DR. RICHARD HERMAN WOERNDLE (NPI# 1639298912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639298912 |
| Entity Type | Individual |
| Full Name | DR. RICHARD HERMAN WOERNDLE |
| Credential | DO |
| Practice Address |
955 Ribaut Rd Beaufort SC 29902-5441 |
| Mailing Address |
955 Ribaut Rd Bmac Credentialing Beaufort SC 29902-5441 |
| Practice Telephone | 8435225200 |
| Mailing Telephone | 8435227843 |
| Mailing Fax Number | 8435225678 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2019-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
39077 | SC | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
5101016363 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 390776 | 05 |
| Street Address |
955 RIBAUT RD |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902-5441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366436073 | Beaufort County Memorial Hospital | General Acute Care Hospital | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2005-09-08 |
| 1083270995 | Taylor D Robinson | Nurse Practitioner | 955 Ribaut Rd, Beaufort, SC 29902-5454 | 2019-05-15 |
| 1851868244 | Roxanne Davis Cote | Dietitian, Registered | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2018-10-24 |
| 1023585411 | Jessica Marie Hausfeld | Dietitian, Registered | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2018-10-24 |
| 1366917940 | Lydia C Wickenhoefer | Dietitian, Registered | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2018-10-10 |
| 1871091199 | Michael Conner Seepe | Nurse Anesthetist, Certified Registered | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2018-02-01 |
| 1356849814 | Charlotte Seepe | Nurse Anesthetist, Certified Registered | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2018-01-30 |
| 1063928935 | Beaufort Memorial Hospital - Navy Resource Sharing | General Acute Care Hospital | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2017-12-14 |
| 1548773583 | Beaufort Physician Partners | Clinic/Center | 955 Ribaut Rd, Beaufort, SC 29902 | 2017-11-13 |
| 1982116182 | Harmony Tucker | Physical Therapist | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2017-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558335083 | Peter Nicholas Manos | Internal Medicine | 989 Ribaut Rd, Ste 340, Beaufort, SC 29902-5426 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013112614 | Christy Ross Sine | Internal Medicine | Palmetto Pulmonary and Critical Care, 3 St. Francis Drive, Ste 300, Greenville, SC 29601-3972 | 2007-06-15 |
| 1386760080 | Jason Gunn | Internal Medicine | 125 Doughty St Ste 200, Charleston, SC 29403-5727 | 2007-03-22 |
| 1932233566 | Imran E. Siddiqi | Internal Medicine | 3710 Mishoe Street, Med Share Bldg., Loris, SC 29569-2822 | 2007-03-15 |
| 1346258746 | Carlton Gregory Cauthen | Internal Medicine | 720 Rabon Rd, Columbia, SC 29203-8900 | 2006-08-03 |
| 1710918982 | Aiken Pulmonary Associates, LLC | Internal Medicine | 68 Physician Dr, Aiken, SC 29801-6388 | 2006-07-06 |
| 1982675625 | Wilson P Smith Jr. | Internal Medicine | 2030 N Church Place, Spartanburg, SC 29303-2796 | 2006-01-31 |
| 1275534307 | Doli Elizabeth Biondillo | Internal Medicine | 3617 Casey St, Suite C, Loris, SC 29569-2981 | 2005-08-10 |
| 1740280841 | Thomas D Kaelin Jr. | Internal Medicine | 9150 Medcom St. Ste B, N Charleston, SC 29406 | 2005-07-29 |
| 1508864968 | Sola Kim | Internal Medicine | 9150 Medcom St, Ste B, N Charleston, SC 29406-7108 | 2005-07-11 |
| 1881699957 | Jack Legrand Depriest | Internal Medicine | 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203-6831 | 2005-06-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. RICHARD HERMAN WOERNDLE.
| 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.