DR. JESSICA A CONNOR (NPI# 1457912909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457912909 |
| Entity Type | Individual |
| Full Name | DR. JESSICA A CONNOR |
| Credential | MD |
| Practice Address |
135 Rutledge Ave Fl 5 Charleston SC 29425-8903 |
| Practice Telephone | 8437187345 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | LL82902 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770921611 | Jessica M. Connor | Developmental Therapist | 5800 Sunset Ave, La Grange Highlands, IL 60525-7119 | 2013-06-13 |
| 1205072915 | Jessica Erin Connor | Social Worker | 4533 Macarthur Blvd Ste 5025, Newport Beach, CA 92660-2059 | 2008-12-30 |
| 1972163582 | Jessica Connor | Nurse Practitioner | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2019-06-17 |
| Street Address |
135 RUTLEDGE AVE FL 5 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393098 | Christopher William Ritchie | Urology | 135 Rutledge Ave Fl 5, Charleston, SC 29425-8903 | 2019-06-05 |
| 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 |
| 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 Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393098 | Christopher William Ritchie | Urology | 135 Rutledge Ave Fl 5, Charleston, SC 29425-8903 | 2019-06-05 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1679828750 | Thomas Alexander Kirkland Jr. | Urology | 2 Ladson St, Apt. A, Charleston, SC 29401-2757 | 2012-07-16 |
| 1174846398 | Paul Walter Sanders | Urology | 18 Guerard Rd, Charleston, SC 29407-7549 | 2010-03-02 |
| 1093948283 | Samuel Dwane Thomas | Urology | 2 Wharfside St Apt 5e, Charleston, SC 29401-1653 | 2009-09-03 |
| 1649496571 | Shozo Kurusu | Urology | 1313 Quarrier St, Charleston, WV 25301-6002 | 2007-04-18 |
| 1588722102 | Bashir R. Sankari | Urology | 501 Morris Street, 5 West, Camc Renal Transplant Center, Charleston, WV 25301 | 2006-12-05 |
| 1053497453 | Ross Samuel Oliver Jr. | Urology | 2335 Chesterfield Avenue, Suite 101, Charleston, WV 25304-1066 | 2006-10-27 |
| 1205920261 | James P. Tierney | Urology | 11 Courtney Drive, Charleston, WV 25304 | 2006-10-03 |
| 1861400632 | Integrated Health Care Providers, Inc. | Urology | 1201 Washington St E Ste 105, Charleston, WV 25301-1850 | 2006-08-04 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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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.