MR. CLINTON AMOS MEDBERY III (NPI# 1609873421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609873421 |
| Entity Type | Individual |
| Full Name | MR. CLINTON AMOS MEDBERY III |
| Credential | M.D. |
| Practice Address |
535 Wampler Dr Charleston SC 29412-9176 |
| Practice Telephone | 4052107471 |
| Mailing Telephone | 4052107471 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
16840 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
535 WAMPLER DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29412-9176 |
| 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 | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548758907 | Sarah Brice Russo | Radiology | 169 Ashley Avenue, Room 202 Main Hospital Msc 333, Charleston, SC 29425 | 2018-05-01 |
| 1992117493 | Charlotte Ivey Rivers | Radiology | 171 Ashley Ave, Charleston, SC 29425-3021 | 2014-06-02 |
| 1043473739 | Graham Warren | Radiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-07-03 |
| 1881863389 | Laurie Ray Harrell | Radiology | 316 Calhoun St, Charleston, SC 29401-1113 | 2008-02-28 |
| 1275684227 | University Medical Associates | Radiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2007-01-16 |
| 1710080957 | Lloyd Joseph Farinash | Radiology | 3415 Maccorkle Ave Se, Charleston, WV 25304-1334 | 2006-09-06 |
| 1942227558 | University Medical Associates | Radiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2006-07-17 |
| 1790725695 | Jennifer L Harper | Radiology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-06-08 |
| 1457308678 | Eric G Aguero | Radiology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-05-31 |
| 1861449688 | Lowcountry Radiation Oncology, Pa | Radiology | 316 Calhoun St, Charleston, SC 29401-1113 | 2006-05-27 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29412 |
Please comment or provide details below to improve the information on MR. CLINTON AMOS MEDBERY III.
| 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.