DR. SHANTAE JAMES JENKINS (NPI# 1194923094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194923094 |
| Entity Type | Individual |
| Full Name | DR. SHANTAE JAMES JENKINS |
| Credential | MD, PHD |
| Practice Address |
8471 Dorchester Rd North Charleston SC 29420-7381 |
| Mailing Address |
Po Box 602108 Charlotte NC 28260-2108 |
| Practice Telephone | 8438762879 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2013-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 30021 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
8471 DORCHESTER RD |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29420-7381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467994343 | Sherrel Aiken Brown | Psychologist | 8202 Pleasant Ridge Dr, North Charleston, SC 29420 | 2016-11-09 |
| 1609209014 | Melanie K Wise | Licensed Practical Nurse | 7763 Northside Drive, North Charleston, SC 29420 | 2013-08-21 |
| 1477883767 | Gina H Jones | Counselor | 5421 Riverbluff Pkwy, North Charleston, SC 29420 | 2010-01-08 |
| 1881825933 | Thomas Nelson Pare IIi IIi | Dentist | 8626 Dorchester Road, Ste 102, Coosaw Dental, North Charleston, SC 29420 | 2009-08-06 |
| 1992953012 | Research & Education In Sleep Technologies, LLC | Clinic/Center | 8352 Whitehave Drive, North Charleston, SC 29420 | 2008-09-03 |
| 1194838532 | Raymond S Vicente | Dentist | 7481 Northside Dr, Suite A, North Charleston, SC 29420 | 2006-08-17 |
| 1083628697 | Eunice D Freeman | Counselor | 403 Willow Court, N.charleston, SC 29420 | 2006-07-28 |
| 1750300406 | Alan Boyer Mcdaniel | Specialist | 7510 Northforest Drive, North Charleston, SC 29420 | 2006-07-19 |
| 1548240559 | John Joseph Forney | Family Medicine | 8761 Dorchester Rd Suite 230, Charleston, SC 29420 | 2006-01-18 |
| 1609320217 | Charleston Dermatology, PC | Dermatology | 5401 Netherby Lane, Ste 1202, North Charleston, SC 29420 | 2016-08-11 |
| Find all providers in zip 29420 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528345162 | Legacy Internal Medicine LLC | Internal Medicine | 9279 Medical Plaza Dr., Suite C, North Charleston, SC 29406 | 2011-11-10 |
| 1609168749 | Farhana Chaudhary | Internal Medicine | 9300 Medical Plaza Dr, North Charleston, SC 29406-9334 | 2011-05-09 |
| 1508165291 | Patrick Michael Looser | Internal Medicine | 4969 Centre Pointe Dr Ste 100, North Charleston, SC 29418 | 2011-03-21 |
| 1639486160 | Jared M Intaphan | Internal Medicine | 9150 Medcom St Ste B, North Charleston, SC 29406 | 2010-09-03 |
| 1205017860 | Hope Clinic LLC | Internal Medicine | 5880 Rivers Ave, North Charleston, SC 29406 | 2007-11-23 |
| 1275548067 | Andres J Arias | Internal Medicine | 2810 Ashley Phosphate Rd Ste B4, North Charleston, SC 29418-6406 | 2006-07-30 |
| 1023044245 | Tina M Botelho | Internal Medicine | 9275 Medical Plaza Dr Ste D, North Charleston, SC 29406-9140 | 2006-06-23 |
| 1295770436 | Eni Clement Okonofua | Internal Medicine | 5390 Dorchester Rd, North Charleston, SC 29418-5652 | 2006-06-19 |
| 1801831094 | Premier Internal Medicine, LLC | Internal Medicine | 9217 University Blvd, Suite C-1-d, North Charleston, SC 29406-9147 | 2006-06-19 |
| 1851342901 | Lowcountry Medical Associates | Internal Medicine | 3955 Faber Place Dr, Suite 202, North Charleston, SC 29405-8578 | 2006-05-13 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29420 |
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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.