ETTALEAH BLUESTEIN M.D. (NPI# 1720030836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720030836 |
| Entity Type | Organization |
| Organization Name | ETTALEAH BLUESTEIN M.D. |
| Practice Address |
2287 Henry Tecklenburg Dr Suite 1 Charleston SC 29414-7801 |
| Practice Telephone | 8437696655 |
| Practice Fax Number | 8437696866 |
| Mailing Telephone | 8437696655 |
| Mailing Fax Number | 8437696866 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-03-04 |
| Authorized Official Name | ETTALEAH BLUESTEIN (DOCTOR) |
| Authorized Official Telephone | 8437696655 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 15521 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4400 | 05 |
| Street Address |
2287 HENRY TECKLENBURG DR SUITE 1 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-7801 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568915619 | Susannah Liberty Brown | Ophthalmology | 167 Ashley Ave Rm 503, Charleston, SC 29425-3098 | 2016-07-25 |
| 1972813996 | Joseph Jefferds Sinclair Md Pllc | Ophthalmology | 500 Lee St E, Suite 150, Charleston, WV 25301-3200 | 2010-10-08 |
| 1487886628 | Moseley Hubbard Winkler | Ophthalmology | 105 Whispering Woods Rd, Charleston, WV 25304-2740 | 2009-08-21 |
| 1710180534 | Scott Conrad Jamerson | Ophthalmology | 331 Laidley St., Suite 301, Charleston, WV 25339-3970 | 2007-06-08 |
| 1487875266 | Minardi Eye Center, Inc. | Ophthalmology | 500 Donnally St Bldg B, Charleston, WV 25301-1648 | 2007-05-01 |
| 1902826571 | Robert E Peyser | Ophthalmology | 1637 Savannah Hwy, Charleston, SC 29407-6282 | 2006-07-19 |
| 1962446427 | Lowrey Pearson King | Ophthalmology | 2057 Charlie Hall Blvd, Ste. A, Charleston, SC 29414-5834 | 2006-06-15 |
| 1548203185 | Michael Johnson | Ophthalmology | 3531 Mary Ader Ave Ste D, Charleston, SC 29414-5896 | 2006-06-13 |
| 1912940735 | Budev Eyecare & Surgery, Pa | Ophthalmology | 2093 Henry Tecklenburg Drive, Ste 313, Charleston, SC 29414 | 2006-06-13 |
| 1356382675 | James White Caudill | Ophthalmology | 501 Summers St, Charleston, WV 25301-1239 | 2006-06-09 |
| 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.