DR. DEYANIRA JEREZ PRASTEIN (NPI# 1447385539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447385539 |
| Entity Type | Individual |
| Full Name | DR. DEYANIRA JEREZ PRASTEIN |
| Credential | MD |
| Practice Address |
2728 Sunset Blvd Suite 101 West Columbia SC 29169 |
| Mailing Address |
100 Kings Highway South Provider Enrollment Rochester NY 14617-5504 |
| Practice Telephone | 8039367095 |
| Practice Fax Number | 8039367908 |
| Mailing Telephone | 5859221304 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 293810 | NY | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD37713 | SC | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2009-01129 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2728 Sunset Blvd, Suite 101, West Columbia, SC 291694840 | 8039367095 | 8039367908 |
| Street Address |
2728 SUNSET BLVD SUITE 101 |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528066909 | Lynn Moore Tucker | Surgery | 2728 Sunset Blvd, Suite 104, West Columbia, SC 29169-4840 | 2005-07-11 |
| 1063019453 | Lexington Health Inc | Durable Medical Equipment & Medical Supplies | 2728 Sunset Blvd, West Columbia, SC 29169-4840 | 2020-10-08 |
| 1265979827 | Jennifer Kathleen Marsh | Nurse Practitioner | 2728 Sunset Blvd, Suite 300, West Columbia, SC 29169-4840 | 2017-01-20 |
| 1699217810 | Katelyn H Call | Nurse Practitioner | 2728 Sunset Blvd, Suite 300, West Columbia, SC 29169-4840 | 2016-11-07 |
| 1912399742 | Shannon Uyeda Burrell | Nurse Practitioner | 2728 Sunset Blvd, Suite 300, West Columbia, SC 29169-4840 | 2015-03-03 |
| 1033469176 | Lexington County Health Services District, Inc. | Surgery | 2728 Sunset Blvd, Ste 105, West Columbia, SC 29169 | 2012-09-17 |
| 1134362320 | Todd Samuel Lefkowitz | Surgery | 2728 Sunset Blvd, Ste 105, West Columbia, SC 29169 | 2009-04-17 |
| 1417119017 | South Carolina Heart Center Pa | Internal Medicine | 2728 Sunset Blvd, Ste 401, West Columbia, SC 29169-4840 | 2008-06-26 |
| 1033393145 | Lexington County Health Services District, Inc. | Obstetrics & Gynecology | 2728 Sunset Blvd, Suite 106, West Columbia, SC 29169 | 2007-12-26 |
| 1013197631 | Truesdale & Morrow Urology | Urology | 2728 Sunset Blvd, Suite 301, West Columbia, SC 29169-4840 | 2007-11-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841560513 | Lexington County Health Services District, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2728 Sunset Blvd Ste 400, West Columbia, SC 29169-4839 | 2012-01-11 |
| 1912193087 | William Martin Yarbrough | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2728 Sunset Blvd Ste 400, West Columbia, SC 29169-4839 | 2007-09-21 |
| 1073672358 | Heather Mcginnis Currier | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2728 Sunset Blvd Ste 400, West Columbia, SC 29169-4839 | 2006-12-06 |
| 1174571533 | Jeffrey Allen Travis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2728 Sunset Blvd Ste 400, West Columbia, SC 29169-4839 | 2006-05-05 |
| 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 |
| 1255717245 | Beth Damato | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9313 Medical Plaza Dr Ste 304, Charleston, SC 29406-9197 | 2015-08-03 |
| 1235533530 | Bruce Agster | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1422 Hooper St, Daniel Island, SC 29492-8481 | 2014-10-15 |
| 1447501754 | Willamsburg Regional Hospital | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 500 Thurgood Marshall Hwy Ste G, Kingstree, SC 29556-4143 | 2012-09-26 |
| 1114216454 | Sanford Manning Zeigler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 96 Jonathan Lucas St # 295, Charleston, SC 29425-2200 | 2011-04-06 |
| 1184930992 | Lowcountry Thoracic Surgery Associates Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1300 Hospital Dr Ste 360, Mount Pleasant, SC 29464-7776 | 2010-08-31 |
| 1629203187 | Roper Saint Francis Physicians Network | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8536 Palmetto Commerce Pkwy Ste 502, Ladson, SC 29456 | 2009-05-27 |
| 1255503884 | Robert John Mccardle Sr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 811 W Main Street, Lexington, SC 29169 | 2008-03-24 |
| 1235356320 | Morris H Drucker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 67 Leamington Lane, Hilton Head Island, SC 29928-5150 | 2007-04-19 |
| 1518024868 | Palmetto Cardiovascular and Thoracic Assoc Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9231 Medical Plaza Dr Ste D, Charleston, SC 29406-9101 | 2007-01-03 |
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| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.