ANDRE BECKER UFLACKER


Address: 171 Ashley Ave, Charleston, SC 29425-0001
Phone: 8437921414

ANDRE BECKER UFLACKER (NPI# 1396970323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396970323
Entity Type Individual
Full Name ANDRE BECKER UFLACKER
Credential M.D.
Practice Address 171 Ashley Ave
Charleston
SC 29425-0001
Mailing Address Po Box 751461
Charlotte
NC 28275-1461
Practice Telephone 8437921414
Mailing Telephone 8437926200
Enumeration Date 2009-05-19
Last Update Date 2019-04-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
81911 SC Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
0101252849 VA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 171 ASHLEY AVE
City CHARLESTON
State SC
Zip Code 29425-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942203922 Nicholas J Pastis Jr. Internal Medicine 171 Ashley Ave, Charleston, SC 29425-8900 2005-05-24
1760083745 Eleta Lazar Donelan Physician Assistant 171 Ashley Ave, Charleston, SC 29425-0100 2020-11-05
1285231340 Bree Romecki Nurse Practitioner 171 Ashley Ave, Charleston, SC 29425-0100 2020-10-02
1942812078 Warren Allen James Student in an Organized Health Care Education/Training Program 171 Ashley Ave, Charleston, SC 29425-8908 2020-08-19
1457962060 Rosmary Ros-demarize Psychologist 171 Ashley Ave, Charleston, SC 29425-0100 2020-08-17
1558971390 Auryelle Ascue Nurse Practitioner 171 Ashley Ave, Charleston, SC 29425-8908 2020-08-06
1396361994 David Gonzalez Nurse Practitioner 171 Ashley Ave, Charleston, SC 29425-8911 2020-06-19
1003432592 Hannah Burrick Audiologist 171 Ashley Ave, Charleston, SC 29425-8903 2020-06-19
1528683562 Kelsey Renee Full Emergency Medicine 171 Ashley Ave, Charleston, SC 29425-0100 2020-06-16
1861017949 Christina Lee Anesthesiology 171 Ashley Ave, Charleston, SC 29425-8908 2020-06-14
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801325550 Antony Mikhail Gayed Radiology 169 Ashley Avenue Room 202, Msc 333, Charleston, SC 29425 2017-06-07
1689920878 Kyle Alan Vanmiddlesworth Radiology 169 Ashley Ave, Charleston, SC 29425-8905 2012-07-25
1194012914 Ricardo Tadayoshi Barbosa Yamada Radiology 171 Ashley Ave, Charleston, SC 29425-8908 2011-06-30
1740591098 Vanessa Tavares P Silvino Radiology 169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425-8905 2010-07-01
1790963684 Marcelo Silveira Guimaraes Radiology 171 Ashley Ave, Charleston, SC 29425-8908 2008-02-04
1992880181 Ricardo De Olivaes Lacerda Radiology 171 Ashley Ave, Charleston, SC 29425-0001 2006-10-26
1619911302 John Selby Jr. Radiology 171 Ashley Ave, Charleston, SC 29425-0001 2006-06-15
1073556916 Claudio Schonholz Radiology 171 Ashley Ave, Charleston, SC 29425-0001 2006-06-14
1164469672 Christopher Hannegan Radiology 171 Ashley Ave, Charleston, SC 29425-0001 2006-06-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801115092 Jonathan Robert Hinshelwood Radiology 1210 W Faris Rd, Greenville, SC 29605-4444 2010-05-27
1336311901 Palmetto Health Radiology Taylor At Marion St, Columbia, SC 29220-0001 2008-03-24
1164583357 Mppg, Inc. Radiology 7 Mallet Way, Bluffton, SC 29910 2006-12-12
1700998648 Paresh Shah Radiology 3 Richland Medical Park Dr, Columbia, SC 29203-6849 2006-08-31
1336151729 Julie U. Park Radiology 101 E Wood St, Spartanburg, SC 29303-3040 2006-08-13
1225014657 Carolina Radiology Associates LLC Radiology 300 Singleton Ridge Rd, Conway, SC 29526-9142 2005-12-18

Competitor

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City CHARLESTON
Zip Code 29425

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Dataset Information

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.

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