HAILEY BETH LIBENGOOD (NPI# 1508224015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508224015 |
| Entity Type | Individual |
| Full Name | HAILEY BETH LIBENGOOD |
| Credential | PA-C |
| Practice Address |
135 Rutledge Ave Charleston SC 29425-8903 |
| Mailing Address |
Po Box 1245 Orangeburg SC 29116-1245 |
| Practice Telephone | 8437923328 |
| Mailing Telephone | 8033954497 |
| Mailing Fax Number | 8033952237 |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2445 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
135 RUTLEDGE AVE |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417928144 | Leigh Vaughan | Internal Medicine | 135 Rutledge Ave, Charleston, SC 29425-0100 | 2006-01-31 |
| 1689292252 | Lauren Lynne Costello | Audiologist | 135 Rutledge Ave, Charleston, SC 29425-8903 | 2020-07-10 |
| 1235756578 | Joel Christopher Davies | Otolaryngology | 135 Rutledge Ave, Charleston, SC 29425-8903 | 2020-07-02 |
| 1427673979 | Kaylene Ann King | Audiologist | 135 Rutledge Ave, Charleston, SC 29425-8903 | 2020-06-10 |
| 1689296204 | Brittany Rebecca Cogdill Jones | Pharmacist | 135 Rutledge Ave, Charleston, SC 29425-8903 | 2020-05-18 |
| 1689216269 | Hannah Marie Feltner | Physician Assistant | 135 Rutledge Ave, Charleston, SC 29425-8903 | 2019-10-15 |
| 1356991962 | Aviva Sarah Engel | Physician Assistant | 135 Rutledge Ave, Charleston, SC 29425-8903 | 2019-09-16 |
| 1629627476 | Sarah Nicole Peglow | Physician Assistant | 135 Rutledge Ave, Charleston, SC 29425-8903 | 2019-09-04 |
| 1891343331 | Megan Latorre Mcmanus | Physician Assistant | 135 Rutledge Ave, Charleston, SC 29425-8903 | 2019-08-28 |
| 1538716063 | Emily Rose Kueser | Physician Assistant | 135 Rutledge Ave, Charleston, SC 29425-8903 | 2019-08-20 |
| Find all providers in the same location | ||||
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475326 | Rebecca Whealen | Physician Assistant | 2026 Huber Rd, Charleston, WV 25314-2236 | 2020-10-23 |
| 1275131054 | Ethan Brody Clontz | Physician Assistant | 1953 Pinehurst Ave, Charleston, SC 29414-6483 | 2020-10-13 |
| 1386251635 | Caitlin Estep | Physician Assistant | 3100 Maccorkle Ave Se Ste 802, Charleston, WV 25304-1233 | 2020-09-29 |
| 1487261509 | Reilly Kilpatrick | Physician Assistant | 1518 Blaze Ln, Charleston, SC 29412-8652 | 2020-09-24 |
| 1083228514 | Andrea Denise Boan | Physician Assistant | 12 Commercial Row Apt A, Charleston, SC 29412-3641 | 2020-09-02 |
| 1194343673 | Andrew N Brewer | Physician Assistant | 171 Ashley Ave Ste 419, Charleston, SC 29425-8908 | 2020-07-10 |
| 1396361309 | Jacquelyn Joseph | Physician Assistant | 134 Howard Mary Dr Apt A, Charleston, SC 29412-9581 | 2020-06-25 |
| 1639719990 | Jessy Marie Hamrick | Physician Assistant | 149 Dutch Rd Apt 105, Charleston, WV 25302-2530 | 2020-01-14 |
| 1093355521 | Virginia Noemi Escobar-cheng | Physician Assistant | 310 Red Mulberry Way Apt 3, Charleston, WV 25306-6395 | 2020-01-13 |
| 1598300279 | Breanne Marie Wiekamp | Physician Assistant | 20 Scarlet Oak Ln Apt 3, Charleston, WV 25306-1128 | 2019-11-17 |
| 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.