SCOTT PHILIP LANDRETH (NPI# 1558859900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558859900 |
| Entity Type | Individual |
| Full Name | SCOTT PHILIP LANDRETH |
| Credential | MD |
| Practice Address |
9228 Medical Plaza Dr Charleston SC 29406-9125 |
| Practice Telephone | 8438767080 |
| Practice Fax Number | 8438767111 |
| Mailing Telephone | 8438767080 |
| Mailing Fax Number | 8438767111 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
9228 MEDICAL PLAZA DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29406-9125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376854117 | Molly Eloise Gentle | Family Medicine | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2010-06-26 |
| 1609403542 | Matthew Benjamin Mclaughlin | Family Medicine | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2020-03-23 |
| 1831726702 | Molly Keefe O'brien Haas | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2020-03-23 |
| 1043847940 | Joseph Robert Luvisi | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2020-03-23 |
| 1760942759 | Virginia Erin Gee | Family Medicine | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2019-03-25 |
| 1093275927 | Jonathan Edward Aker | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2019-03-25 |
| 1326508383 | Adam Ridley | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2019-03-24 |
| 1972063238 | Tristan Young | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2019-03-22 |
| 1922568393 | Koby Caplan | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2019-03-22 |
| 1275093031 | Daniel Slone | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2019-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833823 | Shadi Adib Bashai | Student in an Organized Health Care Education/Training Program | 743 1/2 Washington St W, Charleston, WV 25302-1844 | 2020-08-24 |
| 1043837883 | Jacey Renee Dillon | Student in an Organized Health Care Education/Training Program | 2119 Stoner Dr W, Charleston, IL 61920-3723 | 2020-06-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1629698865 | Umer Muhammad | Student in an Organized Health Care Education/Training Program | Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2020-04-17 |
| 1730718891 | Ryan Metts | Student in an Organized Health Care Education/Training Program | 211 Ashley Ave Apt B, Charleston, SC 29403-6859 | 2020-04-02 |
| 1598393506 | Khadija Naseem | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 3200 Maccorkle Avenue Southeast, Charleston, WV 25304-1208 | 2020-03-27 |
| 1235766411 | Abhishek Yadav | Student in an Organized Health Care Education/Training Program | 101 29th St Se Apt 20, Charleston, WV 25304-1149 | 2020-03-26 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1861027815 | Robert Bryce Robbins | Student in an Organized Health Care Education/Training Program | Search Results 171 Ashley Ave, Charleston, SC 29425-0001 | 2020-03-10 |
| 1700426343 | Mikaela Kiser | Student in an Organized Health Care Education/Training Program | 3813 Staunton Ave Se Unit A, Charleston, WV 25304-1537 | 2020-01-12 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29406 |
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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.