PALMETTO VEIN SPECIALISTS, LLC (NPI# 1285860098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285860098 |
| Entity Type | Organization |
| Organization Name | PALMETTO VEIN SPECIALISTS, LLC |
| Practice Address |
9313 Medical Plaza Dr Ste 303 Charleston SC 29406-9155 |
| Mailing Address |
9263 Medical Plaza Dr Ste B Charleston SC 29406-7112 |
| Practice Telephone | 8438205372 |
| Practice Fax Number | 8438248359 |
| Mailing Telephone | 8435537070 |
| Mailing Fax Number | 8435532223 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-12-04 |
| Authorized Official Name | KAREN MCCARDLE (NURSE MANAGER) |
| Authorized Official Telephone | 8438205372 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
6391 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP5265 | 05 |
| Street Address |
9313 MEDICAL PLAZA DR STE 303 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29406-9155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319400 | John Williams Plyler | Psychiatry & Neurology | 9313 Medical Plaza Dr, Suite 310, Charleston, SC 29406-9155 | 2005-07-11 |
| 1992237275 | Rhonda L. Cumbee | Nurse Practitioner | 9313 Medical Plaza Dr, Suite 202, Charleston, SC 29406-9155 | 2017-03-28 |
| 1871032086 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 9313 Medical Plaza Dr, Ste 310, Charleston, SC 29406-9155 | 2017-02-21 |
| 1902351448 | Jillian N. White | Nurse Practitioner | 9313 Medical Plaza Dr, Suite 202, Charleston, SC 29406-9155 | 2016-08-24 |
| 1578918504 | Clemson Sports Medicine and Rehabilitation, Inc | Rehabilitation Unit | 9313 Medical Plaza Dr, Suite 306, Charleston, SC 29406-9155 | 2016-04-27 |
| 1699140103 | Palmetto Primary Care Physicians | Family Medicine | 9313 Medical Plaza Dr, Suite 308, Charleston, SC 29406-9155 | 2015-12-09 |
| 1831565035 | Kerrison | Neurological Surgery | 9313 Medical Plaza Dr, Suite 305, Charleston, SC 29406-9155 | 2015-08-11 |
| 1740575307 | Robert Matthew Carlile | Psychiatry & Neurology | 9313 Medical Plaza Dr, Suite 310, Charleston, SC 29406-9155 | 2011-06-12 |
| 1235327230 | Lowcountry Hematology & Oncology, Pa | Specialist | 9313 Medical Plaza Dr, Suite 204, Charleston, SC 29406-9155 | 2007-10-04 |
| 1508921750 | Charleston Neurology Associates, LLC | Psychiatry & Neurology | 9313 Medical Plaza Dr, Suite 310, Charleston, SC 29406-9155 | 2006-12-27 |
| Find all providers in the same location | ||||
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568769354 | Wvupc-medicine & Specialty Office | Clinic/Center | 4522 Maccorkle Ave Se, Charleston, WV 25304-1840 | 2011-02-15 |
| 1912204702 | Wvupc-camc Fam Med Surgery Center | Clinic/Center | 1201 Washington St E, Charleston, WV 25301-1834 | 2011-02-15 |
| 1275840423 | Medical University of South Carolina | Clinic/Center | 25 Courtenay Dr, Charleston, SC 29425-8911 | 2010-09-09 |
| 1922323740 | G T Little Md P.a. | Clinic/Center | 280 Rutledge Ave, Charleston, SC 29403-5352 | 2010-04-05 |
| 1295906816 | Coastal Gastroenterology & Hepatology LLC | Clinic/Center | 1616 Ashley River Rd, Charleston, SC 29407-5902 | 2008-03-24 |
| 1164690947 | Arrhythmia Specialists of Charleston | Clinic/Center | 125 Doughty St, Suite 695, Charleston, SC 29403-5736 | 2008-02-14 |
| 1033393954 | E Family Medicin Grp | Clinic/Center | 295 Calhoun St, Charleston, SC 29425-8904 | 2007-12-27 |
| 1174706337 | Seung-jun O, PC | Clinic/Center | 2097 Henry Tecklenburg Dr, Suite 212 West, Charleston, SC 29414-5740 | 2007-12-11 |
| 1962696112 | Jan H. Cunningham, Md, Pllc | Clinic/Center | 830 Pennsylvania Ave, 405, Charleston, WV 25302-3302 | 2007-08-30 |
| 1912029612 | Trident Medical Center, LLC | Clinic/Center | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2007-04-04 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29406 |
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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.