DR. PHYLLIS W. ROGERSON (NPI# 1215940978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215940978 |
| Entity Type | Individual |
| Full Name | DR. PHYLLIS W. ROGERSON |
| Credential | M.D. |
| Practice Address |
3510 N Highway 17 Ste 225 Mt Pleasant SC 29466-8233 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8438840301 |
| Practice Fax Number | 8436068036 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 14017 | SC | Other Service Providers |
| Y | 207V00000X | Obstetrics & Gynecology | 14017 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 140172 | 05 |
| Street Address |
3510 N HIGHWAY 17 STE 225 |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29466-8233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659358976 | Elaine Eustis | Obstetrics & Gynecology | 3510 N Highway 17 Ste 225, Mt Pleasant, SC 29466-8233 | 2005-12-28 |
| 1972980589 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 3510 N Highway 17 Ste 225, Mt Pleasant, SC 29466 | 2015-05-04 |
| 1245591403 | Lindsay Denise Foley | Obstetrics & Gynecology | 3510 N Highway 17 Ste 225, Mt Pleasant, SC 29466-8233 | 2012-06-05 |
| 1760673917 | Lauri Wilkes Bullen | Obstetrics & Gynecology | 3510 N Highway 17 Ste 225, Mt Pleasant, SC 29466-8233 | 2007-08-05 |
| 1831102417 | Susanne M. Bradford | Obstetrics & Gynecology | 3510 N Highway 17 Ste 225, Mt Pleasant, SC 29466-8233 | 2006-08-14 |
| 1982617650 | Karen H. Hallmark | Specialist | 3510 N Highway 17 Ste 225, Mt Pleasant, SC 29466-8233 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| Find all providers in zip 29466 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740297993 | Antonio P Reyes | Obstetrics & Gynecology | 2005 N Jefferson Ave, Mt Pleasant, TX 75455-2336 | 2006-08-01 |
| 1861499295 | Christian Smith Cook | Obstetrics & Gynecology | 851 Leonard Fulghum Dr, Suite 200, Mt Pleasant, SC 29464-3787 | 2005-06-30 |
| 1427484245 | East Cooper Obgyn, LLC | Obstetrics & Gynecology | 851 Leonard Fulghum Blvd, Suite 200, Mt Pleasant, SC 29464-3787 | 2013-09-25 |
| 1245591403 | Lindsay Denise Foley | Obstetrics & Gynecology | 3510 N Highway 17 Ste 225, Mt Pleasant, SC 29466-8233 | 2012-06-05 |
| 1558698621 | Tenet South Carolina Lowcountry Ob Gyn, LLC | Obstetrics & Gynecology | 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 | 2009-11-11 |
| 1902047236 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 570 Long Point Rd, Suite 130, Mt Pleasant, SC 29464-7930 | 2009-03-17 |
| 1760673917 | Lauri Wilkes Bullen | Obstetrics & Gynecology | 3510 N Highway 17 Ste 225, Mt Pleasant, SC 29466-8233 | 2007-08-05 |
| 1235285859 | Natalie Gregory | Obstetrics & Gynecology | 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 | 2007-01-26 |
| 1912082595 | Meghan E.r. Lynch | Obstetrics & Gynecology | 3510 Highway 17 N, Ste 225, Mt Pleasant, SC 29466-8227 | 2006-10-25 |
| 1558443994 | Gratiot Medical Center | Obstetrics & Gynecology | 1970 Ashland Dr, Mt Pleasant, MI 48858-1219 | 2006-10-19 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 29466 |
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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.