DR. WILLIAM DAVID DUTTON (NPI# 1720103187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720103187 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM DAVID DUTTON |
| Credential | M.D. |
| Practice Address |
9300 Medical Plaza Dr Ste B Charleston SC 29406-9334 |
| Practice Telephone | 8437641730 |
| Practice Fax Number | 8437641731 |
| Mailing Telephone | 8437641730 |
| Mailing Fax Number | 8437641731 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2015-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | K5287 | TX | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
38759 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861472888 | William P Dutton | Urology | 124 Hayes St, Crossville, TN 38555-8005 | 2006-01-17 |
| 1003938986 | William J Dutton | Preventive Medicine | 2410 Franklin Pike, Nashville, TN 37204-2227 | 2007-04-04 |
| Street Address |
9300 MEDICAL PLAZA DR STE B |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29406-9334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487139689 | Kayla Paige Hahn | Physician Assistant | 9300 Medical Plaza Dr Ste B, Charleston, SC 29406-9334 | 2018-10-03 |
| 1083199731 | Kevin Lefkovic | Physician Assistant | 9300 Medical Plaza Dr Ste B, Charleston, SC 29406-9334 | 2018-09-28 |
| 1538668884 | Amy Suzanne Ricker | Surgery | 9300 Medical Plaza Dr Ste B, Charleston, SC 29406-9334 | 2018-02-01 |
| 1891232807 | Tyler Joseph Bowling | Physician Assistant | 9300 Medical Plaza Dr Ste B, Charleston, SC 29406-9334 | 2017-01-27 |
| 1689060022 | Alana Noelle Cole | Physician Assistant | 9300 Medical Plaza Dr Ste B, Charleston, SC 29406-9334 | 2015-04-13 |
| 1619389335 | John Bowers | Surgery | 9300 Medical Plaza Dr Ste B, Charleston, SC 29406-9334 | 2014-05-29 |
| 1407174402 | Sarah M Yannascoli | Orthopaedic Surgery | 9300 Medical Plaza Dr Ste B, Charleston, SC 29406 | 2010-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912453150 | Maher Matar | Surgery | Musc Department of Surgery-trauma 96 Jonathan Lucas St, Ste 420 Csb Msc 613, Charleston, SC 29425 | 2016-08-28 |
| 1619389335 | John Bowers | Surgery | 9300 Medical Plaza Dr Ste B, Charleston, SC 29406-9334 | 2014-05-29 |
| 1952554891 | University Medical Associates | Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1558391383 | Bruce A Crookes | Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1962990689 | Palmetto Health - University of South Carolina Medical Group | Surgery | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2018-04-27 |
| 1275922635 | Ayu Surgical Specialists LLC | Surgery | 9330 Medical Plaza Dr, North Charleston, SC 29406-9104 | 2015-01-22 |
| 1194994368 | Palmetto Health | Surgery | 9 Richland Medical Park Dr, Suite 450, Columbia, SC 29203-6859 | 2008-02-21 |
| 1649462771 | Paul Kerr | Surgery | 6439 Garners Ferry Rd, Columbia, SC 29202 | 2007-08-13 |
| 1972709236 | Catherine F Mcclung Smith | Surgery | 3 Richland Medical Park Dr, Suite 310, Columbia, SC 29203-6849 | 2007-06-25 |
| City | CHARLESTON |
| Zip Code | 29406 |
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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.