SURGICAL ASSOCIATES OF CHARLESTON, P.A. (NPI# 1376528950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376528950 |
| Entity Type | Organization |
| Organization Name | SURGICAL ASSOCIATES OF CHARLESTON, P.A. |
| Practice Address |
510 Albemarle Rd Charleston SC 29407-7540 |
| Practice Telephone | 8437236426 |
| Practice Fax Number | 8437222193 |
| Mailing Telephone | 8437236426 |
| Mailing Fax Number | 8437222193 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LORRAINE VERONICA TYLER (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8437236426 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 7706 | SC | Other Service Providers |
| Street Address |
510 ALBEMARLE RD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-7540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558344093 | Walter Dale Blessing | Surgery | 510 Albemarle Rd, Charleston, SC 29407-7540 | 2005-11-29 |
| 1457825002 | Alexandra Taylor Shumway | Physician Assistant | 510 Albemarle Rd, Charleston, SC 29407-7540 | 2019-01-16 |
| 1104367986 | Leslie A Myers | Nurse Practitioner | 510 Albemarle Rd, Charleston, SC 29407-7540 | 2017-03-14 |
| 1659673077 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 510 Albemarle Rd, Charleston, SC 29407 | 2010-11-18 |
| 1376655605 | David R. W. Baird | Surgery | 510 Albemarle Rd, Charleston, SC 29407-7540 | 2006-08-31 |
| 1902918147 | George D Grice IIi | Surgery | 510 Albemarle Rd, Charleston, SC 29407-7540 | 2006-08-31 |
| 1639281975 | Alton G Brown Jr. | Surgery | 510 Albemarle Rd, Charleston, SC 29407-7540 | 2006-08-31 |
| 1922110170 | Telfair H Parker | Surgery | 510 Albemarle Rd, Charleston, SC 29407-7540 | 2006-08-31 |
| 1316059561 | Henry C West | Surgery | 510 Albemarle Rd, Charleston, SC 29407-7540 | 2006-08-31 |
| 1326096496 | David G Lucas Jr. | Surgery | 510 Albemarle Rd, Charleston, SC 29407-7540 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992262257 | Marnie Rustemeyer | Specialist | 1306 Kanawha Blvd E Ste 1001306, Charleston, WV 25301-3000 | 2019-02-22 |
| 1801307483 | Stacy Phillips | Specialist | 3015 Scuba Dr, Charleston, SC 29414-5696 | 2017-10-23 |
| 1437535705 | Dr Elizabeth Eliza Castle | Specialist | 1527 Sam Rittenberg Blvd Ste 202, Charleston, SC 29407-4189 | 2015-08-10 |
| 1699170084 | Emma Chambers | Specialist | 2059 Wild Flower Ln, Charleston, SC 29414-6471 | 2014-10-28 |
| 1295156404 | Equilibrium Diabetes Center, LLC | Specialist | 1342 Ellison Run, Charleston, SC 29412-8285 | 2013-12-16 |
| 1255689659 | Lindsay Cameron | Specialist | 1804 Huntington Dr, Charleston, SC 29407-3121 | 2012-08-16 |
| 1225304314 | R L Stephens Md Inc | Specialist | 331 Laidley St Ste 204, Charleston, WV 25301-1605 | 2012-03-22 |
| 1720313919 | Norman Frank Kinsey | Specialist | 1 Carriage Ln Ste B201, Charleston, SC 29407-6078 | 2009-10-06 |
| 1952540296 | Kenneth M Stabile | Specialist | 2065 Savannah Hwy, Suite C, Charleston, SC 29407-2225 | 2009-02-10 |
| 1356513550 | Claudia Vivot Welber | Specialist | 217 Calhoun St, Charleston, SC 29401-1313 | 2008-03-27 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
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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.