AUDREY KLENKE (NPI# 1386833770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386833770 |
| Entity Type | Individual |
| Full Name | AUDREY KLENKE |
| Credential | MD |
| Practice Address |
7 Mallett Way Bluffton SC 29910-6064 |
| Practice Telephone | 8438156699 |
| Practice Fax Number | 8438156695 |
| Mailing Telephone | 8438156699 |
| Mailing Fax Number | 8438156695 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 35563 | SC | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | 35563 | SC | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 57013009 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 355635 | 05 |
| Street Address |
7 MALLETT WAY |
| City | BLUFFTON |
| State | SC |
| Zip Code | 29910-6064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225221997 | Orthopedic Center PC | Orthopaedic Surgery | 7 Mallett Way, Bluffton, SC 29910-6064 | 2007-08-24 |
| 1821562232 | Karen Vejano | Physician Assistant | 7 Mallett Way, Bluffton, SC 29910-6064 | 2019-01-18 |
| 1265871719 | Pinnacle Plastic Surgery Associates LLC | Dermatology | 7 Mallett Way, Bluffton, SC 29910-6064 | 2013-06-18 |
| 1376823864 | Jo Ann Cullen | Nurse Practitioner | 7 Mallett Way, Bluffton, SC 29910-6064 | 2011-08-28 |
| 1497048136 | Sarah Cazorla | Plastic Surgery | 7 Mallett Way, Bluffton, SC 29910-6064 | 2011-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912444 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2501 May River Crossing, Bluffton, SC 29910 | 2020-11-03 |
| 1447873815 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 4812 Bluffton Parkway, Bluffton, SC 29910 | 2020-05-20 |
| 1831682327 | Tattnall Hospital Company LLC | Occupational Therapist | 8201 Pinellas Dr, Bluffton, SC 29910 | 2018-06-11 |
| 1437647070 | Health Performance Systems LLC | Massage Therapist | 20 Towne Dr Ste 102, Bluffton, SC 29910 | 2018-04-30 |
| 1659880540 | Jessica Partain | Assistant Behavior Analyst | 254 Red Cedar St Ste 11, Bluffton, SC 29910 | 2017-09-24 |
| 1760901177 | Thomas Ross Miller | Specialist/Technologist | 7 Independence Place, Bluffton, SC 29910 | 2017-09-18 |
| 1982124400 | Caitlin Diane Harvey | Behavioral Analyst | 4 Oliver Ct Ste 105, Bluffton, SC 29910 | 2017-06-26 |
| 1770011041 | Michael Ross Reeves | Physical Therapist | 38 Sheridan Park Cir Ste C, Bluffton, SC 29910 | 2017-05-31 |
| 1982141750 | Jebediah S. Christy, D.d.s. - Blufton, Pllc | Dentist | 1135 Fording Island Rd, Bluffton, SC 29910 | 2017-01-31 |
| 1225589377 | Kathryn Hope | Occupational Therapist | 31 Innovation Dr Ste 100, Bluffton, SC 29910 | 2016-10-24 |
| Find all providers in zip 29910 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366431272 | Frederick G Weniger | Plastic Surgery | 350 Fording Island Road, Suite 200, Bluffton, SC 29910 | 2005-10-14 |
| 1972858967 | Finger and Associates Plastic Surgery Center | Plastic Surgery | 70 Pennington Dr, Executive Suites, Bluffton, SC 29910-6055 | 2012-07-17 |
| 1093097396 | Renewalmd Bluffton | Plastic Surgery | 17 Sherington Dr, Suite B, Bluffton, SC 29910 | 2011-09-13 |
| 1497048136 | Sarah Cazorla | Plastic Surgery | 7 Mallett Way, Bluffton, SC 29910-6064 | 2011-05-26 |
| 1588752240 | Low Country Eye Associates, LLC | Plastic Surgery | 23 Plantation Park Dr, Suite 401, Bluffton, SC 29910-6038 | 2006-10-10 |
| 1194746123 | Weniger Plastic Surgery LLC | Plastic Surgery | 29 Plantation Park Dr, Suite 201, Bluffton, SC 29910-9008 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574839 | Tarik Mujadzic | Plastic Surgery | Plastic Surgery, 2 Medical Park, Ste 300, Columbia, SC 29203 | 2019-05-28 |
| 1134462146 | Smith Plastic Surgery | Plastic Surgery | 16 Okatie Center Blvd S Ste 101, Okatie, SC 29909-7535 | 2013-03-28 |
| 1285980128 | Finger and Associates Plastic Surgery Center | Plastic Surgery | 71 Lighthouse Rd, Suite 613, Hilton Head, SC 29928-7216 | 2012-07-30 |
| 1386902435 | Emily Grace Clark | Plastic Surgery | 115 N Sumter St Ste 115, Sumter, SC 29150-4968 | 2012-04-26 |
| 1043502016 | Myles Goldflies | Plastic Surgery | 8212 Devon Ct, Myrtle Beach, SC 29572-4178 | 2011-05-10 |
| 1871883116 | Spartanburg Medical Center | Plastic Surgery | 2801 Woodruff Rd Ste 202, Simpsonville, SC 29681-4807 | 2011-04-07 |
| 1578872941 | Steven Jeffrey Goodman | Plastic Surgery | 1314 Hidden Lakes Dr, Mount Pleasant, SC 29464-9470 | 2010-10-01 |
| 1023245966 | Nirvana Plastic Surgery, P.a. | Plastic Surgery | 8208a Devon Ct, Myrtle Beach, SC 29572-4178 | 2009-06-18 |
| 1588803530 | Terrence Weston Bruner | Plastic Surgery | 7 Linwa Blvd, Anderson, SC 29621-4486 | 2009-02-16 |
| 1992951883 | Manuel G Trujillo Jr. | Plastic Surgery | 2755 S Highway 14 Ste 2050, Greer, SC 29650-4933 | 2008-08-12 |
| Find all providers with the same taxonomy | ||||
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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.