery | 3811 Spring St, Mount Pleasant, WI 53405 | 2008-08-06 |
| 1346422862 | Michael J Moutsatson Do Pllc | Orthopaedic Surgery | 2890 Health Parkway, Mount Pleasant, MI 48858-2961 | 2007-11-27 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
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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.