MEDICAL UNIVERSITY OF SOUTH CAROLINA (NPI# 1275840423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275840423 |
| Entity Type | Organization |
| Organization Name | MEDICAL UNIVERSITY OF SOUTH CAROLINA |
| Practice Address |
25 Courtenay Dr Charleston SC 29425-8911 |
| Practice Telephone | 8437922300 |
| Mailing Telephone | 8437922300 |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |
| Authorized Official Name | DR. RAYMOND S GREENBERG (PRESIDENT/CEO) |
| Authorized Official Telephone | 8437922211 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
4329 | SC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669950903 | Medical University of South Carolina | Clinic/Center | 30 Bee St Ste 102, Charleston, SC 29425-8910 | 2018-07-30 |
| 1295161420 | Medical University of South Carolina | General Acute Care Hospital | 8792 Shadowglen Dr, North Charleston, SC 29420-8358 | 2013-09-19 |
| 1407053853 | Medical University of South Carolina | General Acute Care Hospital | 167 Ashley Avenue, Suite 301, Charleston, SC 29425 | 2007-06-29 |
| 1053422790 | Medical University of South Carolina | Clinic/Center | 60 Barre St, Charleston, SC 29401-1106 | 2006-08-31 |
| 1437636057 | Medical University of South Carolina | Clinical Medical Laboratory | 171 Ashley Ave, Charleston, SC 29425-0100 | 2018-07-26 |
| 1639593254 | Medical University of South Carolina | Dentist | 173 Ashley Ave, Charleston, SC 29425-8908 | 2014-02-18 |
| 1538452313 | Medical University of South Carolina | General Acute Care Hospital | 171 Ashley Ave, Charleston, SC 29425-0100 | 2011-05-26 |
| 1285818104 | Medical University of South Carolina | General Acute Care Hospital | 169 Ashley Ave, Charleston, SC 29425-8905 | 2007-12-27 |
| 1659560670 | Medical University of South Carolina | Clinic/Center | 2125 Charlie Hall Blvd, Charleston, SC 29414-5879 | 2007-10-16 |
| 1508052283 | Medical University of South Carolina | General Acute Care Hospital | 135 Rutledge St, Charleston, SC 29425-8903 | 2007-09-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICAL UNIVERSITY OF SOUTH CAROLINA THE | 179 Ashley Ave, Charleston, SC 29425-8908 |
| Street Address |
25 COURTENAY DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326048117 | Marianne Fiutem | Nurse Anesthetist, Certified Registered | 25 Courtenay Dr, Charleston, SC 29425-8911 | 2005-07-22 |
| 1124635099 | Julie A Ehret | Pharmacist | 25 Courtenay Dr, Charleston, SC 29425-8911 | 2020-09-25 |
| 1053956870 | Katelyn Ferguson | Dietitian, Registered | 25 Courtenay Dr, Suite 1302, Charleston, SC 29425-8911 | 2019-11-15 |
| 1528621919 | Ashley Ruth Charlton | Registered Nurse | 25 Courtenay Dr, Charleston, SC 29425-8911 | 2019-04-21 |
| 1932695780 | Shaniqua Fludd | Registered Nurse | 25 Courtenay Dr, Charleston, SC 29425-8911 | 2018-07-05 |
| 1154850576 | Jason S Haney | Pharmacist | 25 Courtenay Dr, Charleston, SC 29425-8906 | 2017-06-08 |
| 1437608395 | Justin Sanford | Pharmacist | 25 Courtenay Dr, Room M104, Charleston, SC 29425-8911 | 2016-10-03 |
| 1710349873 | Sagar Harshad Patel | Internal Medicine | 25 Courtenay Dr, Charleston, SC 29425-1240 | 2016-03-27 |
| 1750763157 | Carlo Nicola De Cecco | Radiology | 25 Courtenay Dr, Msc 226, Charleston, SC 29425-8911 | 2015-06-22 |
| 1417336744 | Elina Dimeglio | Registered Nurse | 25 Courtenay Dr, Charleston, SC 29425-8911 | 2015-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568769354 | Wvupc-medicine & Specialty Office | Clinic/Center | 4522 Maccorkle Ave Se, Charleston, WV 25304-1840 | 2011-02-15 |
| 1912204702 | Wvupc-camc Fam Med Surgery Center | Clinic/Center | 1201 Washington St E, Charleston, WV 25301-1834 | 2011-02-15 |
| 1922323740 | G T Little Md P.a. | Clinic/Center | 280 Rutledge Ave, Charleston, SC 29403-5352 | 2010-04-05 |
| 1285860098 | Palmetto Vein Specialists, LLC | Clinic/Center | 9313 Medical Plaza Dr, Ste 303, Charleston, SC 29406-9155 | 2009-06-08 |
| 1295906816 | Coastal Gastroenterology & Hepatology LLC | Clinic/Center | 1616 Ashley River Rd, Charleston, SC 29407-5902 | 2008-03-24 |
| 1164690947 | Arrhythmia Specialists of Charleston | Clinic/Center | 125 Doughty St, Suite 695, Charleston, SC 29403-5736 | 2008-02-14 |
| 1033393954 | E Family Medicin Grp | Clinic/Center | 295 Calhoun St, Charleston, SC 29425-8904 | 2007-12-27 |
| 1174706337 | Seung-jun O, PC | Clinic/Center | 2097 Henry Tecklenburg Dr, Suite 212 West, Charleston, SC 29414-5740 | 2007-12-11 |
| 1962696112 | Jan H. Cunningham, Md, Pllc | Clinic/Center | 830 Pennsylvania Ave, 405, Charleston, WV 25302-3302 | 2007-08-30 |
| 1912029612 | Trident Medical Center, LLC | Clinic/Center | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2007-04-04 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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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.