LORAINE ELIZABETH BOOZE (NPI# 1760780803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760780803 |
| Entity Type | Individual |
| Full Name | LORAINE ELIZABETH BOOZE |
| Credential | PA-C |
| Practice Address |
2295 Henry Tecklenburg Dr Charleston SC 29414-7801 |
| Practice Telephone | 8437667103 |
| Practice Fax Number | 8437633834 |
| Mailing Telephone | 8437667103 |
| Mailing Fax Number | 8437633834 |
| Enumeration Date | 2011-03-13 |
| Last Update Date | 2013-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1620 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SOUTH CAROLINA PHYSICIAN ASSISTANT LICENSURE | 1620 | 01 |
| Street Address |
2295 HENRY TECKLENBURG DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-7801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367433 | Robert Charles Jordan | Otolaryngology | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2005-06-24 |
| 1740824309 | Sophie J Ludwig | Audiologist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2019-11-06 |
| 1861966830 | Savannah Hutto Lawley | Physician Assistant | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2019-01-14 |
| 1306318910 | Taylor Christine Hasbrouck | Physician Assistant | 2295 Henry Tecklenburg Dr, Charleston, SC 29414 | 2018-12-20 |
| 1013493352 | Alexandra Marie Rama | Nurse Practitioner | 2295 Henry Tecklenburg Dr, Charleston, SC 29414 | 2018-07-18 |
| 1114412426 | Kimberly Sawyer | Audiologist-Hearing Aid Fitter | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2018-06-28 |
| 1982198818 | Audrey Elizabeth Rinker | Audiologist-Hearing Aid Fitter | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2018-06-14 |
| 1326561820 | Alexandra L Cavitt | Audiologist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2017-07-18 |
| 1427595685 | James Arthur Vecchiolla | Pharmacist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2017-01-26 |
| 1114472321 | Sarah Bartlett | Audiologist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414 | 2016-08-17 |
| Find all providers in the same location | ||||
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
| 1063797447 | Michael B Carothers | Physician Assistant | 2030 Wambaw Crk, Charleston, SC 29492-8382 | 2011-10-17 |
| 1316228679 | Joanna Harvey | Physician Assistant | 2085 H Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-7710 | 2011-08-31 |
| 1689825895 | Jeffrey Russell Pike | Physician Assistant | 2097 Henry Tecklenburg Dr Ste 305w, Charleston, SC 29414-5744 | 2008-10-07 |
| 1073662664 | Kenneth Neil Dippel | Physician Assistant | 3200 Maccorkle Ave. Se, Camc Memorial Hospital, Charleston, WV 25304 | 2007-01-10 |
| 1790873099 | Steven L Russell | Physician Assistant | 191 Rutledge Ave, Charleston, SC 29403-5822 | 2006-10-11 |
| 1376649723 | Irene Belinda Coley | Physician Assistant | Ralph H. Johnson Va Medical Center, 109 Bee Street, Charleston, SC 29401 | 2006-09-15 |
| 1578597480 | David Laurence Gross | Physician Assistant | 9313 Medical Plaza Dr Ste 102, Charleston, SC 29406-9153 | 2006-07-10 |
| 1851331714 | Caroline M Bailey | Physician Assistant | 1 Bishop Gadsden Way, Suite 97, Charleston, SC 29412-3506 | 2006-06-08 |
| 1952357899 | Constantina Helen Panos | Physician Assistant | 129 Queen St, Charleston, SC 29401-2424 | 2006-05-25 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on LORAINE ELIZABETH BOOZE.
| 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.