DR. ALEXANDER DIX SOUTTER (NPI# 1629096763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629096763 |
Entity Type | Individual |
Full Name | DR. ALEXANDER DIX SOUTTER |
Credential | MD |
Practice Address |
295a Midland Pkwy Ste 260 Summerville SC 29485-5901 |
Practice Telephone | 8436952700 |
Practice Fax Number | 8438754046 |
Mailing Telephone | 8436952700 |
Mailing Fax Number | 8438754046 |
Enumeration Date | 2006-07-17 |
Last Update Date | 2018-02-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
51283 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 512831 | 05 |
Street Address |
295A MIDLAND PKWY STE 260 |
City | SUMMERVILLE |
State | SC |
Zip Code | 29485-5901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932177052 | Sudipta Misra | Pediatrics | 295a Midland Pkwy Ste 260, Summerville, SC 29485-9039 | 2006-03-14 |
1689885659 | George F Harris Iv | Otolaryngology | 295a Midland Pkwy Ste 260, Summerville, SC 29485-9039 | 2007-05-24 |
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 |
1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
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 |
Find all providers in zip 29485 |
Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124077524 | Laurel Paige Davis | Surgery | 1026 Barfield St, Daniel Island, SC 29492-7583 | 2006-05-10 |
1740250521 | Juan I Camps | Surgery | 9 Richland Medical Park Dr 500, Columbia, SC 29203-6870 | 2006-01-25 |
1659363133 | Robert L Gates | Surgery | 48 Cross Park Ct, Greenville, SC 29605-4263 | 2005-08-19 |
1154811651 | Palmetto Health - University of South Carolina Medical Group | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2018-05-10 |
1710269261 | Lucas Aaron Mcduffie | Surgery | 171 Ashley Ave, Charleston, SC 29425-5112 | 2011-09-11 |
1124263587 | Laura Elizabeth Hollinger | Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-12-12 |
1053564963 | University Medical Associates | Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
1699937219 | Bhairav V Shah | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2008-06-25 |
1780809947 | Christian John Streck Jr. | Surgery | 96 Jonathan Lucas St, Suite 418 Csb Msc 613, Charleston, SC 29425-8900 | 2007-04-14 |
1801917877 | Daniel F. Saad | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2007-04-03 |
Find all providers with the same taxonomy |
City | SUMMERVILLE |
Zip Code | 29485 |
Please comment or provide details below to improve the information on DR. ALEXANDER DIX SOUTTER.
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.