DR. TAMIKA M BOLDEN RAVENELL (NPI# 1598924581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598924581 |
| Entity Type | Individual |
| Full Name | DR. TAMIKA M BOLDEN RAVENELL |
| Other Name | DR. TAMIKA M BOLDEN |
| Credential | DPM |
| Practice Address |
180 Wingo Way Suite 201 Mount Pleasant SC 29464-1810 |
| Mailing Address |
Po Box 783 Mount Pleasant SC 29465-0783 |
| Practice Telephone | 8438565337 |
| Mailing Telephone | 9162151234 |
| Mailing Fax Number | 8436062483 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2013-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD.607 POD | SC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP9889 | 05 |
| Street Address |
180 WINGO WAY SUITE 201 |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29464-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760804256 | Sarette Noelle Jenderny | Physician Assistant | 180 Wingo Way, Suite 207, Mount Pleasant, SC 29464-1810 | 2014-01-17 |
| 1720356231 | Coastal Podiatry, LLC | Podiatrist | 180 Wingo Way, Suite 101, Mount Pleasant, SC 29464-1810 | 2011-12-12 |
| 1659648152 | Coastal Podiatry, LLC | Podiatrist | 180 Wingo Way, Suite 201, Mount Pleasant, SC 29464-1810 | 2011-11-28 |
| 1356642086 | Associated Foot Specialists, Pa | Podiatrist | 180 Wingo Way, Suite 101, Mount Pleasant, SC 29464-1810 | 2010-11-11 |
| 1588965586 | Coastal Podiatry LLC | Podiatrist | 180 Wingo Way, Suite 201, Mount Pleasant, SC 29464-1810 | 2010-11-07 |
| 1528385846 | Charleston Urology Associates, Pa | Urology | 180 Wingo Way, Suite 304, Mount Pleasant, SC 29464-1810 | 2010-04-26 |
| 1003044645 | Carolyn Reed Word | Allergy & Immunology | 180 Wingo Way, Suite 102, Mount Pleasant, SC 29464-1810 | 2009-06-22 |
| 1942470653 | Complete Health Diagnostics, Inc. | Technician, Other | 180 Wingo Way, Suite 104, Mount Pleasant, SC 29464-1810 | 2008-03-10 |
| 1518914894 | Thomas Hahm | Surgery | 180 Wingo Way, Suite 205, Mount Pleasant, SC 29464-1810 | 2006-05-30 |
| 1689661910 | Robert M. Hay | Orthopaedic Surgery | 180 Wingo Way, Suite 301, Mount Pleasant, SC 29464-1810 | 2005-10-03 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760547848 | Palmetto Podiatry P.a. | Podiatrist | 1220a Hospital Dr, Mount Pleasant, SC 29464-3251 | 2006-12-27 |
| 1083634778 | Joyce A Farmer | Podiatrist | 605 N Church St, Suite C, Mount Pleasant, PA 15666-1000 | 2006-07-19 |
| 1225021561 | Connie Lee Bills | Podiatrist | 1205 S Mission St, Ste 11, Mount Pleasant, MI 48858-3939 | 2005-08-23 |
| 1376937227 | Anne Patrice Stroze | Podiatrist | 3500 Meachem Rd, Mount Pleasant, WI 53405-4681 | 2015-03-27 |
| 1659648152 | Coastal Podiatry, LLC | Podiatrist | 180 Wingo Way, Suite 201, Mount Pleasant, SC 29464-1810 | 2011-11-28 |
| 1588965586 | Coastal Podiatry LLC | Podiatrist | 180 Wingo Way, Suite 201, Mount Pleasant, SC 29464-1810 | 2010-11-07 |
| 1124044201 | East Cooper Podiatry, P.a. | Podiatrist | 389 Johnnie Dodds Blvd, Suite 100, Mount Pleasant, SC 29464-2950 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331132 | Emad Youssef Dpm LLC | Podiatrist | 218 Granito Dr, Greer, SC 29650-2771 | 2020-09-16 |
| 1922618016 | Dr. Ashley Williams, LLC | Podiatrist | 3223 Hatchet Bay Dr Apt 7203, Charleston, SC 29414-5219 | 2020-08-04 |
| 1700424769 | Instride Foot & Ankle Specialists, Pllc | Podiatrist | 223 Herlong Ave S Ste 115, Rock Hill, SC 29732-1089 | 2019-12-20 |
| 1871011387 | Honored To Serve | Podiatrist | 1850 Atlantic Dr Unit 712, Columbia, SC 29210-7992 | 2017-09-05 |
| 1467989632 | Frederick Garland | Podiatrist | 767 Wintercreeper Dr, Longs, SC 29568-9229 | 2017-05-17 |
| 1245764430 | Aiken Podiatry Center | Podiatrist | 148 Waterloo St Sw Ste 4, Aiken, SC 29801-3766 | 2017-04-14 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1669859104 | Mobile Podiatry South Carolina | Podiatrist | 10 Summerlea Ln, Columbia, SC 29203-3915 | 2015-05-05 |
| 1063829471 | Heather Driessen, Dpm, LLC | Podiatrist | 4072 Corner Stroll Ln, Aiken, SC 29801-1158 | 2014-07-17 |
| 1164855227 | Coastal Medical Services LLC | Podiatrist | 616 Churchill Rd, Walterboro, SC 29488-3622 | 2013-08-13 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
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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.