MS. SARETTE NOELLE JENDERNY (NPI# 1760804256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760804256 |
| Entity Type | Individual |
| Full Name | MS. SARETTE NOELLE JENDERNY |
| Credential | PA-C |
| Practice Address |
180 Wingo Way Suite 207 Mount Pleasant SC 29464-1810 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8438845101 |
| Practice Fax Number | 8438497726 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2056 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
180 WINGO WAY SUITE 207 |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29464-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720356231 | Coastal Podiatry, LLC | Podiatrist | 180 Wingo Way, Suite 101, Mount Pleasant, SC 29464-1810 | 2011-12-12 |
| 1659648152 | Coastal Podiatry, LLC | Podiatrist | 180 Wingo Way, Suite 201, Mount Pleasant, SC 29464-1810 | 2011-11-28 |
| 1356642086 | Associated Foot Specialists, Pa | Podiatrist | 180 Wingo Way, Suite 101, Mount Pleasant, SC 29464-1810 | 2010-11-11 |
| 1588965586 | Coastal Podiatry LLC | Podiatrist | 180 Wingo Way, Suite 201, Mount Pleasant, SC 29464-1810 | 2010-11-07 |
| 1528385846 | Charleston Urology Associates, Pa | Urology | 180 Wingo Way, Suite 304, Mount Pleasant, SC 29464-1810 | 2010-04-26 |
| 1003044645 | Carolyn Reed Word | Allergy & Immunology | 180 Wingo Way, Suite 102, Mount Pleasant, SC 29464-1810 | 2009-06-22 |
| 1598924581 | Tamika M Bolden Ravenell | Podiatrist | 180 Wingo Way, Suite 201, Mount Pleasant, SC 29464-1810 | 2008-06-04 |
| 1942470653 | Complete Health Diagnostics, Inc. | Technician, Other | 180 Wingo Way, Suite 104, Mount Pleasant, SC 29464-1810 | 2008-03-10 |
| 1518914894 | Thomas Hahm | Surgery | 180 Wingo Way, Suite 205, Mount Pleasant, SC 29464-1810 | 2006-05-30 |
| 1689661910 | Robert M. Hay | Orthopaedic Surgery | 180 Wingo Way, Suite 301, Mount Pleasant, SC 29464-1810 | 2005-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857377 | Taryn Marie Enea | Physician Assistant | 1300 Appling Dr Unit 306, Mount Pleasant, SC 29464-4886 | 2015-12-28 |
| 1932437662 | Jessica Leigh Watson | Physician Assistant | 2114 Highway 41 Ste 105, Mount Pleasant, SC 29466 | 2009-11-18 |
| 1912903212 | Mountain Town Family Practice | Physician Assistant | 308 W Michigan St, Mount Pleasant, MI 48858-2410 | 2005-06-22 |
| 1689281958 | Jade Elizabeth Weeks | Physician Assistant | 8560 Cook St, Mount Pleasant, NC 28124-7686 | 2020-09-30 |
| 1497996847 | Toby Cason | Physician Assistant | 305 W 20th St, Mount Pleasant, TX 75455-2327 | 2009-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712482 | Brianna Julia Starr | Physician Assistant | 1403 E Greenville St Ste B, Anderson, SC 29621-2285 | 2019-10-24 |
| 1255974655 | Kaitlyn T Brown | Physician Assistant | 808 Farrar Drive, Conway, SC 29526-8747 | 2019-10-18 |
| 1053960914 | Chad Waddell | Physician Assistant | 107 Walnut Ln, North Augusta, SC 29860-8629 | 2019-09-04 |
| 1508429317 | Charlotte H. Hanna | Physician Assistant | 800 E Cheves St Ste 380, Florence, SC 29506-2649 | 2019-04-17 |
| 1407342116 | Thrive Essential Wellness, Inc. | Physician Assistant | 1511 9th Ave Ste A, Conway, SC 29526-4126 | 2018-07-05 |
| 1700392495 | Stephanie Meyer | Physician Assistant | 5 Medical Park Road Palmetto Health, Columbia, SC 29203 | 2017-12-18 |
| 1073022612 | Gina Marie Sanitato | Physician Assistant | 1300 Hospital Dr Ste 300, Mt Pleasant, SC 29464-3217 | 2017-09-27 |
| 1659896264 | Morgan N Warthan | Physician Assistant | Gateway Family Medicine, 406 N Poinsett Hwy, Travelers Rest, SC 29690-1667 | 2017-08-04 |
| 1366994824 | Colonial Family Practice, LLC | Physician Assistant | 3750 Savannah Hwy Ste I, Johns Island, SC 29455-7909 | 2016-11-01 |
| 1457804080 | Mcleod Physician Associates II | Physician Assistant | 945 82nd Pkwy Ste 3, Myrtle Beach, SC 29572-4612 | 2016-08-01 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on MS. SARETTE NOELLE JENDERNY.
| 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.