SEAN KERSHAW (NPI# 1417315052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417315052 |
| Entity Type | Individual |
| Full Name | SEAN KERSHAW |
| Practice Address |
1232 Chuck Dawley Blvd Mt Pleasant SC 29464-4186 |
| Practice Telephone | 8439919051 |
| Practice Fax Number | 8438842827 |
| Mailing Telephone | 8439919051 |
| Mailing Fax Number | 8438842827 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
48282 | SC | Other Service Providers |
| Street Address |
1232 CHUCK DAWLEY BLVD |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-4186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598390288 | Epps Maintenance | Contractor | 319 Outing Club Rd, Aiken, SC 29801-8689 | 2020-03-03 |
| 1902366701 | Clarissa Graham | Contractor | 8106 Flintwood Ct, North Charleston, SC 29406-9435 | 2019-03-20 |
| 1770030512 | Allen Adgerson | Contractor | 1421 Hidden Valley Dr, Orangeburg, SC 29118-2014 | 2016-09-09 |
| 1609321983 | J&j Repair | Contractor | 2503 Dunbar Rd, Georgetown, SC 29440-2045 | 2016-08-17 |
| 1891153193 | The D Graham Group LLC | Contractor | 513 2nd Ave, Kingstree, SC 29556-2913 | 2016-02-02 |
| 1326438565 | Revekeo Scott | Contractor | 908 Friarsgate Blvd, Irmo, SC 29063-2774 | 2015-01-26 |
| 1891193637 | Clarice Mitchell | Contractor | 1453 Battery Park Rd, Nesmith, SC 29580-3058 | 2014-12-10 |
| 1386058360 | Darrell Brown | Contractor | 28 Deer Dr, Kingstree, SC 29556-3155 | 2014-06-17 |
| 1477858496 | David Grove | Contractor | 1714 Lakeland Trl, Tega Cay, SC 29708-8378 | 2011-01-23 |
| 1669708731 | Ronald Byrd Jr. | Contractor | 2214 Wallace St, Columbia, SC 29201-1942 | 2009-10-26 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
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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.