LIBERTY DOCTORS, LLC (NPI# 1144421330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144421330 |
| Entity Type | Organization |
| Organization Name | LIBERTY DOCTORS, LLC |
| Other Organization Name | MT. PLEASANT URGENT CARE |
| Practice Address |
1405 Ben Sawyer Blvd Ste 105 Mt Pleasant SC 29464 |
| Mailing Address |
Po Box 13955 Charleston SC 29422-3955 |
| Practice Telephone | 8438848121 |
| Practice Fax Number | 8438841528 |
| Mailing Telephone | 8432258304 |
| Mailing Fax Number | 8432253549 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | MRS. SARA ELIZABETH MAYNOR-HARDY (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 8432258320 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIBERTY DOCTORS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 21530 | SC | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 21530 | SC | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP6738 | 05 | |
| SC | G39291 | 05 |
| Other Name | Type Code |
|---|---|
| Mt. Pleasant Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1376854406 | Liberty Doctors, LLC | Family Medicine | 8761 Dorchester Rd, Suite 230, North Charleston, SC 29420-7322 | 2010-06-23 |
| 1508928656 | Liberty Doctors, LLC | Specialist | 6518 Dorchester Rd Ste B, Charleston, SC 29418-5100 | 2006-12-15 |
| 1053954909 | Liberty Doctors, LLC | Family Medicine | 297 Seven Farms Dr Ste 202, Daniel Island, SC 29492-7553 | 2019-10-23 |
| 1194380162 | Liberty Doctors, LLC | Internal Medicine | 2270 Ashley Crossing Dr Ste 165, Charleston, SC 29414-5865 | 2019-05-06 |
| 1588119556 | Liberty Doctors, LLC | Pediatrics | 215 Town Creek Rd, Aiken, SC 29803-5843 | 2016-08-19 |
| 1689129652 | Liberty Doctors, LLC | Family Medicine | 21 Gamecock Ave, Charleston, SC 29407-3368 | 2016-08-19 |
| 1689051369 | Liberty Doctors, LLC | Family Medicine | 418 Folly Rd Ste A, Charleston, SC 29412-2625 | 2015-05-01 |
| 1881639862 | Liberty Doctors, LLC | Family Medicine | 1483 Tobias Gadson Blvd, Suite 206, Charleston, SC 29407-8702 | 2006-06-16 |
| 1376593350 | Liberty Doctors, LLC | Specialist | 100 Springhall Dr, Goose Creek, SC 29445-5335 | 2006-05-11 |
| Street Address |
1405 BEN SAWYER BLVD STE 105 |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912178682 | Cancer Control Center of Charleston,llc | Internal Medicine | 1405 Ben Sawyer Blvd, Mt Pleasant, SC 29464-5519 | 2008-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| 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 |
|---|---|---|---|---|
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1093163339 | Julia Killingsworth Isom | Family Medicine | 180 Wingo Way Ste 207, Mt Pleasant, SC 29464-1811 | 2016-05-26 |
| 1477907350 | Christina Danielle Downer | Family Medicine | 2853 Health Pkwy Ste B, Mt Pleasant, MI 48858-9375 | 2016-04-18 |
| 1154793362 | Paladina Health, LLC | Family Medicine | 917 Houston Northcutt Blvd, Mt Pleasant, SC 29464-3448 | 2015-10-27 |
| 1790166163 | Sylvia Lee Clarkson | Family Medicine | 1440 Ben Sawyer Blvd Ste 1109, Mt Pleasant, SC 29464-5526 | 2015-06-11 |
| 1891106225 | Andrew Schleihauf | Family Medicine | 508 S Church St Ste 200, Mt Pleasant, PA 15666-1702 | 2014-05-20 |
| 1356695290 | Mount Pleasant Physicians,pllc | Family Medicine | 202 W 19th St, Mt Pleasant, TX 75455-2320 | 2012-10-30 |
| 1396048765 | Annu Mohan Md Pllc | Family Medicine | 2480 Rosewood Dr, Mt Pleasant, MI 48858-5003 | 2010-12-07 |
| 1356579890 | Ghassan N Hamadeh | Family Medicine | 1223 Vestige Sq, Mt Pleasant, SC 29464-9031 | 2009-06-23 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
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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.