DR. JAMES THOROLF PEVELER JR. (NPI# 1265784409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265784409 |
| Entity Type | Individual |
| Full Name | DR. JAMES THOROLF PEVELER JR. |
| Credential | M.D. |
| Practice Address |
3086 Moonlight Dr Charleston SC 29414-8047 |
| Practice Telephone | 7346749070 |
| Mailing Telephone | 7346749070 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
83078 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
3086 MOONLIGHT DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-8047 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801454830 | Mark Joshua Rosenberg | Psychiatry & Neurology | 96 Jonathan Lucas St Csb 301, Msc 606, Charleston, SC 29425-0001 | 2019-06-04 |
| 1952896789 | Lauren Crawford | Psychiatry & Neurology | 96 Jonathan Street Suite 301, Charleston, SC 29425-0001 | 2018-06-25 |
| 1457881674 | Alexandra Parashos | Psychiatry & Neurology | 96 Jonathan Lucas St # 301, Charleston, SC 29425-8900 | 2017-06-20 |
| 1750811089 | Radiant Neuromonitoring LLC | Psychiatry & Neurology | 101 Lawson Dr # 104, Charleston, SC 29404-2121 | 2017-06-19 |
| 1750720124 | Colin Mcleod | Psychiatry & Neurology | 96 Jonathan Lucas St Csb 301 Msc 606, Charleston, SC 29425-3833 | 2013-06-19 |
| 1053670414 | Muhammad Taimoor Khan | Psychiatry & Neurology | 415 Morris St Ste 300, Charleston, WV 25301-1853 | 2012-05-04 |
| 1366769986 | James Philip Battista | Psychiatry & Neurology | 96 Jonathan Lucas St Ste 301, Charleston, SC 29425-5703 | 2010-04-21 |
| 1861571887 | Hamid Reza Bahadori | Psychiatry & Neurology | 3531 Mary Ader Ave Ste A, Charleston, SC 29414-5896 | 2006-11-02 |
| 1316026347 | Nicole Elizabeth Winston | Psychiatry & Neurology | 96 Jonathan Lucas St Ste 309, Charleston, SC 29425-8900 | 2006-11-02 |
| 1912941915 | Kris G Murthy | Psychiatry & Neurology | 5303 Maccorkle Ave, Suite A, Charleston, WV 25304-2221 | 2006-06-16 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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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.