MR. RYAN WILLS UBERMAN (NPI# 1699041715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699041715 |
| Entity Type | Individual |
| Full Name | MR. RYAN WILLS UBERMAN |
| Credential | PA-C |
| Practice Address |
2145 Henry Tecklenburg Dr Ste 220 Charleston SC 29414-5894 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8437238823 |
| Practice Fax Number | 8436068059 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1929 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1669PA | 05 |
| Street Address |
2145 HENRY TECKLENBURG DR STE 220 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699766758 | Derrick Wade Randall | Anesthesiology | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2005-10-28 |
| 1295245553 | Brooke Jackson Kahn | Physician Assistant | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414 | 2017-10-01 |
| 1487023263 | Taylor Jessica Callinan | Physician Assistant | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2015-09-22 |
| 1720425077 | Melissa L. Woriax | Nurse Practitioner | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2013-05-28 |
| 1912148685 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414 | 2009-03-10 |
| 1588819205 | Adele Petigru Moore | Nurse Practitioner | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2008-11-21 |
| 1770734675 | Robert Morgan Stuart | Neurological Surgery | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2008-10-09 |
| 1770591760 | Christopher Stephen Schafer | Physician Assistant | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2006-08-04 |
| 1538197306 | Larry Gene Harris | Physician Assistant | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2006-06-29 |
| 1801823745 | John Alexander Nicholson | Physical Medicine & Rehabilitation | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144653742 | Carrie Marie Thompson | Physician Assistant | 96 Jonathan Lucus Street, Csb He320e, Charleston, SC 29425 | 2013-08-19 |
| 1609184316 | Kym L Kittle | Physician Assistant | 161 Ashley Ave, Charleston, SC 29425-8905 | 2010-09-15 |
| 1881249951 | Nicole L. Pages | Physician Assistant | 2270 Ashley Crossing Dr Ste 110, Charleston, SC 29414-5749 | 2019-08-06 |
| 1457825002 | Alexandra Taylor Shumway | Physician Assistant | 510 Albemarle Rd, Charleston, SC 29407-7540 | 2019-01-16 |
| 1346733086 | Kari Rae Hunter | Physician Assistant | 210 Brooks St Ste 200, Charleston, WV 25301-1848 | 2018-06-07 |
| 1396258869 | Brandon Christopher Griffin | Physician Assistant | 171 Ashley Ave, Charleston, SC 29425-8908 | 2017-11-07 |
| 1346751237 | Adam Nathaniel Hill | Physician Assistant | 415 Morris St Ste 400, Charleston, WV 25301-1854 | 2017-10-18 |
| 1740790047 | Mary Margaret Barrow | Physician Assistant | 171 Ashley Ave, Charleston, SC 29425-8908 | 2017-10-02 |
| 1295245553 | Brooke Jackson Kahn | Physician Assistant | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414 | 2017-10-01 |
| 1326499625 | Karen R. Flannagan | Physician Assistant | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2016-06-28 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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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.