CHARLESTON MATERNAL FETAL MEDICINE LLC (NPI# 1750771705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750771705 |
| Entity Type | Organization |
| Organization Name | CHARLESTON MATERNAL FETAL MEDICINE LLC |
| Practice Address |
2095 Henry Tecklenburg Dr Room 100 Charleston SC 29414-5733 |
| Practice Telephone | 8434022028 |
| Mailing Telephone | 8434022028 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |
| Authorized Official Name | DR. ALISON ELIZABETH DILLON (SHAREHOLDER/PHYSICIAN) |
| Authorized Official Telephone | 8434370406 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2095 HENRY TECKLENBURG DR ROOM 100 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077052 | Adam Mandel | Emergency Medicine | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2005-07-19 |
| 1083225296 | Christopher John Kopeck | Nurse Anesthetist, Certified Registered | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2020-08-11 |
| 1508483298 | Celia Wright | Registered Nurse | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2020-06-29 |
| 1518581925 | Kevin Mccarthy | Nurse Anesthetist, Certified Registered | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2020-06-01 |
| 1619521036 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2019-07-25 |
| 1467917724 | East Carolina Anesthesia Associates, Pllc | Registered Nurse | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2019-01-31 |
| 1902398431 | Olivia Gettys | Speech-Language Pathologist | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2018-05-31 |
| 1619405172 | Megan K. Huff | Nurse Practitioner | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2017-05-30 |
| 1871021790 | Jose Emmanuel Palo | Internal Medicine | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2017-05-24 |
| 1871035956 | Bon Secours St. Francis Xavier Hospital, Inc. | Nurse Anesthetist, Certified Registered | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2016-11-07 |
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| 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 | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336546480 | Bon Secours St. Francis Xavier Hospital, Inc. | Obstetrics & Gynecology | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2014-12-04 |
| 1720348998 | Matthew Michael Finneran | Obstetrics & Gynecology | 171 Ashley Ave, Charleston, SC 29425-5812 | 2012-05-22 |
| 1912264151 | Mallory Hudson Alkis | Obstetrics & Gynecology | 171 Ashley Ave, Charleston, SC 29425-3013 | 2012-04-12 |
| 1144473059 | University Medical Associates | Obstetrics & Gynecology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1295795854 | Barbara Head | Obstetrics & Gynecology | 171 Ashley Ave, Charleston, SC 29425-4933 | 2006-03-27 |
| 1821060625 | Byron C Calhoun | Obstetrics & Gynecology | 830 Pennsylvania Ave, Charleston, WV 25302-3302 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477872166 | Anne Dawn Maria Graham | Obstetrics & Gynecology | 150 Foot Hills Rd, Greenville, SC 29617-7002 | 2010-05-20 |
| 1669572434 | Upstate Maternal-fetal Medicine, Pa | Obstetrics & Gynecology | 373 Halton Road, Greenville, SC 29607 | 2006-09-22 |
| 1073620654 | Mary Black Health System LLC | Obstetrics & Gynecology | 1686 Skylyn Dr Ste 102, Spartanburg, SC 29307-1058 | 2006-08-23 |
| 1013956713 | John V Dacus | Obstetrics & Gynecology | 890 W Faris Rd Ste 470, Greenville, SC 29605-4281 | 2006-06-06 |
| 1780689638 | Ran Neiger | Obstetrics & Gynecology | 2 Medical Park Rd Ste Ll9, Columbia, SC 29203-6875 | 2005-06-16 |
| 1568060689 | Lexington Health Inc | Obstetrics & Gynecology | 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 | 2020-10-12 |
| 1033566278 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 222 S Herlong Ave, Piedmont Medical Center Women's Tower 2, Rock Hill, SC 29732-1158 | 2016-05-18 |
| 1932504750 | Mppg, Inc. | Obstetrics & Gynecology | 14 Okatie Center Blvd S, Suite 101, Okatie, SC 29909-7506 | 2014-10-23 |
| 1225390107 | Andrew Scott Lane | Obstetrics & Gynecology | 890 W Faris Rd Ste 470, Greenville, SC 29605-4281 | 2012-06-15 |
| 1992076376 | St Francis Physician Services Inc | Obstetrics & Gynecology | 373 Halton Rd, Greenville, SC 29607-3405 | 2012-01-18 |
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| 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.