DR. JUDY A SHILLITO (NPI# 1942267216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942267216 |
| Entity Type | Individual |
| Full Name | DR. JUDY A SHILLITO |
| Credential | MD |
| Practice Address |
631 Johnnie Dodds Blvd Mt Pleasant SC 29464-3030 |
| Mailing Address |
1818 Henderson St Columbia SC 29201-2647 |
| Practice Telephone | 8438810815 |
| Practice Fax Number | 8438810743 |
| Mailing Telephone | 8037582600 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2009-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 13527 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 135277 | 05 |
| Street Address |
631 JOHNNIE DODDS BLVD |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467413104 | Michael S Goldberg | Physical Therapist | 631 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3030 | 2006-03-31 |
| 1225420490 | Barry Michael Brown Jr. | Nurse Practitioner | 631 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3030 | 2015-02-25 |
| 1023426921 | Carita Kiely Mcwilliams | Physician Assistant | 631 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3030 | 2014-07-24 |
| 1588903595 | Doctors Care Sc, Pa | Emergency Medicine | 631 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3030 | 2013-02-11 |
| 1902160930 | Colleen Hill Patton | Physician Assistant | 631 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3030 | 2012-06-25 |
| 1851666440 | Progressive Physical Therapy, Pa | Occupational Therapist | 631 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3030 | 2012-03-14 |
| 1588691232 | Michael G Ragan | Physician Assistant | 631 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3030 | 2006-06-27 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1093163339 | Julia Killingsworth Isom | Family Medicine | 180 Wingo Way Ste 207, Mt Pleasant, SC 29464-1811 | 2016-05-26 |
| 1477907350 | Christina Danielle Downer | Family Medicine | 2853 Health Pkwy Ste B, Mt Pleasant, MI 48858-9375 | 2016-04-18 |
| 1154793362 | Paladina Health, LLC | Family Medicine | 917 Houston Northcutt Blvd, Mt Pleasant, SC 29464-3448 | 2015-10-27 |
| 1790166163 | Sylvia Lee Clarkson | Family Medicine | 1440 Ben Sawyer Blvd Ste 1109, Mt Pleasant, SC 29464-5526 | 2015-06-11 |
| 1891106225 | Andrew Schleihauf | Family Medicine | 508 S Church St Ste 200, Mt Pleasant, PA 15666-1702 | 2014-05-20 |
| 1356695290 | Mount Pleasant Physicians,pllc | Family Medicine | 202 W 19th St, Mt Pleasant, TX 75455-2320 | 2012-10-30 |
| 1396048765 | Annu Mohan Md Pllc | Family Medicine | 2480 Rosewood Dr, Mt Pleasant, MI 48858-5003 | 2010-12-07 |
| 1356579890 | Ghassan N Hamadeh | Family Medicine | 1223 Vestige Sq, Mt Pleasant, SC 29464-9031 | 2009-06-23 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
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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.