ANDREA M PEZZELLA


Address: 115 Midlands Ct, West Columbia, SC 29169-3456
Phone: 8034577000

ANDREA M PEZZELLA (NPI# 1730157058) 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) 1730157058
Entity Type Individual
Full Name ANDREA M PEZZELLA
Credential MD
Practice Address 115 Midlands Ct
West Columbia
SC 29169-3456
Mailing Address 109 Midlands Ct
Suite A
West Columbia
SC 29169-3456
Practice Telephone 8034577000
Practice Fax Number 8034577001
Mailing Telephone 8034577000
Mailing Fax Number 8034577001
Enumeration Date 2006-03-11
Last Update Date 2017-10-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207V00000X Obstetrics & Gynecology 29701 SC Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology 204555 MA Allopathic & Osteopathic Physicians
Y 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
29701 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 0120961 05
ONE HEALTH PLAN 042472266 01
RAILROAD MEDICARE 160049837 01
HEALTHY START 37554 01
MEDICARE B A31235 01
HARVARD PILGRIM HEALTH CA AA3715 01
BLUE CARE ELECT J22633 01
PRIVATE HEALTHCARE SYSTEM 042472266 01
MEDICAID WELFARE 0120961 01
TRICARE CHAMPUS 042472266 01
AETNA US HEALTHCARE 7099315 01
MVP HEALTH CARE 784225 01
THREE RIVERS 042472266 01
EVERCARE 0700410 01
CIGNA HEALTH PLAN 1009200 01
BLUE SHIELD HMO BLUE J22633 01
FALLON COMMUNITY HEALTH P 45822 01
BLUE SHIELD INDEMNITY J22633 01

Office Location

Street Address 115 MIDLANDS CT
City WEST COLUMBIA
State SC
Zip Code 29169-3456

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922130830 Wendy O Walker Advanced Practice Midwife 115 Midlands Ct, West Columbia, SC 29169-3456 2007-03-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457960726 Jerry Scott Oreilly Physical Therapy Assistant 100 Dreher Rd, Suite 100, West Columbia, SC 29169 2020-07-23
1134759921 A&m Medical, LLC Durable Medical Equipment & Medical Supplies 1053 Sunset Boulevard, West Columbia, SC 29169 2020-01-21
1750946067 First Physical Therapy, LLC Clinic/Center 100 Dreher Rd., Suite 100, West Columbia, SC 29169 2019-05-02
1295217545 Tynaka Kwans Wilson Nurse Practitioner Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 2018-09-04
1588183826 Kimberly Jane Jennings Registered Nurse 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 2017-09-19
1164943213 Jacob Luke Wayland Emergency Medicine Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 2017-06-29
1740721232 Heather Detwiler Physical Therapy Assistant 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 2017-03-16
1588110761 Virginia I Hall Nurse Practitioner 2720 Susnet Blvd, West Columbia, SC 29169 2016-08-29
1215395744 Stacey Khalifa Social Worker 160 Medical Cir Fl 1, West Columbia, SC 29169 2016-01-28
1407252331 Sandy Frye Boone Counselor 2318 Sunset Blvd # 2a, West Columbia, SC 29169 2014-11-04
Find all providers in zip 29169

Taxonomy Information

Taxonomy Code 207VG0400X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366496465 Paul Christopher Browne Obstetrics & Gynecology 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 2006-05-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215598230 Elite Gynecology Obstetrics & Gynecology 163 Lake Murray Ter, Lexington, SC 29072-9103 2019-06-21
1295392132 Venus Gynecology, LLC Obstetrics & Gynecology 8203 Nigels Dr Ste 203, Myrtle Beach, SC 29572-4179 2019-05-28
1801285036 Roper Saint Francis Physicians Network Obstetrics & Gynecology 8950 University Blvd, Suite 150, North Charleston, SC 29406 2015-01-12
1447656517 Donald Richard Hanscom Obstetrics & Gynecology 20 Spring Island Dr, Okatie, SC 29909-4006 2014-11-17
1851633028 Giles Martin Schanen I Obstetrics & Gynecology 205 Glen Abbey Way, Greer, SC 29650-3289 2013-03-26
1225373830 Alan F Korhammer Obstetrics & Gynecology 24 Oak Island Rd, Saint Helena Island, SC 29920-3808 2012-12-07
1326316803 Lexington County Health Services District, Inc. Obstetrics & Gynecology 90 Summit Centre Dr, Columbia, SC 29229-6926 2011-12-12
1528290251 Baptist Easley Hospital Obstetrics & Gynecology 112 John St Ste 103, Easley, SC 29640-1405 2009-08-13
1386880672 Juliet Chhay Bishop Obstetrics & Gynecology 2 Medical Park Rd Ll9/10, Columbia, SC 29203-6839 2008-12-17
1073776118 Eduardo Goquiolay Arellano Obstetrics & Gynecology 9 Bayley Rd, Bluffton, SC 29910-4928 2008-07-09
Find all providers with the same taxonomy

Competitor

Search similar providers

City WEST COLUMBIA
Zip Code 29169

Improve Information

Please comment or provide details below to improve the information on ANDREA M PEZZELLA.

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