DR. DEREK JOHN FEUSSNER (NPI# 1396004479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396004479 |
| Entity Type | Individual |
| Full Name | DR. DEREK JOHN FEUSSNER |
| Credential | M.D. |
| Practice Address |
2073 Charlie Hall Blvd Charleston SC 29414 |
| Mailing Address |
2073 Charlie Hall Blvd Charleston SC 29414-5834 |
| Practice Telephone | 8435710643 |
| Practice Fax Number | 8435710311 |
| Mailing Telephone | 8435710643 |
| Mailing Fax Number | 8435710311 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2020-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
LL38558 | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 169 Ashley Ave, Msc333 202 Main Hospital, Charleston, SC 294253504 | 8437922575 |
| Street Address |
2073 CHARLIE HALL BLVD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922057843 | Palmetto Digestive Disease Pa | Specialist | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2006-05-08 |
| 1629417761 | Lori Allison Robbins | Internal Medicine | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2013-06-21 |
| 1386936110 | Alejandro Lee Suarez | Internal Medicine | 2073 Charlie Hall Blvd, Charleston, SC 29414 | 2011-05-12 |
| 1730329533 | John Litchfield | Internal Medicine | 2073 Charlie Hall Blvd, Charleston, SC 29414 | 2009-03-06 |
| 1962452367 | Michael Andreevich Sagatelian | Specialist | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2006-05-10 |
| 1679523070 | James William Schnell | Specialist | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2006-05-10 |
| 1376592204 | Palmetto Endoscopy Center LLC | Clinic/Center | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2006-05-08 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398721 | Brooke Alexa Brooks | Internal Medicine | 25 Courtenay Dr # 7018, Charleston, SC 29425-8911 | 2019-10-18 |
| 1982134508 | Future Medical, Pllc | Internal Medicine | 2335 Chesterfield Ave Ste 302, Charleston, WV 25304-1066 | 2017-06-15 |
| 1184934952 | Shailendra Singh | Internal Medicine | 3100 Maccorkle Ave Se # Se509, Charleston, WV 25304-1223 | 2010-10-14 |
| 1558687111 | Hamza Walid Shah | Internal Medicine | 3100 Maccorkle Ave Se Ste 509, Charleston, WV 25304-1226 | 2010-04-07 |
| 1760691596 | Logan Gastroenterology | Internal Medicine | 6 Woodcrest Ln, Charleston, WV 25314-2472 | 2007-05-21 |
| 1336257294 | Joseph Romagnuolo | Internal Medicine | 109 Bee St Ste C413, Charleston, SC 29401-5703 | 2006-08-29 |
| 1780692277 | Harry Earl Duncan Jr. | Internal Medicine | 3100 Maccorkle Avenue, Suite 509, Charleston, WV 25304-1226 | 2006-08-03 |
| 1811941982 | Kassamo Dayemo | Internal Medicine | 1606 Ashley River Rd, Charleston, SC 29407-5902 | 2006-05-21 |
| 1811975923 | Todd Ellis Dantzler | Internal Medicine | 25 Courtenay Dr # 7100a, Msc 290, Charleston, SC 29425-2900 | 2006-01-09 |
| 1639154206 | Lee Michael Oberman | Internal Medicine | 1919 Westminster Rd, Charleston, SC 29407-3330 | 2005-12-07 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on DR. DEREK JOHN FEUSSNER.
| 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.