DR. ROBERT PUCHALSKI (NPI# 1740215904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740215904 |
| Entity Type | Individual |
| Full Name | DR. ROBERT PUCHALSKI |
| Credential | M.D. |
| Practice Address |
15 Exchange Dr Lugoff SC 29078-9198 |
| Mailing Address |
Po Box 520 Lugoff SC 29078-0520 |
| Practice Telephone | 8034083277 |
| Practice Fax Number | 8034083299 |
| Mailing Telephone | 8034083277 |
| Mailing Fax Number | 8034083299 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 23048 | SC | Allopathic & Osteopathic Physicians |
| Y | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
23048 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 230486 | 05 | |
| SC | UNSPECIFIED | DE5192 | 01 |
| Street Address |
15 EXCHANGE DR |
| City | LUGOFF |
| State | SC |
| Zip Code | 29078-9198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861499618 | Robert Kabakjian Sr. | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2005-07-07 |
| 1760037360 | Maya Elizabeth James | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2019-08-09 |
| 1043716228 | Felicia Denise Harris | Nurse Practitioner | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2018-04-05 |
| 1952817835 | Rachel Chamberlin | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2017-12-14 |
| 1285174664 | Kaitlin Prizzia | Audiologist | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2017-03-03 |
| 1205247772 | Jason Paul Wigand | Audiologist | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2014-05-18 |
| 1073958989 | Jacob Patrick Ossoff | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2013-05-06 |
| 1447513643 | Valerie Alison Fritsch | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2012-06-21 |
| 1316214638 | Lynnette Glasscho Tomlin | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078 | 2011-12-01 |
| 1932499159 | Natalie Vercillo Sciarrino | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2011-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477006179 | Retireease Senior Services, Inc. | In Home Supportive Care | 12 Dooley Drive, Lugoff, SC 29078 | 2016-07-28 |
| 1770613515 | Claude Harold Varn Jr. | Dentist | P.0.box 325, Lugoff, SC 29078 | 2007-03-07 |
| 1316087364 | Ark Therapeutic Services, Inc | Speech-Language Pathologist | 862a Highway 1 South, Lugoff, SC 29078 | 2007-02-07 |
| 1326104837 | Allyson Varn Monferdini | Dentist | 25 Ward Road, Lugoff, SC 29078 | 2006-12-29 |
| 1275612269 | Wateree Plaza Drug Corp | Durable Medical Equipment & Medical Supplies | 1053 Hwy 1, Patterson Plaza, Lugoff, SC 29078 | 2006-11-02 |
| 1336589233 | Matthew Allen Nettles | Dentist | 25 Ward Road, Lugoff, SC 29078 | 2013-06-25 |
| 1013124429 | Debra C Lowsky | Speech-Language Pathologist | 862a Highway 1 South, Lugoff, SC 29078 | 2007-05-16 |
| 1285826396 | Durham Russell Maples | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-13 |
| 1508059403 | Dina Maples Blankenship | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-23 |
| 1104018852 | Wateree Chiropractic | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-16 |
| Find all providers in zip 29078 | ||||
| Taxonomy Code | 207YS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Sleep Medicine |
| An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770809428 | Southeastern Ear Nose Throat Allergy and Sleep Disorders Institute | Otolaryngology | 1040 Pinnacle Point Dr, Columbia, SC 29223-5735 | 2010-04-20 |
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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.