WANDO NEUROMONITORING LLC (NPI# 1417578915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417578915 |
| Entity Type | Organization |
| Organization Name | WANDO NEUROMONITORING LLC |
| Practice Address |
2880 Tricom St N Charleston SC 29406-9171 |
| Practice Telephone | 8435091968 |
| Mailing Telephone | 8435091968 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Authorized Official Name | DR. DON O STOVALL (MEMBER) |
| Authorized Official Telephone | 8435091968 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
2880 TRICOM ST |
| City | N CHARLESTON |
| State | SC |
| Zip Code | 29406-9171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013251750 | Christina L Chandler | Physician Assistant | 2880 Tricom St, N Charleston, SC 29406-9171 | 2012-11-19 |
| 1790035509 | Sarah Burden Folk | Nurse Practitioner | 2880 Tricom St, N Charleston, SC 29406-9171 | 2012-09-19 |
| 1922382472 | Savannah Marie Spearman | Nurse Practitioner | 2880 Tricom St, N Charleston, SC 29406-9171 | 2011-10-03 |
| 1326287434 | Lowcountry Orthopaedics Associates Pa | Orthopaedic Surgery | 2880 Tricom St, N Charleston, SC 29406-9171 | 2009-02-12 |
| 1689682213 | William E Wilson | Orthopaedic Surgery | 2880 Tricom St, N Charleston, SC 29406-9171 | 2006-08-03 |
| 1720049182 | Christopher A. Merrell | Physical Medicine & Rehabilitation | 2880 Tricom St, N Charleston, SC 29406-9171 | 2006-03-28 |
| 1225006760 | Lowcountry Orthopaedic Associates Pa | Orthopaedic Surgery | 2880 Tricom St, N Charleston, SC 29406-9171 | 2006-03-10 |
| 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 | 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 |
|---|---|---|---|---|
| 1760587034 | Kerri A Kolehma | Specialist | 3185 Azalea Dr, Coastal Physical Medicine Pa, N Charleston, SC 29405-8211 | 2006-09-13 |
| 1679576813 | Joseph Edward Nolan | Specialist | 9267 Medical Plaza Dr, Ste G, N Charleston, SC 29406-9139 | 2005-05-23 |
| 1871522862 | Christine C Thompson | Specialist | 2690 Lake Park Dr, N Charleston, SC 29406-9100 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457977902 | Angela Bussey Washington | Specialist | 109 W Buena Vista Ave, North Augusta, SC 29841-3832 | 2020-06-21 |
| 1821630492 | Renell Nesbitt | Specialist | 818 Tom Hall St Ste 110, Fort Mill, SC 29715-2046 | 2019-10-15 |
| 1871147454 | Augusta Oncology Associates, P.C. | Specialist | 222 University Parkway, Aiken, SC 29803 | 2019-07-31 |
| 1689135584 | Carmelita Voncille Mcdaniels | Specialist | 108 Columbia Northeast Dr, Columbia, SC 29223-6433 | 2019-03-26 |
| 1770049801 | Medical Revenue Services | Specialist | 82 Monte Sano Dr Ste 2, Hanahan, SC 29410-8618 | 2019-02-13 |
| 1902381692 | Ig Medical Billing & Consulting LLC | Specialist | 2320 E North St Ste Rr 108, Greenville, SC 29607-1271 | 2018-09-27 |
| 1801307483 | Stacy Phillips | Specialist | 3015 Scuba Dr, Charleston, SC 29414-5696 | 2017-10-23 |
| 1245768415 | Jacquelyn Clark | Specialist | 2000 N Beltline Blvd Apt 102e, Columbia, SC 29204-3976 | 2017-05-31 |
| 1942741087 | James P Ceglie | Specialist | 400 Se Main St, Simpsonville, SC 29681-2689 | 2017-03-08 |
| 1003356213 | Jillian Jenay Mays | Specialist | 75 Old Trolley Rd Unit 8, Summerville, SC 29485-4900 | 2017-03-07 |
| Find all providers with the same taxonomy | ||||
| City | N 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.