CHARLESTON ENT ASSOCIATES, LLC (NPI# 1497243588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497243588 |
Entity Type | Organization |
Organization Name | CHARLESTON ENT ASSOCIATES, LLC |
Other Organization Name | WS CHARLESTON ENT PHARMACY |
Practice Address |
2205 2nd Avenue Summerville SC 29486 |
Mailing Address |
2295 Henry Tecklenburg Dr Charleston SC 29414-7801 |
Practice Telephone | 8437667103 |
Mailing Telephone | 8437667103 |
Enumeration Date | 2018-04-25 |
Last Update Date | 2018-04-25 |
Authorized Official Name | EUGENE G BROWN (MD) |
Authorized Official Telephone | 8437667103 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | NPI | 1811383094 | 01 |
Other Name | Type Code |
---|---|
WS Charleston ENT Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811383094 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 9185 University Blvd, North Charleston, SC 29406-9120 | 2015-04-14 |
1588607303 | Charleston Ent Associates, LLC | Otolaryngology | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2006-06-13 |
1124026422 | Charleston Ent Associates, LLC | Clinic/Center | 1849 Savage Rd, Charleston, SC 29407-4726 | 2005-07-11 |
Street Address |
2205 2ND AVENUE |
City | SUMMERVILLE |
State | SC |
Zip Code | 29486 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952921454 | Cooper River Pediatric Therapy LLC | Speech-Language Pathologist | 119 Callibluff Dr, Summerville, SC 29486 | 2020-04-24 |
1750928164 | Tidewater Eyecare, LLC | Optometrist | 301 Front St., Summerville, SC 29486 | 2019-12-04 |
1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
1699256081 | Denise Michelle Richardson | Speech-Language Pathologist | 201 School House Ln, Summerville, SC 29486 | 2018-08-24 |
1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
1023511144 | Grace Physical Therapy and Sports Rehab At Nexton | Clinic/Center | 5500 Front St, Suite 201, Summerville, SC 29486 | 2018-03-15 |
1295253086 | Dillon Robert Gregory | Specialist/Technologist | 313 Springdale Ct., Summerville, SC 29486 | 2017-09-01 |
1013456987 | Sfd Kids LLC | Dentist | 108 Parish Farms Drive, Summerville, SC 29486 | 2017-02-13 |
1316333529 | Joanna Hedin | Social Worker | 89b Old Trolley Rd., Suite 207, Summerville, SC 29486 | 2015-04-14 |
Find all providers in zip 29486 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487051439 | Charleston Ent Associates LLC | Non-Pharmacy Dispensing Site | 298 Midland Pkwy, Summerville, SC 29485-8101 | 2014-11-19 |
1881144665 | Floyd Healthcare Management, Inc | Non-Pharmacy Dispensing Site | 11766 Highway 27, Summerville, GA 30747-5989 | 2016-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962906313 | Charleston Oncology, Pa | Non-Pharmacy Dispensing Site | 3510 Highway 17 Byp N Ste 300, Mount Pleasant, SC 29466-8230 | 2018-03-21 |
1811383094 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 9185 University Blvd, North Charleston, SC 29406-9120 | 2015-04-14 |
1417367640 | Carolinas Physicians Network, Inc. | Non-Pharmacy Dispensing Site | 1091a 521 Red Ventures Drive, Fort Mill, SC 29707 | 2014-04-28 |
1346581162 | Wellness First, LLC | Non-Pharmacy Dispensing Site | 2133 N Hillside Dr, Charleston, SC 29407-8102 | 2013-03-04 |
1730440769 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 2094 Marlboro Rd, Bennettsville, SC 29512 | 2012-06-06 |
1679849806 | Florence Podiatry Associates, LLC | Non-Pharmacy Dispensing Site | 492 W Cheves St, Florence, SC 29501-4447 | 2012-04-02 |
1629693668 | Anesthesia Associates of Charleston, P.a. | Non-Pharmacy Dispensing Site | 1341 Old Georgetown Rd, Mt Pleasant, SC 29464-7307 | 2020-06-16 |
1942841911 | Compounding Center At The Tides | Non-Pharmacy Dispensing Site | 180 Wingo Way Ste 106, Mount Pleasant, SC 29464-1810 | 2019-10-01 |
1063929263 | Cpc Rinehart Dispensary | Non-Pharmacy Dispensing Site | 131 Rinehart Way, Aiken, SC 29803-1703 | 2018-01-09 |
1629457650 | Palmetto Pain Management, LLC | Non-Pharmacy Dispensing Site | 1655 Bernardin Ave, Suite 240, Columbia, SC 29204-2039 | 2015-05-22 |
Find all providers with the same taxonomy |
City | SUMMERVILLE |
Zip Code | 29486 |
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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.