DR. MARIETTA M. CHUA (NPI# 1619023876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619023876 |
Entity Type | Individual |
Full Name | DR. MARIETTA M. CHUA |
Credential | M.D. |
Practice Address |
4 Sweet Gum Ln Hilton Head Island SC 29928-4207 |
Practice Telephone | 8433632599 |
Mailing Telephone | 8433632599 |
Enumeration Date | 2007-01-28 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
056985 | GA | Allopathic & Osteopathic Physicians |
X | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
F7722 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | POOOD74Q6 | 05 |
Street Address |
4 SWEET GUM LN |
City | HILTON HEAD ISLAND |
State | SC |
Zip Code | 29928-4207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073156683 | Donna Lynn Farrell | Counselor | 40 Folly Field Road, C 251, Hilton Head Island, SC 29928 | 2019-10-26 |
1316368400 | Kara Dunn | Pharmacist | 38 Shelter Cove Lane, Hilton Head Island, SC 29928 | 2013-12-17 |
1821347782 | Grant Golden Mckinley | Dentist | 2 Park Lane, Suite 302, Hilton Head, SC 29928 | 2012-09-06 |
1366791758 | Brockton Lamar Weisenberger | Family Medicine | 63 Planters Row, Hilton Head Island, SC 29928 | 2012-08-31 |
1578887147 | William Robert Jarvis | Pediatrics | 135 Dune Lane, Hilton Head Island, SC 29928 | 2010-03-25 |
1508906447 | Seabrook of Hilton Head, Inc | Skilled Nursing Facility | 300 Woodhaven Dr, Hilton Head Island, SC 29928 | 2007-02-08 |
1649319930 | Optical Solutions | Eyewear Supplier (Equipment, not the service) | W32 Plaza At Shelter Cove, Hilton Head Island, SC 29928 | 2007-02-05 |
1609964964 | Island Sleep Lab LLC | Clinic/Center | 58 Shelter Cove Lane, Suite E1, Hilton Head Island, SC 29928 | 2006-10-11 |
1598782435 | Lee Everett Oppenheimer | Dentist | 23b Shelter Cove Ln., Suite 200, Hilton Head Island, SC 29928 | 2006-07-16 |
1619227980 | Cynthia E Carlson | Pharmacist | 10 Pope Ave, Hilton Head, SC 29928 | 2012-09-14 |
Find all providers in zip 29928 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043832157 | Envision Wellness Medical Group LLC | Psychiatry & Neurology | 4100 N Main St Ste 101, Columbia, SC 29203-5800 | 2020-05-12 |
1568736247 | David Downie Iv, M.d.,p.a. | Psychiatry & Neurology | 1327 Richland Street, Columbia, SC 29201 | 2012-02-28 |
1447522800 | Life Strategies LLC | Psychiatry & Neurology | 2855 Pruitt Dr, Columbia, SC 29204-3645 | 2012-02-01 |
1881803641 | Ajay Sood | Psychiatry & Neurology | 255 King St, Charleston, SC 29401-1435 | 2007-05-21 |
1083704837 | Kimberly Monique Bush | Psychiatry & Neurology | 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730-4264 | 2006-10-13 |
1043308356 | Herbert Randolph Spencer | Psychiatry & Neurology | 1800 Colonial Drive, Columbia, SC 29201 | 2006-10-11 |
1891883005 | Elizabeth Hubbard Jeffords | Psychiatry & Neurology | 3612 Landmark Dr Ste B, Columbia, SC 29204-4039 | 2006-10-11 |
1053359851 | Ayanna Swinton Jamison | Psychiatry & Neurology | 2601 Read St Ste I-10, Columbia, SC 29204-7861 | 2006-06-03 |
1144271867 | Laureen Judy Noll | Psychiatry & Neurology | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 | 2006-05-15 |
1871579573 | Thornton Sterling Mckinney Jr. | Psychiatry & Neurology | 1919 Gadsden St, Columbia, SC 29201-2346 | 2005-12-15 |
Find all providers with the same taxonomy |
City | HILTON HEAD ISLAND |
Zip Code | 29928 |
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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.