CHARLESTON BONE & JOINT PA (NPI# 1790989416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790989416 |
| Entity Type | Organization |
| Organization Name | CHARLESTON BONE & JOINT PA |
| Practice Address |
2061 Highway 52 Moncks Corner SC 29461-5017 |
| Mailing Address |
255 E Bay St Charleston SC 29401-2632 |
| Practice Telephone | 8438533474 |
| Practice Fax Number | 8438533500 |
| Mailing Telephone | 8438533474 |
| Mailing Fax Number | 8438533500 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2008-01-09 |
| Authorized Official Name | ANNE SMITH CONTE (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8438533474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians | ||
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP9930 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184828808 | Charleston Bone & Joint Pa | Orthopaedic Surgery | 767 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3027 | 2007-06-14 |
| 1992900286 | Charleston Bone & Joint Pa | Orthopaedic Surgery | 2097 Henry Tecklenburg Dr, Ste 316, Charleston, SC 29414-5740 | 2007-06-18 |
| 1255381083 | Charleston Bone & Joint Pa | Podiatrist | 255 E Bay St, Charleston, SC 29401-2632 | 2006-05-11 |
| Street Address |
2061 HIGHWAY 52 |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461-5017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962420927 | Berkeley Family Practice LLC | Family Medicine | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2006-07-18 |
| 1598300840 | Debra Anne Mack | Physician Assistant | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2019-11-11 |
| 1699212019 | Rhiannon Gluhosky | Physical Therapist | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2017-01-24 |
| 1538611553 | Mary Matthews | Physical Therapist | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2016-10-25 |
| 1558736199 | Arcis Healthcare | Durable Medical Equipment & Medical Supplies | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2015-12-08 |
| 1184098485 | Arcis Healthcare, LLC | Orthopaedic Surgery | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2015-11-24 |
| 1033580980 | Mary Hogan | Physical Therapist | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2015-10-16 |
| 1447626676 | Britton Livingston Tucker | Physician Assistant | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2015-08-11 |
| 1134524028 | South Carolina Diagnostic Imaging, Inc. | Radiology | 2061 Highway 52, 400, Moncks Corner, SC 29461-5017 | 2014-11-04 |
| 1255733671 | Ashlyn Burns | Physician Assistant | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2014-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124425939 | Roper Saint Francis Physicians Network | Podiatrist | 730 Stony Landing Rd, Suite 200, Moncks Corner, SC 29461-2904 | 2014-11-21 |
| 1497084412 | Roper Saint Francis Physicians Network | Podiatrist | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2009-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331132 | Emad Youssef Dpm LLC | Podiatrist | 218 Granito Dr, Greer, SC 29650-2771 | 2020-09-16 |
| 1922618016 | Dr. Ashley Williams, LLC | Podiatrist | 3223 Hatchet Bay Dr Apt 7203, Charleston, SC 29414-5219 | 2020-08-04 |
| 1700424769 | Instride Foot & Ankle Specialists, Pllc | Podiatrist | 223 Herlong Ave S Ste 115, Rock Hill, SC 29732-1089 | 2019-12-20 |
| 1871011387 | Honored To Serve | Podiatrist | 1850 Atlantic Dr Unit 712, Columbia, SC 29210-7992 | 2017-09-05 |
| 1467989632 | Frederick Garland | Podiatrist | 767 Wintercreeper Dr, Longs, SC 29568-9229 | 2017-05-17 |
| 1245764430 | Aiken Podiatry Center | Podiatrist | 148 Waterloo St Sw Ste 4, Aiken, SC 29801-3766 | 2017-04-14 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1669859104 | Mobile Podiatry South Carolina | Podiatrist | 10 Summerlea Ln, Columbia, SC 29203-3915 | 2015-05-05 |
| 1063829471 | Heather Driessen, Dpm, LLC | Podiatrist | 4072 Corner Stroll Ln, Aiken, SC 29801-1158 | 2014-07-17 |
| 1164855227 | Coastal Medical Services LLC | Podiatrist | 616 Churchill Rd, Walterboro, SC 29488-3622 | 2013-08-13 |
| Find all providers with the same taxonomy | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
Please comment or provide details below to improve the information on CHARLESTON BONE & JOINT PA.
| 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.