TRIDENT NEONATOLOGY SERVICES LLC


Address: 9330 Medical Plaza Dr, Charleston, SC 29406-9104
Phone: 8437974272

TRIDENT NEONATOLOGY SERVICES LLC (NPI# 1295724334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295724334
Entity Type Organization
Organization Name TRIDENT NEONATOLOGY SERVICES LLC
Practice Address 9330 Medical Plaza Dr
Charleston
SC 29406-9104
Practice Telephone 8437974272
Practice Fax Number 8437974255
Mailing Telephone 8437974272
Mailing Fax Number 8437974255
Enumeration Date 2005-10-20
Last Update Date 2008-04-20
Authorized Official Name MR. ROBERT ENGLAND (VP)
Authorized Official Telephone 8006613365
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC GP4028 05

Office Location

Street Address 9330 MEDICAL PLAZA DR
City CHARLESTON
State SC
Zip Code 29406-9104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285632638 Thomas A Privett Psychiatry & Neurology 9330 Medical Plaza Dr, Charleston, SC 29406 2005-07-11
1740896380 Robert Palmer Wolfrom Nurse Anesthetist, Certified Registered 9330 Medical Plaza Dr, Charleston, SC 29406-9104 2020-09-18
1801415872 Holly Robinson Nurse Anesthetist, Certified Registered 9330 Medical Plaza Dr, Charleston, SC 29406-9104 2020-04-10
1578192951 Destine Hoover Pharmacist 9330 Medical Plaza Dr, Charleston, SC 29406-9104 2020-04-07
1134751829 Julie Ivester Hayler Nurse Practitioner 9330 Medical Plaza Dr, Charleston, SC 29406-9104 2020-02-10
1659903078 Elizabeth Mary Chouinard Registered Nurse 9330 Medical Plaza Dr, Charleston, SC 29406-9104 2020-02-05
1174018162 Priscilla Hurt Social Worker 9330 Medical Plaza Dr, Charleston, SC 29406-9104 2018-06-22
1669965810 Jacquelyn Suzette Ammons Nurse Practitioner 9330 Medical Plaza Dr, Charleston, SC 29406-9104 2018-06-12
1396249819 Jennifer L Allmon Nurse Anesthetist, Certified Registered 9330 Medical Plaza Dr, Charleston, SC 29406 2018-03-20
1609395458 Mason Patrick Weisgarber Physician Assistant 9330 Medical Plaza Dr, Charleston, SC 29406-9104 2017-09-13
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366886715 Katherine Elizabeth Chetta Pediatrics 10 Mcclennan Banks Drive Msc915, Charleston, SC 29425-3411 2013-04-28
1063605905 William B. Pittard IIi Pediatrics 135 Rutledge Ave Rm 286, Charleston, SC 29425 2007-08-23
1598708232 Catherine Partyka Pediatrics 9330 Medical Plaza Dr., Trident Medical Center, Charleston, SC 29406 2006-06-13
1649624826 Raechel Elizabeth Irons Pediatrics 165 Ashley Ave, Charleston, SC 29425-0296 2016-04-14
1346583960 Stephanie Glenn Korff Pediatrics 165 Ashley Ave, Msc 917, Charleston, SC 29425-8905 2013-04-02
1184976524 Sheridan Children's Healthcare Services of South Carolina, P.a. Pediatrics 9330 Medical Plaza Dr, Charleston, SC 29406-9104 2012-10-10
1659660496 Heidi Jo Murphy Pediatrics 171 Ashley Ave, Charleston, SC 29425 2011-04-01
1275786188 University Medical Associates Pediatrics 171 Ashley Ave, Charleston, SC 29425-8908 2008-10-23
1184801664 Alison Kristen Chapman Pediatrics 171 Ashley Ave, Charleston, SC 29425-8908 2008-01-27
1881741692 Julie Ross Pediatrics 171 Ashley Ave, Charleston, SC 29425-8908 2007-01-04
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 29406

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Dataset Information

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.

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