GRETCHEN WRISTON GWYNETTE (NPI# 1770532525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770532525 |
| Entity Type | Individual |
| Full Name | GRETCHEN WRISTON GWYNETTE |
| Other Name | GRETCHEN ANN WRISTON |
| Credential | MD |
| Practice Address |
1394 Center Lake Dr Mount Pleasant SC 29464-7420 |
| Practice Telephone | 8434754325 |
| Mailing Telephone | 8434754325 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2010-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
30336 | SC | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A78296 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A782960 | 05 |
| Street Address |
1394 CENTER LAKE DR |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29464-7420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486786 | Tara Noone | Radiology | 545 Planters Loop, Mount Pleasant, SC 29464-2743 | 2020-08-04 |
| 1932404134 | Carolina Imaging Specialists, LLC | Radiology | 582 Lone Tree Dr, Mount Pleasant, SC 29464-8170 | 2011-01-19 |
| 1922020023 | Beverly M Genez | Radiology | 636 G Longpoint Rd, #125, Mount Pleasant, SC 29464-7905 | 2006-07-25 |
| 1629090410 | Malcolm K Hatfield | Radiology | 1055 Prairie Dr, Suite D, Mount Pleasant, WI 53406-3971 | 2006-07-24 |
| 1760439749 | James A Thesing | Radiology | 953 Houston Northcutt Blvd, Mount Pleasant, SC 29464-3468 | 2006-05-27 |
| 1770534968 | Richard C Holgate | Radiology | 1341 Old Georgetown Rd, Suite C, Mount Pleasant, SC 29464-7307 | 2006-05-13 |
| 1871542035 | Jon Allen Carmain | Radiology | 1241 Woodland Avenue, Mount Pleasant, SC 29464 | 2006-05-08 |
| 1013977040 | Brian L Burke | Radiology | 1241 Woodland Ave, Mount Pleasant, SC 29464-3288 | 2006-03-24 |
| 1497729156 | Matthew John Hoffman | Radiology | 1029 E Oakbrook Ln, Mount Pleasant, IA 52641-2719 | 2006-02-16 |
| 1316340805 | South Carolina Radiology Group, LLC | Radiology | 2000 Hospital Dr, Mount Pleasant, SC 29464-3764 | 2014-09-29 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on GRETCHEN WRISTON GWYNETTE.
| 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.