MRS. ROSE SHANNON TRAGESER


Address: 2145 Henry Tecklenburg Dr, Suite 220, Charleston, SC 29414-5893
Phone: 8437238823

MRS. ROSE SHANNON TRAGESER (NPI# 1841482288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841482288
Entity Type Individual
Full Name MRS. ROSE SHANNON TRAGESER
Credential PA
Practice Address 2145 Henry Tecklenburg Dr
Suite 220
Charleston
SC 29414-5893
Mailing Address Po Box 751649
Charlotte
NC 28275-1649
Practice Telephone 8437238823
Practice Fax Number 8437228124
Mailing Telephone 8437891620
Enumeration Date 2007-08-09
Last Update Date 2015-10-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 1221 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC 0556PA 05
SC RAILROAD MEDICARE ID-RSFPN P008581112 01

Office Location

Street Address 2145 HENRY TECKLENBURG DR
SUITE 220
City CHARLESTON
State SC
Zip Code 29414-5893

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013980168 James Reilly Keffer Physical Medicine & Rehabilitation 2145 Henry Tecklenburg Dr, Ste 220, Charleston, SC 29414-5893 2006-02-09
1417419193 Roper Saint Francis Physicians Network Physical Medicine & Rehabilitation 2145 Henry Tecklenburg Dr, Charleston, SC 29414-5893 2019-04-02
1316455140 Claudio Raffaele Zampino Registered Nurse 2145 Henry Tecklenburg Dr, Charleston, SC 29414-5893 2018-01-15
1497155279 Kathryn Anne Wade Physician Assistant 2145 Henry Tecklenburg Dr, Suite 220, Charleston, SC 29414-5893 2014-08-28
1083040687 Ericka Weaver Holland Physician Assistant 2145 Henry Tecklenburg Dr, Suite 100, Charleston, SC 29414-5893 2013-09-16
1437599206 Roper Saint Francis Physicians Network Pain Medicine 2145 Henry Tecklenburg Dr, Suite 220w, Charleston, SC 29414-5893 2013-06-26
1750654646 Summer Landers Physician Assistant 2145 Henry Tecklenburg Dr, Suite 220, Charleston, SC 29414-5893 2012-02-23
1164753430 Joseph C. Mctavish Physician Assistant 2145 Henry Tecklenburg Dr, Suite 220, Charleston, SC 29414-5893 2010-01-26
1306046479 Kyle Joseph Prothro Specialist/Technologist 2145 Henry Tecklenburg Dr, Suite 220, Charleston, SC 29414-5893 2007-07-18
1225253818 Coastal Neurosurgery and Spine Neurological Surgery 2145 Henry Tecklenburg Dr, Ste 220, Charleston, SC 29414-5893 2007-04-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902444508 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 3865 West Ashley Circle, Charleston, SC 29414 2019-12-13
1215440169 Christine Michelle Delcioppo Nurse Practitioner 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 2017-11-14
1871013508 Carolyn Sorenson Assistant Behavior Analyst 2218 Hunter Creek Dr, Charleston, SC 29414 2017-06-23
1205387354 Rachel Klatt Physical Therapist 2230 Ashley Crossing Dr., Charleston, SC 29414 2016-10-24
1295286912 Mary M Butler Physical Therapy Assistant 2230 Ashley Crossing Drive, Charleston, SC 29414 2016-10-18
1295104982 Charlene Barbot Registered Nurse 3741 Clover St, Charleston, SC 29414 2015-09-23
1720467525 Sasha M. Perez Family Medicine 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 2015-05-26
1104226240 Angela Mcinvale Counselor 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 2014-08-26
1659790087 Catherine Jefferson Vanderwerker Physical Therapist 3019 Saintsbury Cove Dr, Charleston, SC 29414 2014-04-14
1104266741 Elizabeth A Burguieres Psychiatry & Neurology Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 2013-06-27
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609475326 Rebecca Whealen Physician Assistant 2026 Huber Rd, Charleston, WV 25314-2236 2020-10-23
1275131054 Ethan Brody Clontz Physician Assistant 1953 Pinehurst Ave, Charleston, SC 29414-6483 2020-10-13
1386251635 Caitlin Estep Physician Assistant 3100 Maccorkle Ave Se Ste 802, Charleston, WV 25304-1233 2020-09-29
1487261509 Reilly Kilpatrick Physician Assistant 1518 Blaze Ln, Charleston, SC 29412-8652 2020-09-24
1083228514 Andrea Denise Boan Physician Assistant 12 Commercial Row Apt A, Charleston, SC 29412-3641 2020-09-02
1194343673 Andrew N Brewer Physician Assistant 171 Ashley Ave Ste 419, Charleston, SC 29425-8908 2020-07-10
1396361309 Jacquelyn Joseph Physician Assistant 134 Howard Mary Dr Apt A, Charleston, SC 29412-9581 2020-06-25
1639719990 Jessy Marie Hamrick Physician Assistant 149 Dutch Rd Apt 105, Charleston, WV 25302-2530 2020-01-14
1093355521 Virginia Noemi Escobar-cheng Physician Assistant 310 Red Mulberry Way Apt 3, Charleston, WV 25306-6395 2020-01-13
1598300279 Breanne Marie Wiekamp Physician Assistant 20 Scarlet Oak Ln Apt 3, Charleston, WV 25306-1128 2019-11-17
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Competitor

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City CHARLESTON
Zip Code 29414

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Dataset Information

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.

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