ADOLESCENT MEDICINE ASSOCIATES (NPI# 1922022417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922022417 |
| Entity Type | Organization |
| Organization Name | ADOLESCENT MEDICINE ASSOCIATES |
| Practice Address |
900 Bowman Rd Suite 304 Mt Pleasant SC 29464-3203 |
| Practice Telephone | 8438841217 |
| Practice Fax Number | 8438847796 |
| Mailing Telephone | 8438841217 |
| Mailing Fax Number | 8438847796 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHARON R OWENS (OFFICE MANAGER) |
| Authorized Official Telephone | 8438841217 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
207QA0000X | SC | Allopathic & Osteopathic Physicians |
| Street Address |
900 BOWMAN RD SUITE 304 |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063408979 | Mt Pleasant Family Practice,pa | Family Medicine | 900 Bowman Rd, Suite 203, Mt Pleasant, SC 29464-3203 | 2005-09-26 |
| 1871924167 | Focus Sc 1009, LLC | Family Medicine | 900 Bowman Rd, Suite 303, Mt Pleasant, SC 29464 | 2013-12-11 |
| 1437588423 | Mount Pleasant Nephrology LLC | Internal Medicine | 900 Bowman Rd, Suite A-1, Mt Pleasant, SC 29464-3203 | 2013-11-11 |
| 1477727139 | Ryan Adam Kalinsky | Internal Medicine | 900 Bowman Rd, Suite 103, Mt Pleasant, SC 29464-3203 | 2008-04-14 |
| 1164566550 | Yanis Bellil | Internal Medicine | 900 Bowman Rd, Suite 103, Mt Pleasant, SC 29464-3203 | 2007-02-18 |
| 1386796365 | Daniel R Butler | Physician Assistant | 900 Bowman Rd, Suite 300, Mt Pleasant, SC 29464-3203 | 2007-01-18 |
| 1417009499 | Justin Swain | Physician Assistant | 900 Bowman Rd, Suite 300, Mt Pleasant, SC 29464-3203 | 2007-01-18 |
| 1528081783 | Pascale A. Salem | Internal Medicine | 900 Bowman Rd, Suite 103, Mt Pleasant, SC 29464-3203 | 2006-07-26 |
| 1275554594 | M. Daud Nawabi | Internal Medicine | 900 Bowman Rd, Suite 103, Mt Pleasant, SC 29464-3203 | 2006-07-21 |
| 1528089240 | Charles Murry Thompson | Family Medicine | 900 Bowman Rd, Suite 304, Mt Pleasant, SC 29464-3203 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871924167 | Focus Sc 1009, LLC | Family Medicine | 900 Bowman Rd, Suite 303, Mt Pleasant, SC 29464 | 2013-12-11 |
| 1528089240 | Charles Murry Thompson | Family Medicine | 900 Bowman Rd, Suite 304, Mt Pleasant, SC 29464-3203 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194829218 | Burnt Church Primary and Urgent Care, LLC | Family Medicine | 1 Burnt Church Rd, Bluffton, SC 29910-6405 | 2006-09-11 |
| 1528556362 | Hollie Elizabeth Ables | Family Medicine | 2000 E Greenville St Ste 3700, Anderson, SC 29621-1725 | 2018-04-26 |
| 1184075640 | William Kliphpatrick Love | Family Medicine | 853 N Church St Ste 510, Spartanburg, SC 29303-3077 | 2016-06-27 |
| 1821460395 | Ghs Partners In Health, Inc. | Family Medicine | 717 Se Main St, Simpsonville, SC 29681-3237 | 2015-10-23 |
| 1689840514 | James Alan Henderson | Family Medicine | 2750 Laurel St, Suite 103, Columbia, SC 29204-2038 | 2008-04-30 |
| 1285774125 | Clio Medical Center,inc | Family Medicine | 200 Main St, Clio, SC 29525 | 2007-02-08 |
| 1679613525 | Pravin R Patel Md. | Family Medicine | 200 Main St, Clio, SC 29525 | 2007-02-08 |
| 1508830217 | Palmetto Primary Care Physicians | Family Medicine | 104 Funk Ave, Saint Stephen, SC 29479-3383 | 2006-02-17 |
| City | MT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on ADOLESCENT MEDICINE ASSOCIATES.
| 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.