PATRICK CONSTANTINE ANGELOS (NPI# 1487857272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487857272 |
| Entity Type | Individual |
| Full Name | PATRICK CONSTANTINE ANGELOS |
| Credential | M.D. |
| Practice Address |
2295 Henry Tecklenburg Dr Charleston SC 29414-7801 |
| Practice Telephone | 8437667103 |
| Practice Fax Number | 8435762592 |
| Mailing Telephone | 8437667103 |
| Mailing Fax Number | 8435762592 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2014-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
36272 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
2295 HENRY TECKLENBURG DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-7801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367433 | Robert Charles Jordan | Otolaryngology | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2005-06-24 |
| 1740824309 | Sophie J Ludwig | Audiologist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2019-11-06 |
| 1861966830 | Savannah Hutto Lawley | Physician Assistant | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2019-01-14 |
| 1306318910 | Taylor Christine Hasbrouck | Physician Assistant | 2295 Henry Tecklenburg Dr, Charleston, SC 29414 | 2018-12-20 |
| 1013493352 | Alexandra Marie Rama | Nurse Practitioner | 2295 Henry Tecklenburg Dr, Charleston, SC 29414 | 2018-07-18 |
| 1114412426 | Kimberly Sawyer | Audiologist-Hearing Aid Fitter | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2018-06-28 |
| 1982198818 | Audrey Elizabeth Rinker | Audiologist-Hearing Aid Fitter | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2018-06-14 |
| 1326561820 | Alexandra L Cavitt | Audiologist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2017-07-18 |
| 1427595685 | James Arthur Vecchiolla | Pharmacist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2017-01-26 |
| 1114472321 | Sarah Bartlett | Audiologist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414 | 2016-08-17 |
| Find all providers in the same location | ||||
| 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 | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194144493 | Charleston Facial Plastic Surgery LLC | Otolaryngology | 67 Broad St, Suite 200, Charleston, SC 29401-2936 | 2014-04-15 |
| 1063687325 | David Watson Rodwell IIi | Otolaryngology | 67 Broad St, Suite 200, Charleston, SC 29401-2936 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386989028 | Coastal Carolina Ent, Do, Pa | Otolaryngology | 110 Highway 17 S, Suite 112 - Sundial Center, North Myrtle Beach, SC 29582-3118 | 2012-12-06 |
| 1316917057 | Peter C Bondy | Otolaryngology | 808 Farrar Dr, Conway, SC 29526-8747 | 2006-01-25 |
| 1043471394 | Stephen J. Kroll, M.d. Pa | Otolaryngology | 338 Harbison Blvd, Columbia, SC 29212-2248 | 2008-06-19 |
| 1629299375 | Drew V Collins | Otolaryngology | 105 Carter Park Dr, Suite B, Seneca, SC 29678-1152 | 2007-05-01 |
| 1518181148 | Daniel Frederick Boxwell | Otolaryngology | 105 Carter Park Dr, Suite B, Seneca, SC 29678-1152 | 2007-04-13 |
| 1679594261 | Carolina Facial Plastic Surgery Pa | Otolaryngology | 1714 Gregg Ave, Florence, SC 29501-4120 | 2006-07-21 |
| 1386698165 | Seacoast Ent & Facial Plastic Surgery, Pa | Otolaryngology | 4000 Highway 9 E, Suite 270, Little River, SC 29566-7833 | 2006-05-19 |
| City | CHARLESTON |
| Zip Code | 29414 |
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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.