STEVEN C POLETTI (NPI# 1508841859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508841859 |
Entity Type | Individual |
Full Name | STEVEN C POLETTI |
Credential | M.D. |
Practice Address |
1106 Chuck Dawley Blvd Suite 200 Mt Pleasant SC 29464-4183 |
Mailing Address |
217 Dozier Blvd Suite 100 Florence SC 29501-4090 |
Practice Telephone | 8438491551 |
Practice Fax Number | 8438841174 |
Mailing Telephone | 8436695162 |
Mailing Fax Number | 8436674573 |
Enumeration Date | 2005-12-09 |
Last Update Date | 2009-11-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
15858 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | TL8418 | 05 | |
SC | STANDARD TAX ID | 320058385 | 01 |
Street Address |
1106 CHUCK DAWLEY BLVD SUITE 200 |
City | MT PLEASANT |
State | SC |
Zip Code | 29464-4183 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174908768 | Jaunita Katherine Kemmeling | Physician Assistant | 1106 Chuck Dawley Blvd, Suite 200, Mt Pleasant, SC 29464-4183 | 2015-07-23 |
1790197820 | Caitlin Tuggle | Physician Assistant | 1106 Chuck Dawley Blvd, Mt Pleasant, SC 29464-4183 | 2014-05-23 |
1750711701 | Meghan Nix | Physician Assistant | 1106 Chuck Dawley Blvd, Suite 200, Mt Pleasant, SC 29464-4183 | 2013-11-12 |
1194015156 | Kirsten Dawson | Physician Assistant | 1106 Chuck Dawley Blvd, Mt Pleasant, SC 29464-4183 | 2011-04-12 |
1073819249 | Carolyn Ann Koster Hyatt | Physician Assistant | 1106 Chuck Dawley Blvd, Mt Pleasant, SC 29464-4183 | 2011-02-04 |
1518298595 | Mollie Meares | Physical Therapist | 1106 Chuck Dawley Blvd, Suite 201, Mt Pleasant, SC 29464-4183 | 2010-01-14 |
1790917961 | Rae-ann Rezzuti Grimes | Physical Therapist | 1106 Chuck Dawley Blvd, Mt Pleasant, SC 29464-4183 | 2009-08-20 |
1912143819 | Amanda Thurber Harridge | Physician Assistant | 1106 Chuck Dawley Blvd, Mt Pleasant, SC 29464-4183 | 2008-12-23 |
1033373691 | The Southeastern Spine Institute Ambulatory Surgery Center, LLC | Clinic/Center | 1106 Chuck Dawley Blvd, Suite 100, Mt Pleasant, SC 29464-4183 | 2008-07-14 |
1093985285 | Bassam Shamel Kassab | Physical Therapist | 1106 Chuck Dawley Blvd, Mt Pleasant, SC 29464-4183 | 2008-03-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
Find all providers in zip 29464 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760741953 | Southeastern Spine Institute, LLC | Orthopaedic Surgery | 1122 Chuck Dawley Blvd, Mt Pleasant, SC 29464-4183 | 2012-05-09 |
1760534358 | Southeastern Spine Institute,llc | Orthopaedic Surgery | 1625 Hospital Dr Ste 200, Mt Pleasant, SC 29464-3698 | 2007-01-17 |
1902075302 | Spine Specialists of Michigan PC | Orthopaedic Surgery | 2480 W Campus Dr, Mt Pleasant, MI 48858-5414 | 2008-02-29 |
1184615437 | Donald R Johnson II | Orthopaedic Surgery | 1106 Chuck Dawley Blvd, Suite 200, Mt Pleasant, SC 29464-4183 | 2005-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861971731 | Carolina Spine and Ortho LLC | Orthopaedic Surgery | 2730 Devine St, Columbia, SC 29205-2433 | 2018-08-10 |
1285136267 | Joint Replacement Cin of South Carolina LLC | Orthopaedic Surgery | 6650 Rivers Ave Ste 401, North Charleston, SC 29406-4809 | 2018-03-06 |
1962904946 | Select Health of Sc, LLC | Orthopaedic Surgery | 6650 Rivers Ave Ste 410, North Charleston, SC 29406-4809 | 2018-03-06 |
1003986514 | William L. Mills | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2006-11-09 |
1497742720 | R. Blake Dennis | Orthopaedic Surgery | 1106 Chuck Dawley Blvd, Suite 100, Mount Pleasant, SC 29464-4183 | 2005-10-03 |
1073514139 | John Talley Parrott | Orthopaedic Surgery | 40 Pinnacle Pkwy Ste 100, Elgin, SC 29045-8390 | 2005-08-10 |
1124029103 | Paul Douglas Deholl | Orthopaedic Surgery | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2005-08-02 |
1396745485 | Anthony Wayne Alexander | Orthopaedic Surgery | 800 E Cheves St Ste 480-b, Florence, SC 29506-2650 | 2005-07-29 |
1215232020 | Jeffery M. Reuben, M. D., Pa | Orthopaedic Surgery | 15 Moss Creek Vlg, Hilton Head Island, SC 29926-1105 | 2011-01-26 |
1235302969 | Erkan Alci | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2008-04-02 |
Find all providers with the same taxonomy |
City | MT PLEASANT |
Zip Code | 29464 |
Please comment or provide details below to improve the information on STEVEN C POLETTI.
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.