MR. CHARLES W WHITTENBERG (NPI# 1760495188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760495188 |
| Entity Type | Individual |
| Full Name | MR. CHARLES W WHITTENBERG |
| Credential | MD |
| Practice Address |
408 Se Main St Simpsonville SC 29681 |
| Practice Telephone | 8642288010 |
| Mailing Telephone | 8642288010 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 8964 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP2981 | 05 |
| Street Address |
408 SE MAIN ST |
| City | SIMPSONVILLE |
| State | SC |
| Zip Code | 29681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124434543 | St Francis Physician Services Inc | Internal Medicine | 408 Se Main St, Simpsonville, SC 29681-2652 | 2014-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851858013 | The Tot Spot of South Carolina | Dentist | 1334 S. Hwy 14, Simpsonville, SC 29681 | 2019-02-25 |
| 1194206540 | Lynnette Kathleen Beyerle | Nurse Practitioner | 227 N Main Street, Simpsonville, SC 29681 | 2018-08-23 |
| 1477030070 | Mena M Melek | Pharmacist | 115 Sc-14, Simpsonville, SC 29681 | 2018-07-26 |
| 1437673423 | Abby Elizabeth Meagher | Nurse Practitioner | 1338 South Carolina Highway 14, Simpsonville, SC 29681 | 2017-08-01 |
| 1326586447 | Brooke Huffman | Speech-Language Pathologist | 5 Moorgate Dr, Simpsonville, SC 29681 | 2017-02-09 |
| 1053869818 | A Ray of Sunshine | Home Health | 216 Chickamauga Ln, Simpsonville, SC 29681 | 2016-09-21 |
| 1679924195 | Guardian Angels of The Upstate | Licensed Practical Nurse | 117 Fairview Pointe Dr, Simpsonville, SC 29681 | 2016-06-27 |
| 1033560552 | Jimetta Littlejohn | Licensed Practical Nurse | 117 Fairview Pointe Drive, Simpsonville, SC 29681 | 2016-06-27 |
| 1932597473 | Peace and Comfort Care LLC, Home Health | Home Health | 3106 Bethel Rd Unit 55, Simpsonvill, SC 29681 | 2015-01-07 |
| 1093136830 | Kidbuilders LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 N. Maple St, Suite 8, Simpsonville, SC 29681 | 2013-12-20 |
| Find all providers in zip 29681 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720091143 | Michael R Rupp | Pediatrics | 408 Se Main Street, Simpsonville, SC 29681 | 2006-08-15 |
| 1871567172 | Cheryl Evans | Pediatrics | 104a W Georgia Rd, Simpsonville, SC 29681-2302 | 2006-02-14 |
| 1770578734 | Maryann Jose Terzella | Pediatrics | 211 Batesville Rd, Simpsonville, SC 29681-4816 | 2005-09-15 |
| 1366983637 | Tribe513, P.a. | Pediatrics | 312 Harrison Bridge Rd, Simpsonville, SC 29680-7133 | 2017-03-20 |
| 1023499530 | Lindsey Brianne Mcamis Gouge | Pediatrics | 312 Harrison Bridge Rd, Simpsonville, SC 29680-7133 | 2015-06-11 |
| 1063776615 | Ashleigh Brooke Gardner | Pediatrics | 211 Batesville Rd, Simpsonville, SC 29681-4816 | 2012-06-28 |
| 1801060371 | Jennifer Morrison Heegard | Pediatrics | 211 Batesville Rd, Simpsonville, SC 29681-4816 | 2008-04-16 |
| 1184844847 | Evans Pediatrics LLC | Pediatrics | 104a W Georgia Rd, Simpsonville, SC 29681-2302 | 2007-04-26 |
| 1649316613 | Todd A Roemmich | Pediatrics | 312 Harrison Bridge Rd, Simpsonville, SC 29680-7133 | 2007-01-29 |
| 1891705893 | Rebecca Woodlief | Pediatrics | 211 Batesville Rd, Simpsonville, SC 29681-4816 | 2006-08-09 |
| Find all providers in SIMPSONVILLE | ||||
| City | SIMPSONVILLE |
| Zip Code | 29681 |
Please comment or provide details below to improve the information on MR. CHARLES W WHITTENBERG.
| 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.