DANIEL JOSEPH NEITZKE (NPI# 1598253528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598253528 |
| Entity Type | Individual |
| Full Name | DANIEL JOSEPH NEITZKE |
| Credential | MD, PHD |
| Practice Address |
9228 Medical Plaza Drive Charleston SC 29485 |
| Mailing Address |
9228 Medical Plaza Dr Charleston SC 29485 |
| Practice Telephone | 8438767080 |
| Practice Fax Number | 8438767111 |
| Mailing Telephone | 8438767080 |
| Mailing Fax Number | 8438767111 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| 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 DRIVE |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364041 | Katherine Marie Senf Wood | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| 1124434329 | James C. Andrews Dmd Pa | Clinic/Center | 1720 Trolley Road, Summerville, SC 29485 | 2014-07-08 |
| Find all providers in zip 29485 | ||||
| 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 | 29485 |
Please comment or provide details below to improve the information on DANIEL JOSEPH NEITZKE.
| 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.