DR. KENT J STOCK (NPI# 1356331904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356331904 |
| Entity Type | Individual |
| Full Name | DR. KENT J STOCK |
| Credential | D.O. |
| Practice Address |
1938 B Charlie Hall Blvd Charleston SC 29414-5837 |
| Mailing Address |
1938 B Charlie Hall Blvd Charleston SC 29414-6099 |
| Practice Telephone | 8434020227 |
| Practice Fax Number | 8434020232 |
| Mailing Telephone | 8434020227 |
| Mailing Fax Number | 8434020232 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2011-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
0533 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP1016 | 05 |
| Street Address |
1938 B CHARLIE HALL BLVD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831195791 | Timothy Eugene West | Internal Medicine | 1938 B Charlie Hall Blvd, Charleston, SC 29414 | 2005-06-24 |
| 1114222403 | Elizabeth M Thompson | Nurse Practitioner | 1938 B Charlie Hall Blvd, Charleston, SC 29414 | 2011-01-18 |
| 1164408233 | Theresa W Dryden | Nurse Practitioner | 1938 B Charlie Hall Blvd, Charleston, SC 29414-5837 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1669716833 | Wanetta Susie Matulis | Internal Medicine | 68 Quarry Rdg, Charleston, WV 25304-1051 | 2012-11-12 |
| 1942398235 | Fred T Kerns | Internal Medicine | 3100 Maccorkle Ave Se Ste 604, Charleston, WV 25304-1231 | 2006-10-11 |
| 1154393148 | Robert Wesley Farr | Internal Medicine | 3100 Maccorkle Ave Se Ste 902, Charleston, WV 25304-1234 | 2006-02-03 |
| 1073592937 | Infectious Diseases Consultants & Travel Medicine | Internal Medicine | 1565 Sam Rittenberg Blvd, Ste 200, Charleston, SC 29407-4138 | 2006-01-10 |
| 1780674556 | Ludwig A Lettau | Internal Medicine | 1938 Charlie Hall Blvd, Charleston, SC 29414-5837 | 2005-10-24 |
| 1831195791 | Timothy Eugene West | Internal Medicine | 1938 B Charlie Hall Blvd, Charleston, SC 29414 | 2005-06-24 |
| 1649276502 | Katherine A Minnick | Internal Medicine | 1481 Tobias Gadson Blvd Ste 1, Charleston, SC 29407-4879 | 2005-06-24 |
| 1528421658 | Henry Shiflett | Internal Medicine | 169 Ashley Avenue, Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2016-04-05 |
| 1972975241 | Ye Min Oo | Internal Medicine | 3100 Maccorkle Ave Se Ste 902, Charleston, WV 25304-1234 | 2015-10-27 |
| 1295119865 | Cameron J Selent | Internal Medicine | 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414-6099 | 2015-07-14 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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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.