ALLISON C. BOSSONG (NPI# 1508417908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508417908 |
| Entity Type | Individual |
| Full Name | ALLISON C. BOSSONG |
| Practice Address |
2000 1st Ave Summerville SC 29486-0408 |
| Mailing Address |
Po Box 602108 Charlotte NC 28260-2108 |
| Practice Telephone | 8438767930 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3341 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2000 1ST AVE |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29486-0408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921454 | Cooper River Pediatric Therapy LLC | Speech-Language Pathologist | 119 Callibluff Dr, Summerville, SC 29486 | 2020-04-24 |
| 1750928164 | Tidewater Eyecare, LLC | Optometrist | 301 Front St., Summerville, SC 29486 | 2019-12-04 |
| 1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1699256081 | Denise Michelle Richardson | Speech-Language Pathologist | 201 School House Ln, Summerville, SC 29486 | 2018-08-24 |
| 1497243588 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 2205 2nd Avenue, Summerville, SC 29486 | 2018-04-25 |
| 1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
| 1023511144 | Grace Physical Therapy and Sports Rehab At Nexton | Clinic/Center | 5500 Front St, Suite 201, Summerville, SC 29486 | 2018-03-15 |
| 1295253086 | Dillon Robert Gregory | Specialist/Technologist | 313 Springdale Ct., Summerville, SC 29486 | 2017-09-01 |
| 1013456987 | Sfd Kids LLC | Dentist | 108 Parish Farms Drive, Summerville, SC 29486 | 2017-02-13 |
| Find all providers in zip 29486 | ||||
| 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 |
|---|---|---|---|---|
| 1104471705 | Ashley Jeane Black | Physician Assistant | 107 Lebsl Ct, Summerville, SC 29483-7552 | 2019-08-09 |
| 1306491907 | Brianna Blanton | Physician Assistant | 100 Blanton Ln, Summerville, SC 29483-3544 | 2019-08-09 |
| 1033668264 | Alison Paige Bull | Physician Assistant | 1101 Old Trolley Rd Ste 300, Summerville, SC 29485-5294 | 2016-09-29 |
| 1598148744 | Natalie Forsberg Inabnett | Physician Assistant | 2001 2nd Ave Ste 101, Summerville, SC 29486-7887 | 2015-07-07 |
| 1245563725 | Josephine Walker Dion Redmond | Physician Assistant | 210 W 6th North St, Summerville, SC 29483-6617 | 2009-09-15 |
| 1508811522 | Heidi Lynn Tatum | Physician Assistant | 87 Springview Ln, Summerville, SC 29485-9077 | 2006-05-24 |
| 1588663082 | Diana Dubois Alford | Physician Assistant | 602 N Main St, Summerville, SC 29483-6627 | 2005-07-18 |
| 1174122873 | Emma Saber | Physician Assistant | 295a Midland Pkwy Ste 120, Summerville, SC 29485-5901 | 2020-10-22 |
| 1215582812 | Jennifer Logan Wilkie | Physician Assistant | 1101 Old Trolley Rd Ste 300, Summerville, SC 29485-5294 | 2019-08-09 |
| 1477018083 | Kaitlyn Leigh Horner | Physician Assistant | 2001 2nd Ave Ste 201, Summerville, SC 29486-7887 | 2019-02-07 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29486 |
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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.