MEDICAL UNIVERSITY OF SOUTH CAROLINA (NPI# 1659560670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659560670 |
| Entity Type | Organization |
| Organization Name | MEDICAL UNIVERSITY OF SOUTH CAROLINA |
| Practice Address |
2125 Charlie Hall Blvd Charleston SC 29414-5879 |
| Mailing Address |
3728 Station Point Ct Mt Pleasant SC 29466-8316 |
| Practice Telephone | 8435731513 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |
| Authorized Official Name | PAULA WORKMAN (PT 3) |
| Authorized Official Telephone | 8435731513 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1213 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PHYSICAL THERAPIST LICENS | 1213 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669950903 | Medical University of South Carolina | Clinic/Center | 30 Bee St Ste 102, Charleston, SC 29425-8910 | 2018-07-30 |
| 1295161420 | Medical University of South Carolina | General Acute Care Hospital | 8792 Shadowglen Dr, North Charleston, SC 29420-8358 | 2013-09-19 |
| 1407053853 | Medical University of South Carolina | General Acute Care Hospital | 167 Ashley Avenue, Suite 301, Charleston, SC 29425 | 2007-06-29 |
| 1053422790 | Medical University of South Carolina | Clinic/Center | 60 Barre St, Charleston, SC 29401-1106 | 2006-08-31 |
| 1437636057 | Medical University of South Carolina | Clinical Medical Laboratory | 171 Ashley Ave, Charleston, SC 29425-0100 | 2018-07-26 |
| 1639593254 | Medical University of South Carolina | Dentist | 173 Ashley Ave, Charleston, SC 29425-8908 | 2014-02-18 |
| 1538452313 | Medical University of South Carolina | General Acute Care Hospital | 171 Ashley Ave, Charleston, SC 29425-0100 | 2011-05-26 |
| 1275840423 | Medical University of South Carolina | Clinic/Center | 25 Courtenay Dr, Charleston, SC 29425-8911 | 2010-09-09 |
| 1285818104 | Medical University of South Carolina | General Acute Care Hospital | 169 Ashley Ave, Charleston, SC 29425-8905 | 2007-12-27 |
| 1508052283 | Medical University of South Carolina | General Acute Care Hospital | 135 Rutledge St, Charleston, SC 29425-8903 | 2007-09-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICAL UNIVERSITY OF SOUTH CAROLINA THE | 179 Ashley Ave, Charleston, SC 29425-8908 |
| Street Address |
2125 CHARLIE HALL BLVD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518931682 | Carolina Family Care, Inc | Clinic/Center | 2125 Charlie Hall Blvd, Charleston, SC 29414-5879 | 2006-02-15 |
| 1902030042 | Kelli Wong Williams | Pediatrics | 2125 Charlie Hall Blvd, Charleston, SC 29414-5879 | 2009-05-04 |
| 1356538102 | Michael J Manneraak | Physical Therapist | 2125 Charlie Hall Blvd, Charleston, SC 29414-5879 | 2007-09-26 |
| 1568658540 | John Edward Austin | Occupational Therapist | 2125 Charlie Hall Blvd, Dept. of Ot/pt, Charleston, SC 29414-5879 | 2007-09-24 |
| 1831207885 | James C Oates | Internal Medicine | 2125 Charlie Hall Blvd, Charleston, SC 29414-5879 | 2006-08-29 |
| 1760413835 | University Medical Associates | Clinic/Center | 2125 Charlie Hall Blvd, Suite 100, Charleston, SC 29414-5879 | 2006-07-06 |
| 1750318101 | Carolina Family Care, Inc | Pediatrics | 2125 Charlie Hall Blvd, Suite 2a, Charleston, SC 29414-5879 | 2006-06-28 |
| 1457327181 | Kelly Anne Clay | Internal Medicine | 2125 Charlie Hall Blvd, Suite - 2b, Charleston, SC 29414-5879 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197945 | Greene Physical Therapy LLC | Clinic/Center | 824 Farnham Rd, Charleston, SC 29412-4806 | 2019-10-29 |
| 1861964520 | Elevated Physical Therapy LLC | Clinic/Center | 44 Markfield Dr Ste B, Charleston, SC 29407-7908 | 2018-12-19 |
| 1275022568 | Uxl Physical Therapy and Wellness Services LLC | Clinic/Center | 13 Fieldfare Way, Charleston, SC 29414-6933 | 2018-05-02 |
| 1568959864 | Made 2 Move | Clinic/Center | 115 Pier View Street Daniel Island, Sc 2942, 866-447-9721, Charleston, SC 29492-2949 | 2018-04-23 |
| 1093202665 | First Settlement Physical Therapy | Clinic/Center | 1001 Bridge Rd, Charleston, WV 25314-1305 | 2018-04-18 |
| 1932580065 | Dpt, Inc | Clinic/Center | 5510 Maccorkle Ave Se, Charleston, WV 25304 | 2015-06-15 |
| 1972910529 | Charleston Therapeutic Yoga | Clinic/Center | 2877 Doncaster Dr, Charleston, SC 29414-6737 | 2014-07-15 |
| 1619000726 | Therapy Centers of South Carolina, P.a. | Clinic/Center | 4115 Dorchester Road, Suite 100, Charleston, SC 29405 | 2007-03-14 |
| 1295751378 | Matrix Rehabilitation South Carolina, Inc. | Clinic/Center | 11 Gamecock Ave, Suite 1103, Charleston, SC 29407-3380 | 2006-07-14 |
| 1932144540 | Charleston Physical Therapy Practice Pa | Clinic/Center | 1730b Savannah Hwy, Charleston, SC 29407-6255 | 2006-06-18 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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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.