DR. SAMUEL H ROSEN (NPI# 1265430862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265430862 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL H ROSEN |
| Credential | MD |
| Practice Address |
2097 Henry Tecklenburg Dr Ste 211w Charleston SC 29414-5739 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8439582555 |
| Practice Fax Number | 8434021961 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2020-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
10866 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RAILROAD MC ID-RSFPN | P00886821 | 01 |
| SC | 106888 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306250949 | Samuel Mitchell Rosen | Social Worker | 128 Performance Dr, Lincolnton, NC 28092-8543 | 2014-06-11 |
| Street Address |
2097 HENRY TECKLENBURG DR STE 211W |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679950281 | Roper Saint Francis Physicians Network | Psychologist | 2097 Henry Tecklenburg Dr Ste 211w, Charleston, SC 29414 | 2015-05-04 |
| 1427132976 | John M Walters | Social Worker | 2097 Henry Tecklenburg Dr Ste 211w, Charleston, SC 29414-5739 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932304896 | Raymond Francis Anton Jr. | Psychiatry & Neurology | 67 President St # 4north, Charleston, SC 29425-5712 | 2007-06-19 |
| 1508326315 | Roper Saint Francis Physicians Network | Psychiatry & Neurology | 2097 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5739 | 2019-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861045767 | Hammocks On The Edisto LLC | Psychiatry & Neurology | 2137 Hope Plantation Lane, Jacksonboro, SC 29452 | 2019-07-19 |
| 1437319266 | Todd Keith Magro | Psychiatry & Neurology | 2179 Ashley Phosphate Rd Ste B, North Charleston, SC 29406 | 2008-06-16 |
| 1245214592 | Renee Ruth Lamm | Psychiatry & Neurology | 3025 Newcastle Loop, Myrtle Beach, SC 29588-4502 | 2005-11-30 |
| 1922596535 | Palmetto Health - University of South Carolina Medical Group | Psychiatry & Neurology | 11 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2018-04-30 |
| 1841684743 | Amos Thomas Turner Iv | Psychiatry & Neurology | 109 Physicians Dr Ste B, Greer, SC 29650-2446 | 2015-03-27 |
| 1578901500 | James R Walker | Psychiatry & Neurology | 2700 E Phillips Rd, Greer, SC 29650-4815 | 2013-06-12 |
| 1194979401 | The Center for Behavioral Medicine | Psychiatry & Neurology | 1310 Pine Log Rd, Suite A, Aiken, SC 29803-7890 | 2008-11-13 |
| 1831152545 | Counseling Associates LLC | Psychiatry & Neurology | 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 | 2006-04-11 |
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on DR. SAMUEL H ROSEN.
| 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.