SOUTHEASTERN FACIAL PLASTIC COSMETIC SURGERY CENTER, P.A. (NPI# 1467620161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467620161 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN FACIAL PLASTIC COSMETIC SURGERY CENTER, P.A. |
| Other Organization Name | SOUTHEASTERN PLASTIC SURGERY CENTER |
| Practice Address |
247 Calhoun St Charleston SC 29401-1306 |
| Practice Telephone | 8437225904 |
| Practice Fax Number | 8437221564 |
| Mailing Telephone | 8437225904 |
| Mailing Fax Number | 8437221564 |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |
| Authorized Official Name | MRS. CYNTHIA COSTA (BUSINESS MANAGER) |
| Authorized Official Telephone | 8437225904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
SC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southeastern Plastic Surgery Center | Other Name - Individual/Organization |
| Street Address |
247 CALHOUN ST |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29401-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245297951 | Louis Costa II | Specialist | 247 Calhoun St, Charleston, SC 29401-1306 | 2006-04-27 |
| 1134151061 | Dana Heikes | Specialist | 247 Calhoun St, Charleston, SC 29401-1306 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162873 | Jonathan Hayes | Registered Nurse | 109 Bee St. Ralph H. Johnson Vamc, Charleston, SC 29401 | 2017-09-05 |
| 1659724904 | M & M Lineberger Dds Ms Pa | Dentist | 347 N. Caswell, Charlotte, NC 29401 | 2016-07-21 |
| 1619375185 | Zach Adams | Specialist/Technologist | 301 Meeting Street, Charleston, SC 29401 | 2014-12-15 |
| 1528469723 | Linda Graber | Occupational Therapist | 75 Calhoun Street, Charleston County Schools, Charleston, SC 29401 | 2014-09-08 |
| 1427497858 | Erika Lynn Wilson | Mechanotherapist | 310 King Street, Charleston, SC 29401 | 2013-06-19 |
| 1730525460 | Mary Beth Hill | Psychologist | 75 Cahoun Street, Charleston, SC 29401 | 2013-05-21 |
| 1699019810 | Chs Psychiatric Associates LLC | Psychiatric Hospital | 255 King Street #8, Charleston, SC 29401 | 2012-11-15 |
| 1255681581 | Parul Olivia Earley | Pharmacist | 59 George St., Charleston, SC 29401 | 2012-09-13 |
| 1669760815 | Dana Leigh Chiulli | Pharmacist | 109 Bee Street (119), Charleston, SC 29401 | 2011-07-20 |
| 1295028959 | Kathleen Anne Waters | Nurse Practitioner | Charleston Center, 5 Charleston Center Drive, Charleston, SC 29401 | 2011-05-26 |
| Find all providers in zip 29401 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295176139 | Lowcountry Ambulatory Center, LLC | Clinic/Center | 1844 Wallace School Rd, Charleston, SC 29407-4822 | 2013-07-08 |
| 1295853885 | Day Surgery Limited Liability | Clinic/Center | 2335 Chesterfield Avenue, Suite 400, Charleston, WV 25304 | 2007-03-26 |
| 1073601746 | Lowcountry Surgery Center | Clinic/Center | 18 Farmfield Ave, Charleston, SC 29407-7704 | 2006-10-10 |
| 1639433956 | Lowcountry Ambulatory Center, LLC | Clinic/Center | 641 Saint Andrews Blvd, Charleston, SC 29407-7165 | 2012-07-02 |
| 1740562677 | Lowcountry Surgery Center LLC | Clinic/Center | 18 Farmfield Ave, Charleston, SC 29407-7704 | 2011-09-16 |
| 1669610937 | Rsfh James Island Surgery Center, LLC | Clinic/Center | 325 Folly Rd, Suite 200, Charleston, SC 29412-2507 | 2009-01-26 |
| 1346331329 | Physicians Eye Surgery Center LLC | Clinic/Center | 2060 Charlie Hall Blvd, Suite 301, Charleston, SC 29414 | 2006-09-27 |
| 1730296997 | Day Surgery Limited Liability | Clinic/Center | 2335 Chesterfield Ave, Suite 400, Charleston, WV 25304-1066 | 2006-08-24 |
| 1376592204 | Palmetto Endoscopy Center LLC | Clinic/Center | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2006-05-08 |
| 1922061456 | Trident Ambulatory Surgery Center, L.p. | Clinic/Center | 9313 Medical Plaza Dr, Suite 102, Charleston, SC 29406-9155 | 2006-04-07 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29401 |
Please comment or provide details below to improve the information on SOUTHEASTERN FACIAL PLASTIC COSMETIC SURGERY CENTER, P.A..
| 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.