DR. BRIAN BOONE (NPI# 1821309683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821309683 |
| Entity Type | Individual |
| Full Name | DR. BRIAN BOONE |
| Credential | M.D. |
| Practice Address |
15 Exchange Dr Lugoff SC 29078-9198 |
| Practice Telephone | 8034083277 |
| Practice Fax Number | 8034083299 |
| Mailing Telephone | 8034083277 |
| Mailing Fax Number | 8034083299 |
| Enumeration Date | 2010-06-27 |
| Last Update Date | 2020-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 2014-02050 | NC | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | TRN#14893 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 405458 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851638522 | Brian W. Boone | Pharmacist | 3725 Rivers Ave, Suite 2, North Charleston, SC 29405-7038 | 2013-01-14 |
| 1023320744 | Brian Gregory Boone | Physical Therapist | 27401 Los Altos, Suite 485, Mission Viejo, CA 92691-6316 | 2010-07-10 |
| 1013144989 | Brian Anthony Boone | Surgery | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2009-06-17 |
| Street Address |
15 EXCHANGE DR |
| City | LUGOFF |
| State | SC |
| Zip Code | 29078-9198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861499618 | Robert Kabakjian Sr. | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2005-07-07 |
| 1760037360 | Maya Elizabeth James | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2019-08-09 |
| 1043716228 | Felicia Denise Harris | Nurse Practitioner | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2018-04-05 |
| 1952817835 | Rachel Chamberlin | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2017-12-14 |
| 1285174664 | Kaitlin Prizzia | Audiologist | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2017-03-03 |
| 1205247772 | Jason Paul Wigand | Audiologist | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2014-05-18 |
| 1073958989 | Jacob Patrick Ossoff | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2013-05-06 |
| 1447513643 | Valerie Alison Fritsch | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2012-06-21 |
| 1316214638 | Lynnette Glasscho Tomlin | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078 | 2011-12-01 |
| 1932499159 | Natalie Vercillo Sciarrino | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2011-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477006179 | Retireease Senior Services, Inc. | In Home Supportive Care | 12 Dooley Drive, Lugoff, SC 29078 | 2016-07-28 |
| 1770613515 | Claude Harold Varn Jr. | Dentist | P.0.box 325, Lugoff, SC 29078 | 2007-03-07 |
| 1316087364 | Ark Therapeutic Services, Inc | Speech-Language Pathologist | 862a Highway 1 South, Lugoff, SC 29078 | 2007-02-07 |
| 1326104837 | Allyson Varn Monferdini | Dentist | 25 Ward Road, Lugoff, SC 29078 | 2006-12-29 |
| 1275612269 | Wateree Plaza Drug Corp | Durable Medical Equipment & Medical Supplies | 1053 Hwy 1, Patterson Plaza, Lugoff, SC 29078 | 2006-11-02 |
| 1336589233 | Matthew Allen Nettles | Dentist | 25 Ward Road, Lugoff, SC 29078 | 2013-06-25 |
| 1013124429 | Debra C Lowsky | Speech-Language Pathologist | 862a Highway 1 South, Lugoff, SC 29078 | 2007-05-16 |
| 1285826396 | Durham Russell Maples | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-13 |
| 1508059403 | Dina Maples Blankenship | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-23 |
| 1104018852 | Wateree Chiropractic | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-16 |
| Find all providers in zip 29078 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.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 Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073958989 | Jacob Patrick Ossoff | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2013-05-06 |
| 1447513643 | Valerie Alison Fritsch | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2012-06-21 |
| 1932499159 | Natalie Vercillo Sciarrino | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2011-04-08 |
| 1225262777 | Joseph Anthony Sciarrino | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2009-05-13 |
| 1841450962 | Janaki Lakshmi Emani | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2008-06-12 |
| 1154339695 | Stephanie H Tetterton | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2006-08-03 |
| 1740215904 | Robert Puchalski | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992316764 | Carolina Pines Ear Nose Throat & Allergy Associates LLC | Otolaryngology | 2032 Medical Park Dr, Newberry, SC 29108-2248 | 2020-08-13 |
| 1932667276 | Brendan Hardy | Otolaryngology | 135 Rutledge Ave Ste 1130, Charleston, SC 29425 | 2019-03-06 |
| 1538696091 | Michael Richard Bobian | Otolaryngology | 135 Rutledge Ave # Msc550, Charleston, SC 29425-8903 | 2017-05-16 |
| 1316497845 | Thomas Edward Nix | Otolaryngology | 28 Collins Ridge Dr, Greenville, SC 29607-3775 | 2016-10-07 |
| 1194150573 | Sarfaraz Mubarak Banglawala | Otolaryngology | Musc Dept of Otolaryngology Head and Neck, 135 Rutledge Avenue, Charleston, SC 29425-0001 | 2013-09-04 |
| 1457614703 | Travis Parke Schrank | Otolaryngology | Otolaryngology Head and Neck Surgery, 135 Rutledge Ave Msc 550, Charleston, SC 29425-0001 | 2012-06-21 |
| 1427377076 | Sarah Jane Novis | Otolaryngology | 3980 Highway 9 E Ste 340, Little River, SC 29566-8165 | 2010-05-21 |
| 1215268578 | Newton Gaston Quantz Jr. | Otolaryngology | 401 Ralston Creek Street, Charleston, SC 29492 | 2010-01-26 |
| 1386871499 | Shaun A Nguyen | Otolaryngology | 135 Rutledge St # Msc550, Charleston, SC 29425-8903 | 2009-06-16 |
| 1285825240 | Daniel Mcqueen Ervin | Otolaryngology | 1523 B Heritage Lane, Florence, SC 29505-3197 | 2007-08-06 |
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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.