MARY KATHLEEN WREN (NPI# 1861575813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861575813 |
| Entity Type | Individual |
| Full Name | MARY KATHLEEN WREN |
| Credential | M.D. |
| Practice Address |
171 Ashley Ave, Msc 908 Department of Pathology Charleston SC 29425-8905 |
| Practice Telephone | 8437926381 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
LL 29157 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578083614 | Mary Petrulis Wren | Psychiatry & Neurology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-06-20 |
| 1659660108 | Mary Ann Wren | Dental Hygienist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2011-04-05 |
| 1497941488 | Mary Wren | Speech-Language Pathologist | 1952 E 7000 S, Salt Lake City, UT 84121-6877 | 2007-09-24 |
| Street Address |
171 ASHLEY AVE, MSC 908 DEPARTMENT OF PATHOLOGY |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8905 |
| 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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932691094 | Yanna Ding | Pathology | 169 Ashley Avenue, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2018-06-05 |
| 1609164227 | Deidra Fawn Muto | Pathology | 219 Georgetown Pl, Charleston, WV 25314-1871 | 2011-07-17 |
| 1972732162 | Kalli Kole Faulkner | Pathology | 218 Children's Hospital, 171 Ashley Avenue. Msc 908, Charleston, SC 29464 | 2009-07-08 |
| 1942409719 | Raford Porter Rogers IIi | Pathology | 165 Ashley Ave Ste 309, Charleston, SC 29425-8905 | 2007-07-12 |
| 1316063944 | Johann Hertel | Pathology | 165 Ashley Avenue, Suite 337, Charleston, SC 29425 | 2007-03-22 |
| 1699743344 | Joseph F Valicenti Jr. | Pathology | 9330 Medical Plaza Drive, Department of Pathology, Charleston, SC 29418-9195 | 2006-03-09 |
| 1720087596 | Charleston Pathology Associates Pllc | Pathology | 333 Laidley St, Charleston, WV 25301-1614 | 2005-07-14 |
| 1730703844 | Elicia Goodale | Pathology | 171 Ashley Ave # Msc908, Charleston, SC 29425-0100 | 2020-06-04 |
| 1598389975 | Chelsea Kramish | Pathology | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-06-02 |
| 1366066631 | Ivana Hernandez | Pathology | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-06-02 |
| 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.