TAYLOR JESSICA CALLINAN


Address: 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894
Phone: 8437238823

TAYLOR JESSICA CALLINAN (NPI# 1487023263) 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) 1487023263
Entity Type Individual
Full Name TAYLOR JESSICA CALLINAN
Credential PA
Practice Address 2145 Henry Tecklenburg Dr Ste 220
Charleston
SC 29414-5894
Mailing Address Po Box 751649
Charlotte
NC 28275-1649
Practice Telephone 8437238823
Practice Fax Number 8436068059
Mailing Telephone 8437891620
Mailing Fax Number 8437242440
Enumeration Date 2015-09-22
Last Update Date 2020-10-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
2407 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC 2944PA 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1124 Sam Rittenberg Blvd, Suite 1, Charleston, SC 294073362 8435563462 8437662103

Office Location

Street Address 2145 HENRY TECKLENBURG DR STE 220
City CHARLESTON
State SC
Zip Code 29414-5894

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699766758 Derrick Wade Randall Anesthesiology 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 2005-10-28
1295245553 Brooke Jackson Kahn Physician Assistant 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414 2017-10-01
1720425077 Melissa L. Woriax Nurse Practitioner 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 2013-05-28
1699041715 Ryan Wills Uberman Physician Assistant 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 2012-03-23
1912148685 Roper Saint Francis Physicians Network Durable Medical Equipment & Medical Supplies 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414 2009-03-10
1588819205 Adele Petigru Moore Nurse Practitioner 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 2008-11-21
1770734675 Robert Morgan Stuart Neurological Surgery 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 2008-10-09
1770591760 Christopher Stephen Schafer Physician Assistant 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 2006-08-04
1538197306 Larry Gene Harris Physician Assistant 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 2006-06-29
1801823745 John Alexander Nicholson Physical Medicine & Rehabilitation 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 2006-06-27
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821470113 Lesley E. Weiss Physician Assistant 3200 Maccorkle Seave, Charleston, WV 25304-1227 2015-06-23
1063797447 Michael B Carothers Physician Assistant 2030 Wambaw Crk, Charleston, SC 29492-8382 2011-10-17
1316228679 Joanna Harvey Physician Assistant 2085 H Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-7710 2011-08-31
1689825895 Jeffrey Russell Pike Physician Assistant 2097 Henry Tecklenburg Dr Ste 305w, Charleston, SC 29414-5744 2008-10-07
1073662664 Kenneth Neil Dippel Physician Assistant 3200 Maccorkle Ave. Se, Camc Memorial Hospital, Charleston, WV 25304 2007-01-10
1790873099 Steven L Russell Physician Assistant 191 Rutledge Ave, Charleston, SC 29403-5822 2006-10-11
1376649723 Irene Belinda Coley Physician Assistant Ralph H. Johnson Va Medical Center, 109 Bee Street, Charleston, SC 29401 2006-09-15
1578597480 David Laurence Gross Physician Assistant 9313 Medical Plaza Dr Ste 102, Charleston, SC 29406-9153 2006-07-10
1851331714 Caroline M Bailey Physician Assistant 1 Bishop Gadsden Way, Suite 97, Charleston, SC 29412-3506 2006-06-08
1952357899 Constantina Helen Panos Physician Assistant 129 Queen St, Charleston, SC 29401-2424 2006-05-25
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 29414

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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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