DAVID CORLEY BLEASE (NPI# 1225057086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225057086 |
| Entity Type | Individual |
| Full Name | DAVID CORLEY BLEASE |
| Credential | PA-C |
| Practice Address |
9313 Medical Plaza Dr Suite 304 North Charleston SC 29406-9155 |
| Practice Telephone | 8435535616 |
| Practice Fax Number | 8437642917 |
| Mailing Telephone | 8435535616 |
| Mailing Fax Number | 8437642917 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2013-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | A875 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
A875 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 0378PA | 05 |
| Street Address |
9313 MEDICAL PLAZA DR SUITE 304 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-9155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245874999 | Melissa Demarco | Physical Medicine & Rehabilitation | 9313 Medical Plaza Dr, North Charleston, SC 29406-9155 | 2019-11-05 |
| 1962874925 | Neurospine Specialists | Neurological Surgery | 9313 Medical Plaza Dr, Ste 305, North Charleston, SC 29406-9155 | 2015-10-29 |
| 1164858981 | Paul Allen Fleming | Pharmacist | 9313 Medical Plaza Dr, North Charleston, SC 29406-9155 | 2013-09-25 |
| 1447336177 | James Michael Benner | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9313 Medical Plaza Dr, Suite 304, North Charleston, SC 29406-9155 | 2006-10-27 |
| 1003916396 | Northwoods Family Practice, LLC. | Family Medicine | 9313 Medical Plaza Dr, Suite 302, North Charleston, SC 29406-9155 | 2006-09-25 |
| 1598878001 | Flournoy Colzey Walker IIi | Family Medicine | 9313 Medical Plaza Dr, Suite 302, North Charleston, SC 29406-9155 | 2006-08-17 |
| 1316965338 | Brian D Dewhirst | Family Medicine | 9313 Medical Plaza Dr, Ste 202, North Charleston, SC 29406-9155 | 2006-07-17 |
| 1659307718 | Charles Stewart Roberts | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9313 Medical Plaza Dr, Suite 304, North Charleston, SC 29406-9155 | 2006-06-23 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526431 | Katie Kristen Aaron | Physician Assistant | 9100 Medcom St, North Charleston, SC 29406-9167 | 2020-10-19 |
| 1316489131 | Brett Harman | Physician Assistant | 9100 Medcom St, North Charleston, SC 29406-9167 | 2016-11-10 |
| 1932501376 | Lamar Hood | Physician Assistant | 9100 Medcom St, North Charleston, SC 29406-9167 | 2014-09-17 |
| 1043328008 | Kimberly A Kay | Physician Assistant | 2880 Tricom St, North Charleston, SC 29406-9171 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140451 | Nichole Lemay | Physician Assistant | 9 Richland Medical Park Dr Ste 640, Columbia, SC 29203 | 2018-10-19 |
| 1588183909 | John Edward Carpenter | Physician Assistant | 50 E Hospital St Ste 6, Manning, SC 29102-3149 | 2017-09-18 |
| 1689116006 | Healing Hands Surgical Assisting | Physician Assistant | 456 Bates Crossing Rd, Travelers Rest, SC 29690-9277 | 2016-11-16 |
| 1003207101 | Kimberly Anne Caldwell | Physician Assistant | 306 Roosevelt Ave, Travelers Rest, SC 29690-1750 | 2015-02-10 |
| 1144653742 | Carrie Marie Thompson | Physician Assistant | 96 Jonathan Lucus Street, Csb He320e, Charleston, SC 29425 | 2013-08-19 |
| 1437400363 | William Travis Jeffcoat | Physician Assistant | 109 Health Way, Anderson, SC 29621-3333 | 2012-10-02 |
| 1609184316 | Kym L Kittle | Physician Assistant | 161 Ashley Ave, Charleston, SC 29425-8905 | 2010-09-15 |
| 1093960957 | Stephen Utenick | Physician Assistant | 105 Beason Farm Ln, Simpsonville, SC 29681-6509 | 2008-11-19 |
| 1689849457 | First Surgical Associates, LLC | Physician Assistant | 1004 Wells St, Bennettsville, SC 29512-2718 | 2008-04-23 |
| 1922270594 | Kati George Carter | Physician Assistant | 890 W Faris Rd Ste 550, Greenville, SC 29605-4286 | 2008-03-24 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
Please comment or provide details below to improve the information on DAVID CORLEY BLEASE.
| 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.