MEDICAL UNIVERSITY OF SOUTH CAROLINA (NPI# 1669950903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669950903 |
| Entity Type | Organization |
| Organization Name | MEDICAL UNIVERSITY OF SOUTH CAROLINA |
| Practice Address |
30 Bee St Ste 102 Charleston SC 29425-8910 |
| Mailing Address |
30 Bee St Ste 102 Charleston SC 29425-8900 |
| Practice Telephone | 8437923664 |
| Mailing Telephone | 8437923664 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |
| Authorized Official Name | LAURENCE STEVEN BLUMENTHAL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8437923664 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1659560670 | Medical University of South Carolina | Clinic/Center | 2125 Charlie Hall Blvd, Charleston, SC 29414-5879 | 2007-10-16 |
| 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 |
30 BEE ST STE 102 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104030790 | Eastern Illinois University Health Service | Clinic/Center | 600 Lincoln Ave, Eastern Illinois University, Charleston, IL 61920-3011 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083916647 | Usc Upstate | Clinic/Center | 995 University Way, Usc Upstate Health Services, Spartanburg, SC 29303-4932 | 2010-12-02 |
| 1720256316 | Winthrop University | Clinic/Center | 217 Crawford Building, Crawford Building, Rock Hill, SC 29733-7001 | 2008-02-15 |
| 1699816199 | Winthrop University Health Services Pharmacy | Clinic/Center | 701 Oakland Ave, Crawford Bldg, Rock Hill, SC 29733-7001 | 2007-02-09 |
| 1740293422 | University of South Carolina | Clinic/Center | U S C Student Health Ctr, Columbia, SC 29208-0001 | 2006-08-14 |
| 1265404743 | Abbeville County School District | Clinic/Center | 400 Greenville St., Abbeville, SC 29620 | 2006-02-07 |
| 1598382152 | Rafael Mojica | Clinic/Center | 350 Howard St, Spartanburg, SC 29303-3515 | 2020-06-30 |
| 1285068544 | University of South Carolina Aiken | Clinic/Center | 471 University Pkwy, Box 11, Aiken, SC 29801-6389 | 2013-08-22 |
| 1437434297 | Wofford College | Clinic/Center | 429 N Church St, Spartanburg, SC 29303-3612 | 2011-10-12 |
| 1083800858 | Coastal Carolina University Student Health Services | Clinic/Center | 204 University Blvd, Conway, SC 29526-8834 | 2007-09-14 |
| 1053437301 | Clemson University-redfern Health Center | Clinic/Center | 735 Mcmillan Rd, Clemson University, Clemson, SC 29634-0001 | 2007-03-21 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
Please comment or provide details below to improve the information on MEDICAL UNIVERSITY OF SOUTH CAROLINA.
| 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.