PALMETTO ENDOSCOPY CENTER LLC (NPI# 1376592204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376592204 |
| Entity Type | Organization |
| Organization Name | PALMETTO ENDOSCOPY CENTER LLC |
| Practice Address |
2073 Charlie Hall Blvd Charleston SC 29414-5834 |
| Practice Telephone | 8435710643 |
| Practice Fax Number | 8433770499 |
| Mailing Telephone | 8435710643 |
| Mailing Fax Number | 8433770499 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2010-09-09 |
| Authorized Official Name | SABRINA MCCLEAF (HR) |
| Authorized Official Telephone | 8435710673 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
ASF084 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ASC054 | 05 |
| Street Address |
2073 CHARLIE HALL BLVD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922057843 | Palmetto Digestive Disease Pa | Specialist | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2006-05-08 |
| 1629417761 | Lori Allison Robbins | Internal Medicine | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2013-06-21 |
| 1396004479 | Derek John Feussner | Internal Medicine | 2073 Charlie Hall Blvd, Charleston, SC 29414 | 2012-05-10 |
| 1386936110 | Alejandro Lee Suarez | Internal Medicine | 2073 Charlie Hall Blvd, Charleston, SC 29414 | 2011-05-12 |
| 1730329533 | John Litchfield | Internal Medicine | 2073 Charlie Hall Blvd, Charleston, SC 29414 | 2009-03-06 |
| 1962452367 | Michael Andreevich Sagatelian | Specialist | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2006-05-10 |
| 1679523070 | James William Schnell | Specialist | 2073 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2006-05-10 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295176139 | Lowcountry Ambulatory Center, LLC | Clinic/Center | 1844 Wallace School Rd, Charleston, SC 29407-4822 | 2013-07-08 |
| 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 |
| 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 | 29414 |
Please comment or provide details below to improve the information on PALMETTO ENDOSCOPY 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.