OTIS EDWARD ENGELMAN


Address: 1101 Old Trolley Rd, Ste. 100, Summerville, SC 29485-5293
Phone: 8438750400

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 8516 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 85160 05
SC MEDICARE RAIL ROAD 410013918 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2418 Nnptc Circle, Goose Creek, SC 29445 (843) 577-5011

Office Location

Street Address 1101 OLD TROLLEY RD
STE. 100
City SUMMERVILLE
State SC
Zip Code 29485-5293

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SUMMERVILLE
Zip Code 29485

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Dataset Information

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.

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