DR. MARCELO L. HOCHMAN (NPI# 1780797449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780797449 |
| Entity Type | Individual |
| Full Name | DR. MARCELO L. HOCHMAN |
| Credential | M.D. |
| Practice Address |
2097 Henry Techlenburg Dr Suite 212 West Charleston SC 29416-5739 |
| Mailing Address |
Po Box 80789 Charleston SC 29416-0789 |
| Practice Telephone | 8435714742 |
| Practice Fax Number | 8435713619 |
| Mailing Telephone | 8435714742 |
| Mailing Fax Number | 8435713619 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
15785 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 157859 GP 2476 | 05 | |
| DEA | BH1007219 | 01 | |
| FED TAX ID # | 57-1078864 | 01 | |
| SC | DEHC | 1471G | 01 |
| SC | MEDICAL LICENSE | 15785 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 171 Ashley Ave, Charleston, SC 294255739 | 8437921414 |
| Street Address |
2097 HENRY TECHLENBURG DR SUITE 212 WEST |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29416-5739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619904547 | Kenneth Eugene Robinson | Obstetrics & Gynecology | 614 Blitchridge Rd, Charleston, SC 29416-0995 | 2006-06-27 |
| 1316300817 | Anna Elizabeth Williams | Behavioral Analyst | 1964 Ashley River Rd, Charleston, SC 29416-1400 | 2016-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063402 | Jovon Minimah-beane | Technician | 612 Virginia St E Ste 300, Charleston, WV 25301-2175 | 2020-11-06 |
| 1811598832 | Jessica Nogoda | Technician | 1002 Hillcrest Dr E, Charleston, WV 25311-1612 | 2020-11-05 |
| 1245831221 | Jeriaha Hall | Technician | 2511 Washington St E Apt C, Charleston, WV 25311-2316 | 2020-11-05 |
| 1679174957 | Shasta Lashea Evans | Technician | 5916 Starling Dr, Charleston, WV 25306-6045 | 2020-11-04 |
| 1184225476 | Darlene Lacy-carter | Technician | 1406 Milton Street, Charleston, WV 25311 | 2020-11-04 |
| 1760083927 | Kimberly Adele Hughes | Psychologist | 310 Cambridge Pointe, Charleston, WV 25309-8596 | 2020-11-04 |
| 1851992135 | Shonda Latoya Leach | Technician | 821 Westminister Way, Charleston, WV 25314-2015 | 2020-11-04 |
| 1265033559 | Nancy Galvan | Technician | 4587 Kanawha State Forrest Dr., Charleston, WV 25314 | 2020-11-04 |
| 1093316424 | Emma Mccloud | Technician | 710 Colony Dr., Charleston, WV 25314 | 2020-11-03 |
| 1760083190 | Terri Lea James | Technician | 5810 Church Dr., Charleston, WV 25306 | 2020-11-03 |
| Find all providers in CHARLESTON | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346365418 | William Aaron Ross | Surgery | 210 Brooks St, Suite 200, Charleston, WV 25301-1855 | 2007-03-20 |
| 1811980113 | Abdalla Zackaria Bandak | Surgery | 4920 Maccorkle Ave Se, Charleston, WV 25304-2052 | 2005-08-23 |
| 1891223012 | Sami Paul Tarabishy | Surgery | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2017-06-01 |
| 1336328467 | John David Hayes | Surgery | 210 Brooks St, Suite 200, Charleston, WV 25301-1855 | 2007-10-25 |
| 1457564213 | Bandak Plastic Surgery Pllc | Surgery | 4920 Maccorkle Ave Se, Charleston, WV 25304-2052 | 2007-05-08 |
| 1871669390 | The Facial Surgery Center | Surgery | 2097 Henry Tecklenburg Dr, Suite 211 West, Charleston, SC 29414-5740 | 2006-11-27 |
| 1215042155 | Seung-jun O | Surgery | 2097 Henry Tecklenburg Dr, Suite 211 West, Charleston, SC 29414-5740 | 2006-08-20 |
| 1760405336 | John Robinson | Surgery | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-07-25 |
| 1184655862 | Tracy Harvey | Surgery | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2006-07-05 |
| 1790716488 | Richard Hagerty | Surgery | 261 Calhoun St, Suite 200, Charleston, SC 29401-1371 | 2006-07-05 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29416 |
Please comment or provide details below to improve the information on DR. MARCELO L. HOCHMAN.
| 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.