LOWCOUNTRY AMBULATORY CENTER, LLC (NPI# 1295176139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295176139 |
| Entity Type | Organization |
| Organization Name | LOWCOUNTRY AMBULATORY CENTER, LLC |
| Practice Address |
1844 Wallace School Rd Charleston SC 29407-4822 |
| Mailing Address |
641 Saint Andrews Blvd Charleston SC 29407-7165 |
| Practice Telephone | 8437664070 |
| Practice Fax Number | 8437660633 |
| Mailing Telephone | 8437664070 |
| Mailing Fax Number | 8437660633 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |
| Authorized Official Name | ERIC E RADABAUGH (CEO) |
| Authorized Official Telephone | 8437664070 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
SC-11-48 | SC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639433956 | Lowcountry Ambulatory Center, LLC | Clinic/Center | 641 Saint Andrews Blvd, Charleston, SC 29407-7165 | 2012-07-02 |
| Street Address |
1844 WALLACE SCHOOL RD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-4822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467017004 | Branstiter Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1844 Wallace School Rd, Charleston, SC 29407-4822 | 2019-05-09 |
| 1699117242 | Aly D Branstiter | Anesthesiology | 1844 Wallace School Rd, Charleston, SC 29407-4822 | 2013-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295853885 | Day Surgery Limited Liability | Clinic/Center | 2335 Chesterfield Avenue, Suite 400, Charleston, WV 25304 | 2007-03-26 |
| 1073601746 | Lowcountry Surgery Center | Clinic/Center | 18 Farmfield Ave, Charleston, SC 29407-7704 | 2006-10-10 |
| 1639433956 | Lowcountry Ambulatory Center, LLC | Clinic/Center | 641 Saint Andrews Blvd, Charleston, SC 29407-7165 | 2012-07-02 |
| 1740562677 | Lowcountry Surgery Center LLC | Clinic/Center | 18 Farmfield Ave, Charleston, SC 29407-7704 | 2011-09-16 |
| 1669610937 | Rsfh James Island Surgery Center, LLC | Clinic/Center | 325 Folly Rd, Suite 200, Charleston, SC 29412-2507 | 2009-01-26 |
| 1467620161 | Southeastern Facial Plastic Cosmetic Surgery Center, P.a. | Clinic/Center | 247 Calhoun St, Charleston, SC 29401-1306 | 2008-02-15 |
| 1346331329 | Physicians Eye Surgery Center LLC | Clinic/Center | 2060 Charlie Hall Blvd, Suite 301, Charleston, SC 29414 | 2006-09-27 |
| 1730296997 | Day Surgery Limited Liability | Clinic/Center | 2335 Chesterfield Ave, Suite 400, Charleston, WV 25304-1066 | 2006-08-24 |
| 1376592204 | Palmetto Endoscopy Center LLC | Clinic/Center | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2006-05-08 |
| 1922061456 | Trident Ambulatory Surgery Center, L.p. | Clinic/Center | 9313 Medical Plaza Dr, Suite 102, Charleston, SC 29406-9155 | 2006-04-07 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
Please comment or provide details below to improve the information on LOWCOUNTRY AMBULATORY CENTER, LLC.
| 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.