KELLY S GUERRERO (NPI# 1699928556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699928556 |
| Entity Type | Individual |
| Full Name | KELLY S GUERRERO |
| Credential | PA |
| Practice Address |
1033 Saint Andrews Blvd Charleston SC 29407-7156 |
| Practice Telephone | 8437236111 |
| Practice Fax Number | 8433770330 |
| Mailing Telephone | 8437236111 |
| Mailing Fax Number | 8433770330 |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
TL1349 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 851 Leonard Fulghum Dr Ste 100, Mount Pleasant, SC 294643793 | 8439365951 |
| Street Address |
1033 SAINT ANDREWS BLVD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-7156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568455723 | Scott L Woodfield | Internal Medicine | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 | 2005-08-23 |
| 1811535255 | Morgan Schaeffer | Physician Assistant | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 | 2019-12-17 |
| 1780023028 | James Anderson Smith | Internal Medicine | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 | 2013-06-20 |
| 1205113354 | Brett Dalmau | Physician Assistant | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 | 2011-11-03 |
| 1346477494 | Minh Khoa Tran | Internal Medicine | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 | 2009-06-16 |
| 1831350073 | Geetha Flora Pinto | Internal Medicine | 1033 Saint Andrews Blvd, Charleston, SC 29407 | 2008-06-20 |
| 1558588962 | Troy Augustus Bunting | Internal Medicine | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 | 2007-04-19 |
| 1346285087 | Matthew Beal O'steen | Internal Medicine | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 | 2006-06-17 |
| 1881645893 | Coastal Cardiology, P.a. | Internal Medicine | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 | 2006-05-15 |
| 1356307318 | William Blount Ellison Jr. | Internal Medicine | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
| 1063797447 | Michael B Carothers | Physician Assistant | 2030 Wambaw Crk, Charleston, SC 29492-8382 | 2011-10-17 |
| 1316228679 | Joanna Harvey | Physician Assistant | 2085 H Tecklenburg Dr, 2nd Floor, Charleston, SC 29414-7710 | 2011-08-31 |
| 1689825895 | Jeffrey Russell Pike | Physician Assistant | 2097 Henry Tecklenburg Dr Ste 305w, Charleston, SC 29414-5744 | 2008-10-07 |
| 1073662664 | Kenneth Neil Dippel | Physician Assistant | 3200 Maccorkle Ave. Se, Camc Memorial Hospital, Charleston, WV 25304 | 2007-01-10 |
| 1790873099 | Steven L Russell | Physician Assistant | 191 Rutledge Ave, Charleston, SC 29403-5822 | 2006-10-11 |
| 1376649723 | Irene Belinda Coley | Physician Assistant | Ralph H. Johnson Va Medical Center, 109 Bee Street, Charleston, SC 29401 | 2006-09-15 |
| 1578597480 | David Laurence Gross | Physician Assistant | 9313 Medical Plaza Dr Ste 102, Charleston, SC 29406-9153 | 2006-07-10 |
| 1851331714 | Caroline M Bailey | Physician Assistant | 1 Bishop Gadsden Way, Suite 97, Charleston, SC 29412-3506 | 2006-06-08 |
| 1952357899 | Constantina Helen Panos | Physician Assistant | 129 Queen St, Charleston, SC 29401-2424 | 2006-05-25 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
Please comment or provide details below to improve the information on KELLY S GUERRERO.
| 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.