DR. JENNIFER F. BEATTY (NPI# 1952387979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952387979 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER F. BEATTY |
| Credential | D.O. |
| Practice Address |
4975 Lacross Rd Ste 110 North Charleston SC 29406 |
| Mailing Address |
4975 Lacross Rd Ste 110 North Charleston SC 29406-6531 |
| Practice Telephone | 8437971941 |
| Practice Fax Number | 8435741698 |
| Mailing Telephone | 8437971941 |
| Mailing Fax Number | 8435741698 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 910 | SC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 212870 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 009109 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851873483 | Jennifer Beatty | Social Worker | 3501 Ashmere Loop, Round Rock, TX 78681-1013 | 2018-08-30 |
| 1851681548 | Jennifer Jo Beatty | Nurse Practitioner | 133 Heatherwood Dr, Madison, AL 35758-8259 | 2011-04-14 |
| 1437265170 | Jennifer F. Beatty | Counselor | 108 N Front St, Suite C, Townsend, MT 59644-2200 | 2006-08-23 |
| 1407226491 | Jennifer Beatty | Counselor | 1630 Plum St, Aurora, IL 60506-3462 | 2015-10-02 |
| 1588043905 | Jennifer Beatty | Emergency Medicine | 1 Medical Center Blvd, Winston Salem, NC 27103 | 2015-05-19 |
| 1689063125 | Jennifer Beatty | Occupational Therapy Assistant | 2114 N Franklin Dr, Washington, PA 15301-5891 | 2015-01-22 |
| 1073634663 | Jennifer E Beatty | Physical Therapist | 75 Francis St, Boston, MA 02115-6110 | 2007-04-02 |
| 1346280377 | Jennifer Beatty | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103-1521 | 2006-06-07 |
| Street Address |
4975 LACROSS RD STE 110 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033769732 | Whitney Naramore Huff | Nurse Practitioner | 4975 Lacross Rd Ste 110, North Charleston, SC 29406-6531 | 2019-09-14 |
| 1629352398 | The Breast Place LLC | Surgery | 4975 Lacross Rd Ste 110, North Charleston, SC 29406 | 2011-09-29 |
| 1104134063 | Maureen Murphy North | Physician Assistant | 4975 Lacross Rd Ste 110, North Charleston, SC 29406-6531 | 2010-09-14 |
| 1588770127 | Jennifer Fiorini | Specialist | 4975 Lacross Rd Ste 110, North Charleston, SC 29406 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598835639 | Tidewater Surgical Group, Pa | Surgery | 2831b Tricom St, North Charleston, SC 29406-9172 | 2006-11-08 |
| 1467522599 | John Lee Smear | Surgery | 9300 Medical Plaza Dr Ste B, North Charleston, SC 29406 | 2006-11-08 |
| 1992813265 | David Anthony Pardieck | Surgery | 9229 University Blvd Ste D, North Charleston, SC 29406-9150 | 2006-08-28 |
| 1083679831 | Gregory Thomas Squires | Surgery | 2831 B Tricom Street, North Charleston, SC 29406 | 2006-04-17 |
| 1629352398 | The Breast Place LLC | Surgery | 4975 Lacross Rd Ste 110, North Charleston, SC 29406 | 2011-09-29 |
| 1275854457 | Samuel Walker Nickles | Surgery | 2890 Tricom St, North Charleston, SC 29406-9171 | 2010-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785282 | Christopher James Levy | Surgery | Prisma Health Medical Group General Surgery, 2 Medical Park, Ste 300, Collumbia, SC 29203 | 2020-06-18 |
| 1881219137 | Meredith Elizabeth Taylor | Surgery | 96 Jonathan Lucas St # 613, Charleston, SC 29425-8900 | 2020-06-12 |
| 1073136511 | Trey Jeffrey Mathews | Surgery | 101 E. Wood St, Spartanburg, SC 29303-3098 | 2020-05-19 |
| 1356984322 | Katelyn Tuley | Surgery | 210 Village Center Blvd Ste 140, Myrtle Beach, SC 29579-6706 | 2019-10-23 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1104485648 | Gregory Tyler Rives | Surgery | 96 Jonathan Lucas St Csb 423-a / Msc 613, Charleston, SC 29425-0001 | 2019-06-09 |
| 1396220554 | Spartanburg Medical Center | Surgery | 840 W Floyd Baker Blvd Ste B, Gaffney, SC 29341-1845 | 2018-10-03 |
| 1659853596 | Roper Saint Francis Physicians Network | Surgery | 300 Callen Blvd, Summerville, SC 29486-2809 | 2018-09-06 |
| 1336633569 | Lytani Wilson | Surgery | 96 Jonathan Lucas St # 423, Charleston, SC 29425 | 2018-06-20 |
| 1609360890 | Alicia Marie Stafford | Surgery | 169 Ashley Avenue Rm 202 Main Hospital, Msc333, Charleston, SC 29425 | 2018-06-20 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
Please comment or provide details below to improve the information on DR. JENNIFER F. BEATTY.
| 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.