TRIDENT EMERGENCY PHYSICIANS LLC (NPI# 1114024627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114024627 |
| Entity Type | Organization |
| Organization Name | TRIDENT EMERGENCY PHYSICIANS LLC |
| Practice Address |
9330 Medical Plaza Drive Charleston SC 29406 |
| Mailing Address |
Po Box 11450 Westminster CA 92685 |
| Practice Telephone | 8437977000 |
| Mailing Telephone | 8005098138 |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2009-04-22 |
| Authorized Official Name | BAIRD D OLDFIELD (PRESIDENT) |
| Authorized Official Telephone | 8437977000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP0167 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144238023 | Trident Emergency Physicians LLC | Emergency Medicine | 295 Midland Parkway, Summerville, SC 29483 | 2006-08-04 |
| 1053329938 | Trident Emergency Physicians LLC | Emergency Medicine | 401 N Live Oak Dr, Moncks Corner, SC 29461-5603 | 2006-08-04 |
| Street Address |
9330 MEDICAL PLAZA DRIVE |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699743344 | Joseph F Valicenti Jr. | Pathology | 9330 Medical Plaza Drive, Department of Pathology, Charleston, SC 29418-9195 | 2006-03-09 |
| 1114017118 | Christopher A Mccrae | Emergency Medicine | 9330 Medical Plaza Drive, Charleston, SC 29406 | 2006-10-13 |
| 1568574184 | Cameron James Maile | Emergency Medicine | 9330 Medical Plaza Drive, Trident Medical Center, Charleston, SC 29406 | 2006-08-31 |
| 1750330437 | Rick Lane Olson | Family Medicine | 9330 Medical Plaza Drive, Charleston, SC 29406 | 2006-05-09 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628898 | Gary L. Rose | Emergency Medicine | 1755 Ashley Hall Rd Apt E2, Charleston, SC 29407-3815 | 2020-08-05 |
| 1962061747 | Nathan Barr | Emergency Medicine | Musc Emergency Department 171 Ashley Ave, Charleston, SC 29425-0001 | 2019-06-06 |
| 1629561089 | John Brenton Bushkar | Emergency Medicine | 169 Ashley Ave Rm Nt265, Charleston, SC 29425 | 2018-06-11 |
| 1306201215 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 301 R H L Blvd Ste 3, Charleston, WV 25309-8275 | 2015-12-18 |
| 1356737738 | Sabrina Pope | Emergency Medicine | 316 Calhoun St., Charleston, SC 29401-1113 | 2015-04-12 |
| 1417397902 | Jason J Crumpler | Emergency Medicine | 169 Ashley Ave # Msc300, Charleston, SC 29425-8905 | 2013-06-27 |
| 1972866168 | Rachel A Scott | Emergency Medicine | Musc Division of Emergency Medicine, 169 Ashley Avenue, Msc 300, Charleston, SC 29425-0001 | 2012-06-21 |
| 1942437843 | Harvey Dean West | Emergency Medicine | 3131 Conservancy Ln, Charleston, SC 29414-8111 | 2009-06-18 |
| 1033371117 | Patrick Gene Shen | Emergency Medicine | 9330 Medical Center Plaza Dr, Charleston, SC 29406-9195 | 2008-06-30 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in CHARLESTON | ||||
| City | 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.