NICHOLAS MATTHEW CUNDIFF


Address: 135 Rutledge Ave Dept Of, Charleston, SC 29425-8903
Phone: 8438761698

NICHOLAS MATTHEW CUNDIFF (NPI# 1720518384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720518384
Entity Type Individual
Full Name NICHOLAS MATTHEW CUNDIFF
Credential DO
Practice Address 135 Rutledge Ave Dept Of
Charleston
SC 29425-8903
Mailing Address 169 Ashley Ave Rm 202
Charleston
SC 29425-8905
Practice Telephone 8438761698
Practice Fax Number 8438761435
Mailing Telephone 8437922575
Mailing Fax Number 8437929295
Enumeration Date 2017-06-15
Last Update Date 2017-06-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics LL41060 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC SOUTH CAROLINA BOARD OF MEDICAL EXAMINERS LL41060 01

Office Location

Street Address 135 RUTLEDGE AVE DEPT OF
City CHARLESTON
State SC
Zip Code 29425-8903

Providers in the same zip code

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 Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023632809 Caitlin Marie Stoll Pediatrics 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414-6168 2020-06-08
1134743420 Elizabeth Alden Mccants Pediatrics 125 Doughty St Ste 520d, Charleston, SC 29403-5736 2020-06-02
1770127516 Nicole Danielle Clendenin Pediatrics 314 Goff Mountain Rd Ste 16, Charleston, WV 25313-6600 2019-11-05
1871059238 Aminah Fraser- Abdur Rahim Pediatrics 1373 W Lenevar Dr, Charleston, SC 29407-5148 2019-02-11
1649632225 Collin Dubick Pediatrics 1118 Sea Eagle Watch, Charleston, SC 29412-8249 2016-03-23
1417338781 Heather Michelle Greene Pediatrics 169 Ashlet Avenue, Room 202 Main Hospital Msc 333, Charleston, SC 29425 2015-06-12
1780098160 Matthew John Saia Pediatrics 2124 Telfair Way, Charleston, SC 29412-2370 2014-06-13
1770922601 Lauren Simpson Tipton Pediatrics 1243 Savannah Hwy Ste B, Charleston, SC 29407-7817 2013-06-25
1467747527 Pratikkumar Patel Pediatrics 830 Pennsylvania Ave Ste 401, Charleston, WV 25302-3390 2011-06-16
1245420058 Christy Lynn Robinson Pediatrics 1538 Kanawha Blvd E, Charleston, WV 25311-2435 2007-07-27
Find all providers in CHARLESTON

Competitor

Search similar providers

City CHARLESTON
Zip Code 29425

Improve Information

Please comment or provide details below to improve the information on NICHOLAS MATTHEW CUNDIFF.

Dataset Information

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.

Trending Searches