WILDSTEIN SPINE CENTER, PA (NPI# 1609050236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609050236 |
| Entity Type | Organization |
| Organization Name | WILDSTEIN SPINE CENTER, PA |
| Practice Address |
418 Folly Rd Suite C Charleston SC 29412-2625 |
| Mailing Address |
1614 Ocean Neighbors Blvd Charleston SC 29412-9647 |
| Practice Telephone | 8434062771 |
| Practice Fax Number | 8434062789 |
| Mailing Telephone | 8434062771 |
| Mailing Fax Number | 8434062789 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2015-01-13 |
| Authorized Official Name | DR. MICHAEL SCOTT WILDSTEIN (PRESIDENT) |
| Authorized Official Telephone | 8434062771 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
24445 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
418 FOLLY RD SUITE C |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29412-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295715977 | Hugh D. Durrence, Md, PC | Family Medicine | 418 Folly Rd, Suite A, Charleston, SC 29412-2625 | 2006-01-19 |
| 1194116707 | Charleston Thyroid & Endocrine Specialists LLC | Internal Medicine | 418 Folly Rd, Suite A, Charleston, SC 29412-2625 | 2015-02-18 |
| 1245643212 | Fall Prevention Alliance | Ophthalmology | 418 Folly Rd, Suite A, Charleston, SC 29412-2625 | 2014-06-08 |
| 1982974556 | Kylie Stott | Physician Assistant | 418 Folly Rd, #a, Charleston, SC 29412-2625 | 2012-01-12 |
| 1750551206 | Hugh D Durrence | Family Medicine | 418 Folly Rd, Suite A, Charleston, SC 29412-2625 | 2008-03-11 |
| 1821268384 | David D. Egleston Md, Pa | Family Medicine | 418 Folly Rd, Suite A, Charleston, SC 29412-2625 | 2008-03-11 |
| 1124201702 | Annette Bilton Anderson, Md | Specialist | 418 Folly Rd, Suite A, Charleston, SC 29412-2625 | 2007-12-06 |
| 1578756375 | Jessica Erin Carlton Davis | Physical Therapist | 418 Folly Rd, Suite B, Charleston, SC 29412-2625 | 2007-08-24 |
| 1750462701 | Liberty Sleep Associates, LLC | Internal Medicine | 418 Folly Rd, Suite D, Charleston, SC 29412-2625 | 2006-10-18 |
| 1649350760 | Karla M Pou | Internal Medicine | 418 Folly Rd, Ste A, Charleston, SC 29412-2625 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219055 | Terra Rae Mchugh | Speech-Language Pathologist | 418 Folly Rd. Phc Rehab, Suite B, Charleston, SC 29412 | 2020-03-07 |
| 1437795747 | Brigitte Britt Huttemeyer | Nurse Practitioner | 678 Castle Pinckney Dr, Charleston, SC 29412 | 2019-11-21 |
| 1760956619 | Madison Culler, D.m.d., P.a. | Dentist | 211 Simmons Street, Mount Pleasant, SC 29412 | 2019-01-14 |
| 1366932717 | Harborview Speech Therapy, LLC | Speech-Language Pathologist | 783 Stebbins Street, Charleston, SC 29412 | 2018-05-11 |
| 1780193003 | Grace K Cotton | Speech-Language Pathologist | 1265 Marshview Dr, Charleston, SC 29412 | 2017-09-29 |
| 1639628449 | Matthew Husband | Occupational Therapist | 930 Folly Road, Suite B, Charleston, SC 29412 | 2016-09-22 |
| 1679941843 | Renee Poser | Pharmacist | 907 Folly Rd Suite A, James Island, SC 29412 | 2015-09-04 |
| 1508205717 | Amanda Marie Ashcraft | Dental Hygienist | 113 Wappoo Creek Drive Suite 5, James Island Dental Associates Pa, Charleston, SC 29412 | 2013-06-20 |
| 1104147818 | Glendolyn Harrison | Social Worker | 125e Wappoo Creek Drive, Suite 101e, Charleston, SC 29412 | 2010-06-16 |
| 1487986055 | Rachel E. Brunette | Physical Therapist | 418 B Folly Rd., Charleston, SC 29412 | 2010-02-08 |
| Find all providers in zip 29412 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184688293 | Matthew P Walker | Orthopaedic Surgery | 415 Morris St, Suite 400, Charleston, WV 25301-1842 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861971731 | Carolina Spine and Ortho LLC | Orthopaedic Surgery | 2730 Devine St, Columbia, SC 29205-2433 | 2018-08-10 |
| 1285136267 | Joint Replacement Cin of South Carolina LLC | Orthopaedic Surgery | 6650 Rivers Ave Ste 401, North Charleston, SC 29406-4809 | 2018-03-06 |
| 1962904946 | Select Health of Sc, LLC | Orthopaedic Surgery | 6650 Rivers Ave Ste 410, North Charleston, SC 29406-4809 | 2018-03-06 |
| 1760741953 | Southeastern Spine Institute, LLC | Orthopaedic Surgery | 1122 Chuck Dawley Blvd, Mt Pleasant, SC 29464-4183 | 2012-05-09 |
| 1760534358 | Southeastern Spine Institute,llc | Orthopaedic Surgery | 1625 Hospital Dr Ste 200, Mt Pleasant, SC 29464-3698 | 2007-01-17 |
| 1003986514 | William L. Mills | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2006-11-09 |
| 1497742720 | R. Blake Dennis | Orthopaedic Surgery | 1106 Chuck Dawley Blvd, Suite 100, Mount Pleasant, SC 29464-4183 | 2005-10-03 |
| 1073514139 | John Talley Parrott | Orthopaedic Surgery | 40 Pinnacle Pkwy Ste 100, Elgin, SC 29045-8390 | 2005-08-10 |
| 1124029103 | Paul Douglas Deholl | Orthopaedic Surgery | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2005-08-02 |
| 1396745485 | Anthony Wayne Alexander | Orthopaedic Surgery | 800 E Cheves St Ste 480-b, Florence, SC 29506-2650 | 2005-07-29 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 29412 |
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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.