CHARLESTON GERIATRICS AND POST - ACUTE CARE LLC (NPI# 1487031001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487031001 |
| Entity Type | Organization |
| Organization Name | CHARLESTON GERIATRICS AND POST - ACUTE CARE LLC |
| Practice Address |
930 Tall Pine Rd Mount Pleasant SC 29464-2910 |
| Practice Telephone | 8432091454 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |
| Authorized Official Name | JOHN E KLECKLEY (OWNER) |
| Authorized Official Telephone | 8432091454 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
29749 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
930 TALL PINE RD |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29464-2910 |
| 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 | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710486121 | Integrity Senior Health | Family Medicine | 4347 Danbury Ln, Mount Pleasant, WI 53403-4022 | 2018-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699041160 | Sarah E Whitehead | Family Medicine | Paris View Family Medicine, 1028 North Church Street, Greenville, SC 29601-1639 | 2012-03-28 |
| 1376854406 | Liberty Doctors, LLC | Family Medicine | 8761 Dorchester Rd, Suite 230, North Charleston, SC 29420-7322 | 2010-06-23 |
| 1720310055 | Green Ridge Group Inc | Family Medicine | 100 Forum Dr, Ste 3-255, Columbia, SC 29229-7944 | 2010-02-11 |
| 1306076542 | Veena G Naidu | Family Medicine | 203 Sapphire Vly, Anderson, SC 29621-4285 | 2009-07-22 |
| 1922236751 | Roper Saint Francis Physicians Network | Family Medicine | 4959 Highway 17, Murrells Inlet, SC 29576 | 2009-07-01 |
| 1265696439 | St. Andrews Surgical Assoc. PC | Family Medicine | 1006 Old Chapin Rd, Lexington, SC 29072-9549 | 2008-07-16 |
| 1417146127 | Russell G. Gaddy M.d. | Family Medicine | 10 Winchester Ct, Mauldin, SC 29662-2627 | 2007-10-18 |
| 1982724241 | Mark J. Meiler, Md | Family Medicine | 124 Live Oak Rd, Aiken, SC 29803-2663 | 2007-03-30 |
| 1518090901 | Andres Felix Leone | Family Medicine | 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 | 2007-03-14 |
| 1013057520 | Upstate Homecare Md, LLC | Family Medicine | 212 Horse Head Point Dr, Seneca, SC 29672-8010 | 2007-02-07 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on CHARLESTON GERIATRICS AND POST - ACUTE CARE LLC.
| 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.