E FAMILY MEDICIN GRP (NPI# 1033393954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033393954 |
| Entity Type | Organization |
| Organization Name | E FAMILY MEDICIN GRP |
| Practice Address |
295 Calhoun St Charleston SC 29425-8904 |
| Practice Telephone | 8437923064 |
| Practice Fax Number | 8437923605 |
| Mailing Telephone | 8437928451 |
| Mailing Fax Number | 8437929081 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | MR. PETER F EDWARDS (REGISTRANT) |
| Authorized Official Telephone | 8437928451 |
| Authorized Official Credential | MHSA,RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | MUSC FAMILY MEDICINE PHARMACY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
50000863 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | BLUECROSSBLUESHIELD GA | 0511232 | 01 |
| SC | MEDICAID DME | DPE044 | 01 |
| RXAMERICA | 0004202812 | 01 | |
| SC | 708630 | 05 | |
| SC | NCPDP | 4202812 | 01 |
| Street Address |
295 CALHOUN ST |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336141340 | Kelly R Ragucci | Pharmacist | 295 Calhoun St, Charleston, SC 29425-8904 | 2005-08-10 |
| 1811017049 | Sarah Shrader | Pharmacist | 295 Calhoun St, Charleston, SC 29425-8904 | 2007-03-30 |
| 1205808029 | Eric Matheson | Family Medicine | 295 Calhoun St, Musc Dept of Family Medicine, Charleston, SC 29425-8908 | 2006-02-06 |
| 1215939681 | Andrea Wessell | Pharmacist | 295 Calhoun St, Fm 322, Charleston, SC 29425-8904 | 2005-08-15 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568769354 | Wvupc-medicine & Specialty Office | Clinic/Center | 4522 Maccorkle Ave Se, Charleston, WV 25304-1840 | 2011-02-15 |
| 1912204702 | Wvupc-camc Fam Med Surgery Center | Clinic/Center | 1201 Washington St E, Charleston, WV 25301-1834 | 2011-02-15 |
| 1275840423 | Medical University of South Carolina | Clinic/Center | 25 Courtenay Dr, Charleston, SC 29425-8911 | 2010-09-09 |
| 1922323740 | G T Little Md P.a. | Clinic/Center | 280 Rutledge Ave, Charleston, SC 29403-5352 | 2010-04-05 |
| 1285860098 | Palmetto Vein Specialists, LLC | Clinic/Center | 9313 Medical Plaza Dr, Ste 303, Charleston, SC 29406-9155 | 2009-06-08 |
| 1295906816 | Coastal Gastroenterology & Hepatology LLC | Clinic/Center | 1616 Ashley River Rd, Charleston, SC 29407-5902 | 2008-03-24 |
| 1164690947 | Arrhythmia Specialists of Charleston | Clinic/Center | 125 Doughty St, Suite 695, Charleston, SC 29403-5736 | 2008-02-14 |
| 1174706337 | Seung-jun O, PC | Clinic/Center | 2097 Henry Tecklenburg Dr, Suite 212 West, Charleston, SC 29414-5740 | 2007-12-11 |
| 1962696112 | Jan H. Cunningham, Md, Pllc | Clinic/Center | 830 Pennsylvania Ave, 405, Charleston, WV 25302-3302 | 2007-08-30 |
| 1912029612 | Trident Medical Center, LLC | Clinic/Center | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2007-04-04 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
Please comment or provide details below to improve the information on E FAMILY MEDICIN GRP.
| 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.