DR. ARMSTEAD BERT PRUITT JR. (NPI# 1841248374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841248374 |
Entity Type | Individual |
Full Name | DR. ARMSTEAD BERT PRUITT JR. |
Credential | MD |
Practice Address |
200 Rutledge Ave Charleston SC 29403-5848 |
Practice Telephone | 8437228472 |
Practice Fax Number | 8437238631 |
Mailing Telephone | 8437228472 |
Mailing Fax Number | 8437238631 |
Enumeration Date | 2006-05-05 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
5297 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 052971 | 05 |
Street Address |
200 RUTLEDGE AVE |
City | CHARLESTON |
State | SC |
Zip Code | 29403-5848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063905552 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 200 Rutledge Ave, Charleston, SC 29403-5848 | 2018-06-11 |
1992153605 | Planned Parenthood South Atlantic | Clinic/Center | 200 Rutledge Ave, Charleston, SC 29403-5848 | 2016-06-03 |
1730362195 | Elizabeth Sparks | Pharmacist | 200 Rutledge Ave, Charleston, SC 29403-5848 | 2007-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780210674 | Samantha Barretta | Behavior Technician | 530 Meeting St, Apt 409, Charleston, SC 29403 | 2020-03-23 |
1114497435 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 10 Westedge St, Suite 100, Charleston, SC 29403 | 2018-11-29 |
1194266072 | Ashley Rogers Albrecht | Dentist | 29 Bee St, Fourth Floor, Charleston, SC 29403 | 2017-03-13 |
1427467307 | Valerie Nicole Garilas | Pharmacist | 1400 Woodruff Road, Greenville, SC 29403 | 2014-08-05 |
1467883645 | Disabilities Board of Charleston County | Case Management | 995 Morrison Drive, Suite 100, Charleston, SC 29403 | 2013-12-12 |
1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
1205171964 | Brian Sherman | Psychologist | 26a Bee St., Charleston, SC 29403 | 2012-12-06 |
1710291455 | Linda Ramsey Bright | Clinical Nurse Specialist | 103 Bee Street, Charleston, SC 29403 | 2010-08-05 |
1598990442 | Colleen Lehn Degeorge | Social Worker | 198 Rutledge Avenue, Suite 8, Charleston, SC 29403 | 2009-05-21 |
1164618815 | Diane Andrews | Speech-Language Pathologist | Musc Speech Language Pathology, 169 Ashley Ave Msc 335, Charleston, SC 29403 | 2007-09-17 |
Find all providers in zip 29403 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083656516 | R.todd Depond, Md, Pllc | Obstetrics & Gynecology | 400 Court St, Suite 100, Charleston, WV 25301-1652 | 2006-06-11 |
1770546624 | Carium Joseph | Obstetrics & Gynecology | 10 Farmfield Ave, Charleston, SC 29407-7756 | 2006-04-11 |
1598725756 | Thomas Rivers | Obstetrics & Gynecology | 2095 Henry Tecklenburg Blvd, Charleston, SC 29414-5733 | 2006-03-23 |
1659377851 | Ward A Katsanis | Obstetrics & Gynecology | 1470 Tobias Gadson Blvd, Suite 110, Charleston, SC 29407-4835 | 2005-06-22 |
1316942857 | Thomas Scott Jennings | Obstetrics & Gynecology | 1470 Toblas Gadson Blvd, Suite 110, Charleston, SC 29407-4835 | 2005-06-20 |
1336526946 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 125 Doughty St Ste 280, Charleston, SC 29403-5727 | 2015-05-04 |
1306223912 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 2097 Henry Tecklenburg Dr Ste 322w, Charleston, SC 29414 | 2015-05-04 |
1245617844 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 2097 Henry Tecklenburg Dr Ste 312w, Charleston, SC 29414 | 2015-05-04 |
1881872984 | Maria Horvat Md Sc | Obstetrics & Gynecology | 100 Deerpath, Charleston, IL 61920-9427 | 2008-01-31 |
1871642975 | David Craig Mccarus | Obstetrics & Gynecology | 109 Bee St, Charleston, SC 29401-5703 | 2007-01-09 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 29403 |
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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.