DR. TODD ELLIS DANTZLER (NPI# 1811975923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811975923 |
| Entity Type | Individual |
| Full Name | DR. TODD ELLIS DANTZLER |
| Credential | M.D. |
| Practice Address |
25 Courtenay Dr # 7100a Msc 290 Charleston SC 29425-2900 |
| Mailing Address |
1673 Seignious Dr Charleston SC 29407-8232 |
| Practice Telephone | 8438764261 |
| Practice Fax Number | 8438767232 |
| Mailing Telephone | 8433777008 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2011-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
29638 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
25 COURTENAY DR # 7100A MSC 290 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398721 | Brooke Alexa Brooks | Internal Medicine | 25 Courtenay Dr # 7018, Charleston, SC 29425-8911 | 2019-10-18 |
| 1982134508 | Future Medical, Pllc | Internal Medicine | 2335 Chesterfield Ave Ste 302, Charleston, WV 25304-1066 | 2017-06-15 |
| 1184934952 | Shailendra Singh | Internal Medicine | 3100 Maccorkle Ave Se # Se509, Charleston, WV 25304-1223 | 2010-10-14 |
| 1558687111 | Hamza Walid Shah | Internal Medicine | 3100 Maccorkle Ave Se Ste 509, Charleston, WV 25304-1226 | 2010-04-07 |
| 1760691596 | Logan Gastroenterology | Internal Medicine | 6 Woodcrest Ln, Charleston, WV 25314-2472 | 2007-05-21 |
| 1336257294 | Joseph Romagnuolo | Internal Medicine | 109 Bee St Ste C413, Charleston, SC 29401-5703 | 2006-08-29 |
| 1780692277 | Harry Earl Duncan Jr. | Internal Medicine | 3100 Maccorkle Avenue, Suite 509, Charleston, WV 25304-1226 | 2006-08-03 |
| 1811941982 | Kassamo Dayemo | Internal Medicine | 1606 Ashley River Rd, Charleston, SC 29407-5902 | 2006-05-21 |
| 1639154206 | Lee Michael Oberman | Internal Medicine | 1919 Westminster Rd, Charleston, SC 29407-3330 | 2005-12-07 |
| 1972584712 | Charles A Bickerstaff Jr. | Internal Medicine | 102 Wappoo Creek Dr Ste 10c, Charleston, SC 29412 | 2005-11-09 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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| 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.