LOWCOUNTRY UROLOGY CLINICS, PA (NPI# 1790972685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790972685 |
| Entity Type | Organization |
| Organization Name | LOWCOUNTRY UROLOGY CLINICS, PA |
| Practice Address |
641 Saint Andrews Blvd Charleston SC 29407-7165 |
| Mailing Address |
2687 Lake Park Dr North Charleston SC 29406-9100 |
| Practice Telephone | 8437669747 |
| Mailing Telephone | 8437254414 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2009-04-16 |
| Authorized Official Name | MS. DIANE S HADER (OFFICIAL DELIGATE) |
| Authorized Official Telephone | 8432844267 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOWCOUNTRY UROLOGY CLINICS. PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 34652 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4437 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477740504 | Lowcountry Urology Clinics, Pa | Durable Medical Equipment & Medical Supplies | 2687 Lake Park Drive, N. Charleston, SC 29406-9100 | 2007-10-03 |
| 1184811226 | Lowcountry Urology Clinics, Pa | Durable Medical Equipment & Medical Supplies | 125 Doughty Street #390, Charleston, SC 29403-5786 | 2007-10-03 |
| 1275720310 | Lowcountry Urology Clinics, Pa | Durable Medical Equipment & Medical Supplies | 9231 Medical Plaza Drive, N. Charleston, SC 29406-9101 | 2007-10-03 |
| 1790972867 | Lowcountry Urology Clinics, Pa | Durable Medical Equipment & Medical Supplies | 1230 Hospital Drive, #b, Mt. Pleasant, SC 29464-3251 | 2007-10-02 |
| 1598952798 | Lowcountry Urology Clinics, Pa | Durable Medical Equipment & Medical Supplies | 1470 Tobias Gadson Blvd., #201 Lowcountry Urology Clinics, Pa, Charleston, SC 29407-4707 | 2007-10-02 |
| 1578750642 | Lowcountry Urology Clinics, Pa | Durable Medical Equipment & Medical Supplies | 9275 Medical Plaza Drive #f, N. Charleston, SC 26906-9140 | 2007-10-02 |
| 1568659928 | Lowcountry Urology Clinics, Pa | Durable Medical Equipment & Medical Supplies | 125 Doughty St Ste 680, Lowcountry Urology Clinics Pa, Charleston, SC 29403-5731 | 2007-10-01 |
| 1851557227 | Lowcountry Urology Clinics, Pa | Urology | 125 Doughty St, Suite 770, Charleston, SC 29403-5736 | 2008-08-05 |
| 1538356605 | Lowcountry Urology Clinics, Pa | Durable Medical Equipment & Medical Supplies | 125 Doughty St, #380, Charleston, SC 29403-9140 | 2007-10-02 |
| 1699962746 | Lowcountry Urology Clinics, Pa | Durable Medical Equipment & Medical Supplies | 730 Stony Landing Road, Moncks Corner, SC 29461-2948 | 2007-10-02 |
| Street Address |
641 SAINT ANDREWS BLVD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-7165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255384053 | Ian Y Marshall | Urology | 641 Saint Andrews Blvd, Charleston, SC 29407-7165 | 2006-05-19 |
| 1013514678 | Jessica Marie Greenwood | Urology | 641 Saint Andrews Blvd, Charleston, SC 29407-7165 | 2020-10-07 |
| 1639433956 | Lowcountry Ambulatory Center, LLC | Clinic/Center | 641 Saint Andrews Blvd, Charleston, SC 29407-7165 | 2012-07-02 |
| 1851345227 | Fletcher C Derrick Jr. | Urology | 641 Saint Andrews Blvd, Charleston, SC 29407-7165 | 2006-05-20 |
| 1811940646 | Bradley W Steele | Urology | 641 Saint Andrews Blvd, Charleston, SC 29407-7165 | 2006-05-19 |
| 1356394126 | John J Britton Jr. | Urology | 641 Saint Andrews Blvd, Charleston, SC 29407-7165 | 2006-05-19 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938320 | Peninsula Cosmetic and Family Dentistry, Inc. | Durable Medical Equipment & Medical Supplies | 538 Savannah Hwy, Charleston, SC 29407-7210 | 2020-10-02 |
| 1174156061 | Dasco-camc Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 2120 Pennsylvania Ave Ste 1, Charleston, WV 25302-4135 | 2020-02-19 |
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1669021770 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1411 Folly Rd, Charleston, SC 29412-9562 | 2019-09-11 |
| 1114497435 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 10 Westedge St, Suite 100, Charleston, SC 29403 | 2018-11-29 |
| 1841765559 | Midwest Medical Associates, Inc. | Durable Medical Equipment & Medical Supplies | 211 King St Ste 103, Charleston, SC 29401-3184 | 2018-10-09 |
| 1891299681 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 418 Virginia St W, Charleston, WV 25302-2008 | 2018-03-19 |
| 1821513235 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1812 Sam Rittenberg Blvd Ste 2, Charleston, SC 29407-4868 | 2017-08-07 |
| 1841721537 | Tac Med | Durable Medical Equipment & Medical Supplies | 1473 Ashley Garden Blvd, Charleston, SC 29414-9126 | 2017-03-23 |
| 1730540287 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 2093 Henry Tecklenburg Dr Ste 303e, Charleston, SC 29414-5743 | 2016-03-11 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
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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.