TIDEWATER MEDICAL, INC. (NPI# 1174632368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174632368 |
| Entity Type | Organization |
| Organization Name | TIDEWATER MEDICAL, INC. |
| Other Organization Name | TOTAL WOUND CARE SOLUTIONS |
| Practice Address |
547 Long Point Rd Ste 100 Mt Pleasant SC 29464-8337 |
| Mailing Address |
Po Box 707 Mt Pleasant SC 29465-0707 |
| Practice Telephone | 8888589988 |
| Practice Fax Number | 8669916282 |
| Mailing Telephone | 8888589988 |
| Mailing Fax Number | 8669916282 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-04-20 |
| Authorized Official Name | MR. DANIEL FRANCIS GILSENAN (OWNER) |
| Authorized Official Telephone | 8888589988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009964830 | 05 | |
| AR | 154336741 | 05 | |
| OH | 2243870 | 05 | |
| NY | 02157028 | 05 | |
| CO | 33908346 | 05 | |
| MI | 4841328 | 05 | |
| KY | 90008202 | 05 | |
| SC | DE1861 | 05 | |
| GA | 00905528A | 05 | |
| PA | 01845646 | 05 | |
| MD | 298300100 | 05 | |
| NJ | 8666903 | 05 | |
| MS | 05406730 | 05 | |
| NM | 84922061 | 05 | |
| LA | 1106941 | 05 | |
| OK | 200057890A | 05 | |
| MO | 625296900 | 05 | |
| NC | 7703359 | 05 |
| Other Name | Type Code |
|---|---|
| Total Wound Care Solutions | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043627193 | Tidewater Medical, Inc. | Durable Medical Equipment & Medical Supplies | 64 Central St, Georgetown, MA 01833-2423 | 2014-07-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | TIDEWATER MEDICAL, INC.. | 547 Long Point Rd. Ste. 100, Mt. Pleasant, SC 29464 |
| Street Address |
547 LONG POINT RD STE 100 |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-8337 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740810266 | Anchora Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3015 Dunes West Blvd Ste 507, Mt Pleasant, SC 29466-8252 | 2020-01-23 |
| 1417392861 | Homecare Dme | Durable Medical Equipment & Medical Supplies | 2353 Highway 17 Byp N, Mt Pleasant, SC 29466-6807 | 2013-04-29 |
| 1952604894 | My Infant Needs,inc | Durable Medical Equipment & Medical Supplies | 407 County Road 1520, Mt Pleasant, TX 75455-7378 | 2010-12-15 |
| 1285864058 | Coastalsurg, Inc | Durable Medical Equipment & Medical Supplies | 4466 Downing Place Way, Mt Pleasant, SC 29466-8068 | 2009-07-15 |
| 1902080799 | Orthopaedic Specialists of Charleston | Durable Medical Equipment & Medical Supplies | 594 Lone Tree Drive, Mt Pleasant, SC 29464 | 2007-12-28 |
| 1306045893 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3000 Proprietors Pl, Mt Pleasant, SC 29466-8361 | 2007-07-13 |
| 1275673600 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 1015 E Pickard St, Mt Pleasant, MI 48858-1062 | 2007-02-07 |
| 1477693729 | Long Point Pharmacy | Durable Medical Equipment & Medical Supplies | 616 Long Point Rd, Unit H, Mt Pleasant, SC 29464-8222 | 2007-02-07 |
| 1215087531 | Josi Ltd | Durable Medical Equipment & Medical Supplies | 300 W Washington St, Mt Pleasant, IA 52641-2150 | 2007-01-11 |
| 1104983287 | Piggly Wiggly Mt Pleasant Inc | Durable Medical Equipment & Medical Supplies | 1981 Riviera Dr, Mt Pleasant, SC 29464-7401 | 2007-01-02 |
| 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.