MR. JON P DEVRIES (NPI# 1053328682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053328682 |
Entity Type | Individual |
Full Name | MR. JON P DEVRIES |
Credential | MD |
Practice Address |
9100 Medcom St North Charleston SC 29406-9167 |
Practice Telephone | 8435693367 |
Practice Fax Number | 8437643577 |
Mailing Telephone | 8435693367 |
Mailing Fax Number | 8437643577 |
Enumeration Date | 2006-08-03 |
Last Update Date | 2015-09-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 22480 | SC | Allopathic & Osteopathic Physicians |
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
22480 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | T67308 | 05 |
Street Address |
9100 MEDCOM ST |
City | NORTH CHARLESTON |
State | SC |
Zip Code | 29406-9167 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114526431 | Katie Kristen Aaron | Physician Assistant | 9100 Medcom St, North Charleston, SC 29406-9167 | 2020-10-19 |
1407463003 | Kristi Michelle Grant | Occupational Therapy Assistant | 9100 Medcom St, North Charleston, SC 29406-9167 | 2020-09-28 |
1487276580 | John Davison Schulte | Physician Assistant | 9100 Medcom St, North Charleston, SC 29406-9167 | 2020-05-12 |
1497387849 | Sydney L Hammond | Physical Therapist | 9100 Medcom St, North Charleston, SC 29406-9167 | 2020-02-04 |
1316489131 | Brett Harman | Physician Assistant | 9100 Medcom St, North Charleston, SC 29406-9167 | 2016-11-10 |
1932501376 | Lamar Hood | Physician Assistant | 9100 Medcom St, North Charleston, SC 29406-9167 | 2014-09-17 |
1912147083 | Christopher Kestner | Orthopaedic Surgery | 9100 Medcom St, North Charleston, SC 29406-9167 | 2009-03-02 |
1053586776 | Daniel Anthony Wartinbee | Orthopaedic Surgery | 9100 Medcom St, North Charleston, SC 29406-9167 | 2008-04-23 |
1508045246 | Sarah Joanna Burkhart | Orthopaedic Surgery | 9100 Medcom St, North Charleston, SC 29406-9167 | 2007-10-30 |
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 | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053586776 | Daniel Anthony Wartinbee | Orthopaedic Surgery | 9100 Medcom St, North Charleston, SC 29406-9167 | 2008-04-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538680004 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 300 Palmetto Health Pkwy Ste 200, Columbia, SC 29212-1762 | 2017-07-05 |
1255852901 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 100 Palmetto Health Pkwy Ste 320, Columbia, SC 29212-1756 | 2017-07-03 |
1295976967 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 8950 University Blvd., Ste 200, N Charleston, SC 29406 | 2009-03-10 |
1598906265 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 2093 Henry Tecklenburg Dr Ste 200e, Charleston, SC 29414-5742 | 2009-03-10 |
1992754865 | Seraphin John Millon | Orthopaedic Surgery | 1011 Frontage Rd, Greenville, SC 29615-4240 | 2006-05-09 |
1619945540 | David B. Fulton | Orthopaedic Surgery | 14 Richland Medical Park Dr, Suite 200, Columbia, SC 29203-6877 | 2006-03-08 |
1104448208 | Anmed Health | Orthopaedic Surgery | 100 Healthy Way Ste 1200, Anderson, SC 29621-7916 | 2020-05-12 |
1346761897 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2017-07-05 |
1922529668 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 104 Saluda Pointe Dr, Lexington, SC 29072-7295 | 2017-07-03 |
1972054021 | Palmetto Health | Orthopaedic Surgery | 101 Business Park Blvd, 2nd Floor, Columbia, SC 29203-8401 | 2016-10-24 |
Find all providers with the same taxonomy |
City | NORTH CHARLESTON |
Zip Code | 29406 |
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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.