MOUNT PLEASANT OB/GYN, PA (NPI# 1548215577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548215577 |
| Entity Type | Organization |
| Organization Name | MOUNT PLEASANT OB/GYN, PA |
| Practice Address |
1400 Hospital Dr Mt Pleasant SC 29464-3255 |
| Practice Telephone | 8438840301 |
| Practice Fax Number | 8438849620 |
| Mailing Telephone | 8438840301 |
| Mailing Fax Number | 8438849620 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-08-29 |
| Authorized Official Name | MRS. LAURALEE TABAKIAN (PRACTICE MANAGER) |
| Authorized Official Telephone | 8438840301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 9290 | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP0418 | 05 |
| Street Address |
1400 HOSPITAL DR |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-3255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467093617 | Roper Saint Francis Physicians Network | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1400 Hospital Dr, Mt Pleasant, SC 29464 | 2019-09-30 |
| 1316421431 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 1400 Hospital Dr, Mt Pleasant, SC 29464-3255 | 2018-09-25 |
| 1760919070 | Roper Saint Francis Physicians Network | Surgery | 1400 Hospital Dr, Mt Pleasant, SC 29464 | 2017-05-17 |
| 1356708069 | Lisa Carol Tabakian | Nurse Practitioner | 1400 Hospital Dr, Mt Pleasant, SC 29464-3255 | 2016-01-26 |
| 1710381249 | Jaclyn Bryan Wozniuk | Nurse Practitioner | 1400 Hospital Dr, Mt Pleasant, SC 29464-3255 | 2014-10-13 |
| 1477847051 | Richard Travis Wilkes | Family Medicine | 1400 Hospital Dr, Mt Pleasant, SC 29464-3255 | 2011-06-01 |
| 1437162187 | Delinda H. Terry | Specialist | 1400 Hospital Dr, Mt Pleasant, SC 29464-3255 | 2006-08-14 |
| 1629086004 | Theodore M Pappas | Family Medicine | 1400 Hospital Dr, Mt Pleasant, SC 29464-3255 | 2006-08-03 |
| 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 | 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 |
|---|---|---|---|---|
| 1477937662 | Imagine Physical Therapy Old Village LLC | Specialist | 1304 Erckmann Dr, Ste C, Mt Pleasant, SC 29464-5536 | 2015-07-17 |
| 1780901009 | Stephanie Eileen Wall | Specialist | 1800 Hopeman Ln, Mt Pleasant, SC 29466-9278 | 2010-04-26 |
| 1013176270 | Navarro Health Care P.C. | Specialist | 599 N Church Street, Mt Pleasant, PA 15666 | 2008-06-03 |
| 1336289339 | Frank R Santamaria | Specialist | 100 Johanna St, Mt Pleasant, PA 15666-2159 | 2007-02-07 |
| 1134159874 | Carl David Geier | Specialist | 22 Frogmore Rd, Mt Pleasant, SC 29464-6651 | 2006-07-04 |
| 1689617128 | Mclean Sheperd | Specialist | 912 Old Georgetown Rd, Mt Pleasant, SC 29464-4175 | 2006-06-13 |
| 1861433997 | Lesly S Davidson | Specialist | 901 Von Kolnitz Rd, Suite 100, Mt Pleasant, SC 29464-3772 | 2006-06-09 |
| 1962454124 | Tidewater Neurology | Specialist | 913 B Bowman Rd, Mt Pleasant, SC 29464-3235 | 2006-05-16 |
| 1952391401 | William Wayne Davenport | Specialist | 582 Island Walk E, Mt Pleasant, SC 29464-7834 | 2005-10-26 |
| 1386178457 | Hesham Gayar, Md, PC | Specialist | 1221 South Dr, Morey Cancer Center Radiation Dept, Mt Pleasant, MI 48858-3257 | 2017-04-17 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on MOUNT PLEASANT OB/GYN, PA.
| 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.