DR. KIMBERLY SHEA SIRISKY (NPI# 1710105820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710105820 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY SHEA SIRISKY |
| Other Name | DR. KIMBERLY SIRISKY CIANCIOLO |
| Credential | D.C. |
| Practice Address |
1001 Physicians Dr Charleston SC 29414-5746 |
| Practice Telephone | 8435711020 |
| Practice Fax Number | 8435730788 |
| Mailing Telephone | 8435711020 |
| Mailing Fax Number | 8435730788 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2012-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3585 | SC | Chiropractic Providers |
| Street Address |
1001 PHYSICIANS DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407405327 | Jp Chiropractic LLC | Chiropractor | 1001 Physicians Dr, Charleston, SC 29414-5746 | 2019-09-04 |
| 1083137665 | Heidi Chesko | Massage Therapist | 1001 Physicians Dr, Charleston, SC 29414-5746 | 2017-07-25 |
| 1225551815 | Lucy Bolton | Massage Therapist | 1001 Physicians Dr, Charleston, SC 29414-5746 | 2017-07-25 |
| 1417389594 | Building Blocks Family Chiropractic. LLC | Clinic/Center | 1001 Physicians Dr, Charleston, SC 29414-5746 | 2013-07-31 |
| 1740541481 | Jason Pero | Chiropractor | 1001 Physicians Dr, Charleston, SC 29414-5746 | 2012-05-30 |
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314718 | Evan Patrick Mcmillion | Chiropractor | 149 E Bay St Ste 100, Charleston, SC 29401-2163 | 2020-10-23 |
| 1205467115 | Courtney Lynne Brandenburg | Chiropractor | 68 Line St Ste 1, Charleston, SC 29403-5681 | 2020-01-29 |
| 1093352429 | Leo John Ruettiger | Chiropractor | 1941 Savage Rd Ste 300d, Charleston, SC 29407-4790 | 2019-12-04 |
| 1720636079 | Sydnee Tolpa | Chiropractor | 3417 Shelby Ray Ct Ste C, Charleston, SC 29414-5895 | 2019-08-29 |
| 1669034609 | Sarah Kalani Wharton | Chiropractor | 1 Unity Aly Ste 100, Charleston, SC 29401-3057 | 2019-06-29 |
| 1831676931 | Kerri Domingo | Chiropractor | 714 Saint Andrews Blvd, Charleston, SC 29407-7141 | 2018-07-23 |
| 1639696685 | Christopher Dixon | Chiropractor | 1483 Tobias Gadson Blvd Ste 106, Charleston, SC 29407-4795 | 2017-08-29 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1851833594 | Heather Haselden | Chiropractor | 102 Wappoo Creek Dr, Charleston, SC 29412-2133 | 2016-11-11 |
| 1366800088 | Edoardo C Pate | Chiropractor | 916 Stillwater Dr, Charleston, SC 29412-4927 | 2016-02-09 |
| 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.