DR. SUZANN HUTTO WEATHERS (NPI# 1013087493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013087493 |
| Entity Type | Individual |
| Full Name | DR. SUZANN HUTTO WEATHERS |
| Credential | M.D. |
| Practice Address |
87 Springview Ln Summerville SC 29485-9077 |
| Mailing Address |
Po Box 602108 Charlotte NC 28260-2108 |
| Practice Telephone | 8438767979 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 28868 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 288682 | 05 | |
| SC | MEDICAID GROUP# | GP1551 | 01 |
| SC | MEDICARE GROUP # | 5277 | 01 |
| Street Address |
87 SPRINGVIEW LN |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-9077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508811522 | Heidi Lynn Tatum | Physician Assistant | 87 Springview Ln, Summerville, SC 29485-9077 | 2006-05-24 |
| 1235595422 | Carolina Family Care, Inc | Family Medicine | 87 Springview Ln, Summerville, SC 29485-9077 | 2016-01-05 |
| 1881077253 | Cherika Stephanie Gadson | Nurse Practitioner | 87 Springview Ln, Summerville, SC 29485 | 2015-07-03 |
| 1902967912 | Summerville Surgical Associates, Pa | Specialist | 87 Springview Ln, Suite A, Summerville, SC 29485-8154 | 2006-12-13 |
| 1780613653 | Heather Brooke Joye Anthony | Physician Assistant | 87 Springview Ln, Summerville, SC 29485-9077 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| 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 |
|---|---|---|---|---|
| 1932652856 | Medprimary LLC | Family Medicine | 103b Harth Pl, Summerville, SC 29485-8107 | 2016-07-27 |
| 1265893705 | Roper Saint Francis Physicians Network | Family Medicine | 1525 Old Trolley Rd Ste H, Summerville, SC 29485-8928 | 2016-03-11 |
| 1740647650 | Palmetto Primary Care Physicians, LLC | Family Medicine | 201 Sigma Dr, Ste 100, Summerville, SC 29486-7715 | 2016-01-22 |
| 1043654700 | Merritt Stanley Huber IIi | Family Medicine | 2000 1st Avenue, Summerville, SC 29486 | 2013-04-24 |
| 1982048062 | Summerville Primary Care | Family Medicine | 299-a Midland Parkway, Summerville, SC 29485 | 2013-04-19 |
| 1710274295 | Jennifer R. Stolin | Family Medicine | 90 Springview Ln Ste A, Summerville, SC 29485-8153 | 2011-07-05 |
| 1497075733 | Palmetto Primary Care Physicians | Family Medicine | 300 W 4th North St, Summerville, SC 29483-6550 | 2010-06-09 |
| 1265667828 | Christina Douglass | Family Medicine | 11766 Hwy 27 North, Summerville, GA 30747 | 2009-05-26 |
| 1194986299 | Marie E Neilsen | Family Medicine | 9500 Dorchester Rd Ste 362, Summerville, SC 29485-4304 | 2008-06-20 |
| 1407992803 | Steven John Lenes | Family Medicine | 9995 Jamison Rd., Summerville, SC 29485 | 2007-01-30 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
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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.