OTIS EDWARD ENGELMAN (NPI# 1730145509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730145509 |
| Entity Type | Individual |
| Full Name | OTIS EDWARD ENGELMAN |
| Credential | MD |
| Practice Address |
1101 Old Trolley Rd Ste. 100 Summerville SC 29485-5293 |
| Mailing Address |
2418 Nnptc Circle Goose Creek SC 29445 |
| Practice Telephone | 8438750400 |
| Practice Fax Number | 8438716700 |
| Mailing Telephone | (843) 577-5011 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 8516 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 85160 | 05 | |
| SC | MEDICARE RAIL ROAD | 410013918 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2418 Nnptc Circle, Goose Creek, SC 29445 | (843) 577-5011 |
| Street Address |
1101 OLD TROLLEY RD STE. 100 |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-5293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841739968 | Ppcp Specialty Physicians, LLC | Internal Medicine | 1101 Old Trolley Rd, Ste 300, Summerville, SC 29485-5293 | 2017-02-22 |
| 1023448487 | Palmetto Primary Care Physicians | Internal Medicine | 1101 Old Trolley Rd, Ste 300, Summerville, SC 29485-5293 | 2013-11-22 |
| 1104254119 | Palmetto Primary Care Physicians,llc | Family Medicine | 1101 Old Trolley Rd, Ste. 100, Summerville, SC 29485-5293 | 2013-10-30 |
| 1689002784 | Palmetto Primary Care Physicians | Radiology | 1101 Old Trolley Rd, Suite 200, Summerville, SC 29485-5293 | 2013-10-29 |
| 1144579806 | Allison Fain Davis | Nurse Practitioner | 1101 Old Trolley Rd, Suite 300, Summerville, SC 29485 | 2012-09-10 |
| 1811123300 | Joseph Wolfgang Mathews | Internal Medicine | 1101 Old Trolley Rd, Ste. 300, Summerville, SC 29485-5293 | 2009-06-10 |
| 1487730842 | Frampton Wyman Henderson IIi | Family Medicine | 1101 Old Trolley Rd, Suite 100, Summerville, SC 29485-5293 | 2006-10-28 |
| 1942219746 | Jennifer Ruth Cranny | Radiology | 1101 Old Trolley Rd, Ste 200, Summerville, SC 29485-5293 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932652856 | Medprimary LLC | Family Medicine | 103b Harth Pl, Summerville, SC 29485-8107 | 2016-07-27 |
| 1265893705 | Roper Saint Francis Physicians Network | Family Medicine | 1525 Old Trolley Rd Ste H, Summerville, SC 29485-8928 | 2016-03-11 |
| 1740647650 | Palmetto Primary Care Physicians, LLC | Family Medicine | 201 Sigma Dr, Ste 100, Summerville, SC 29486-7715 | 2016-01-22 |
| 1043654700 | Merritt Stanley Huber IIi | Family Medicine | 2000 1st Avenue, Summerville, SC 29486 | 2013-04-24 |
| 1982048062 | Summerville Primary Care | Family Medicine | 299-a Midland Parkway, Summerville, SC 29485 | 2013-04-19 |
| 1710274295 | Jennifer R. Stolin | Family Medicine | 90 Springview Ln Ste A, Summerville, SC 29485-8153 | 2011-07-05 |
| 1497075733 | Palmetto Primary Care Physicians | Family Medicine | 300 W 4th North St, Summerville, SC 29483-6550 | 2010-06-09 |
| 1265667828 | Christina Douglass | Family Medicine | 11766 Hwy 27 North, Summerville, GA 30747 | 2009-05-26 |
| 1194986299 | Marie E Neilsen | Family Medicine | 9500 Dorchester Rd Ste 362, Summerville, SC 29485-4304 | 2008-06-20 |
| 1407992803 | Steven John Lenes | Family Medicine | 9995 Jamison Rd., Summerville, SC 29485 | 2007-01-30 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
Please comment or provide details below to improve the information on OTIS EDWARD ENGELMAN.
| 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.