TIFFANY ANNE BERSANI (NPI# 1669868444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669868444 |
| Entity Type | Individual |
| Full Name | TIFFANY ANNE BERSANI |
| Other Name | TIFFANY ANNE BUSH |
| Credential | M.D. |
| Practice Address |
Beaufort Memorial Obstetrics & Gynecology Specialists 989 Ribaut Rd, Ste 210 Beaufort SC 29902 |
| Mailing Address |
955 Ribaut Rd Bmac Credentialing Coordinator Beaufort SC 29902-5441 |
| Practice Telephone | 8435227820 |
| Practice Fax Number | 8442962295 |
| Mailing Telephone | 8435225674 |
| Mailing Fax Number | 8435225678 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 83058 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 830587 | 05 |
| Street Address |
BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS 989 RIBAUT RD, STE 210 |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174509632 | Suzanne Wolf | Nurse Practitioner | Beaufort Memorial Obstetrics & Gynecology Specialists, 989 Ribaut Rd, Ste 210, Beaufort, SC 29902-5472 | 2005-12-16 |
| 1235552746 | Beaufort County Memorial Hospital | Obstetrics & Gynecology | Beaufort Memorial Obstetrics & Gynecology Specialists, 989 Ribaut Rd, Ste 210, Beaufort, SC 29902-5472 | 2014-02-04 |
| 1023304847 | Marlena Mattingly Masavage | Obstetrics & Gynecology | Beaufort Memorial Obstetrics & Gynecology Specialists, 989 Ribaut Rd., Ste 210, Beaufort, SC 29902-5472 | 2011-06-20 |
| 1942260153 | Margaret A Bisceglia | Nurse Practitioner | Beaufort Memorial Obstetrics & Gynecology Specialists, 989 Ribaut Rd, Ste 210, Beaufort, SC 29902-5472 | 2006-03-23 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801048509 | Deidra Sheno Foreman | Obstetrics & Gynecology | Ob/gyn Dept, 1 Pickney Blvd, Naval Hospital Beaufort, Beaufort, SC 29902 | 2008-10-14 |
| 1538362892 | Elijah None Washington Sr. | Obstetrics & Gynecology | 304 Scott St, Beaufort, SC 29902-5557 | 2007-06-06 |
| 1871672485 | Cathy Lorraine Bagley | Obstetrics & Gynecology | 330 Robert Smalls Pkwy Ste 24-344, Beaufort, SC 29906 | 2006-11-03 |
| 1295814390 | Gregory L Glover | Obstetrics & Gynecology | 1264 Ribaut Rd Ste 200, Beaufort, SC 29902 | 2006-11-02 |
| 1407864184 | Beaufort Ob/gyn Associates Pa | Obstetrics & Gynecology | 989 Ribaut Rd Ste 210, Beaufort, SC 29902-5481 | 2006-08-04 |
| 1871548479 | Glenn L Werner | Obstetrics & Gynecology | 1264 Ribaut Road, Bldg 200, Beaufort, SC 29902 | 2006-05-23 |
| 1598732901 | Christopher B Benson | Obstetrics & Gynecology | 989 Ribaut Rd, Suite 210, Beaufort Memorial Obstetrics & Gynecology Specialists, Beaufort, SC 29902 | 2006-03-03 |
| 1366441123 | Berniece E Redmond | Obstetrics & Gynecology | 989 Ribaut Road, Suite 210, Beaufort Memorial Obstetric's & Gynecology Specialists, Beaufort, SC 29902 | 2005-07-14 |
| 1235552746 | Beaufort County Memorial Hospital | Obstetrics & Gynecology | Beaufort Memorial Obstetrics & Gynecology Specialists, 989 Ribaut Rd, Ste 210, Beaufort, SC 29902-5472 | 2014-02-04 |
| 1023304847 | Marlena Mattingly Masavage | Obstetrics & Gynecology | Beaufort Memorial Obstetrics & Gynecology Specialists, 989 Ribaut Rd., Ste 210, Beaufort, SC 29902-5472 | 2011-06-20 |
| Find all providers in BEAUFORT | ||||
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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.