US MEDGROUP PA (NPI# 1568889988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568889988 |
| Entity Type | Organization |
| Organization Name | US MEDGROUP PA |
| Practice Address |
4115 Dorchester Rd Suie 100 Charleston SC 29405-7466 |
| Mailing Address |
5080 Spectrum Dr Suite 1200 West Tower Addison TX 75001-4648 |
| Practice Telephone | 8435546737 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2015-06-30 |
| Authorized Official Name | ROBERT HASSETT (PRESIDENT) |
| Authorized Official Telephone | 9723648000 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659650844 | Us Medgroup Pa | Clinic/Center | 1710 W Southern, Mesa, AZ 85202 | 2011-08-05 |
| 1649559832 | Us Medgroup Pa | Clinic/Center | 901 East Jefferson St, Phoenix, AZ 85034 | 2011-08-05 |
| 1144637679 | Us Medgroup Pa | Clinic/Center | 6423 Columbia Ave, Hammond, IN 46320-2747 | 2014-07-16 |
| 1609283142 | Us Medgroup Pa | Clinic/Center | 5940 Decatur Blvd, Indianapolis, IN 46241-9579 | 2014-07-16 |
| 1083021513 | Us Medgroup Pa | Clinic/Center | 5604 W 74th St, Indianapolis, IN 46278-1752 | 2014-07-16 |
| 1912324336 | Us Medgroup Pa | Clinic/Center | 7519 Rivers Ave, North Charleston, SC 29406-4662 | 2014-03-24 |
| 1952680993 | Us Medgroup Pa | Clinic/Center | 2455 N 124th St, Brookfield, WI 53005-4630 | 2011-08-09 |
| 1720367923 | Us Medgroup Pa | Clinic/Center | 290 Branch Ave, Providence, RI 02904 | 2011-08-05 |
| 1174802375 | Us Medgroup Pa | Clinic/Center | 8923 W Brown Deer Rd, Milwaukee, WI 53224-2120 | 2011-08-05 |
| 1568741759 | Us Medgroup Pa | Clinic/Center | 14155 N 83rd Ave, Bldg 8, Ste 148, Peoria, AZ 85381 | 2011-08-05 |
| Street Address |
4115 DORCHESTER RD SUIE 100 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29405-7466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962465161 | George S Bryan | Emergency Medicine | 4115 Dorchester Rd, Suite 100, Charleston, SC 29405-7466 | 2006-04-10 |
| 1487814661 | Judith A. Legates | Preventive Medicine | 4115 Dorchester Rd, Suite 100, Charleston, SC 29405-7466 | 2008-06-11 |
| 1477672905 | C.t. Cook | Preventive Medicine | 4115 Dorchester Rd, Charleston, SC 29405-7466 | 2007-03-28 |
| 1770694739 | Michael G Johnson | Physical Therapist | 4115 Dorchester Rd, Suite 100, Charleston, SC 29405-7466 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043241110 | University Medical Associates | Clinic/Center | 2060 Sam Rittenburg Blvd, Charleston, SC 29425-3287 | 2006-07-06 |
| 1518931682 | Carolina Family Care, Inc | Clinic/Center | 2125 Charlie Hall Blvd, Charleston, SC 29414-5879 | 2006-02-15 |
| 1922123587 | Integrated Health Care Providers | Clinic/Center | 415 Morris St, Suite 201, Charleston, WV 25301-1842 | 2007-03-20 |
| 1760413835 | University Medical Associates | Clinic/Center | 2125 Charlie Hall Blvd, Suite 100, Charleston, SC 29414-5879 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114551926 | Nocd North Carolina PC | Clinic/Center | 374 Lakewind Dr, Moncks Corner, SC 29461-7448 | 2020-03-02 |
| 1316419484 | Open Arms Counseling Center | Clinic/Center | 123 Erinvine Ct, Darlington, SC 29532-4203 | 2018-12-29 |
| 1750851085 | Jacobus Orthopedics and Interventional Pain Management LLC | Clinic/Center | 118 Clair Dr, Piedmont, SC 29673-7771 | 2018-11-29 |
| 1629556477 | Healthworks Med Group of South Carolina P C | Clinic/Center | 701 Chesterfield Hwy, Cheraw, SC 29520-7002 | 2018-08-03 |
| 1780177576 | Denmark-olar Elementary School | Clinic/Center | 1459 Solomon Blatt Blvd, Denmark, SC 29042 | 2018-06-07 |
| 1841782802 | Denmark-olar High School | Clinic/Center | 197 Viking Cir, Denmark, SC 29042 | 2018-06-05 |
| 1760974828 | Sandy Run K-8 School | Clinic/Center | 450 Old Swamp Rd, Swansea, SC 29160 | 2018-06-05 |
| 1881185999 | St. Matthews K-8 School | Clinic/Center | 132 Saints Avenue, St .matthews, SC 29135 | 2018-05-24 |
| 1598256711 | Calhoun County High School | Clinic/Center | 150 Saints Ave, St Matthews, SC 29135-9005 | 2018-05-23 |
| 1962908558 | Vitality Health Network LLC | Clinic/Center | 3100 Dick Pond Rd Unit E, Myrtle Beach, SC 29588-7286 | 2018-04-03 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 29405 |
Please comment or provide details below to improve the information on US MEDGROUP 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.