PAUL JASON SHROMOFF (NPI# 1871568865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871568865 |
Entity Type | Individual |
Full Name | PAUL JASON SHROMOFF |
Credential | DPM |
Practice Address |
9313 Medical Plaza Dr 301 Charleston SC 29406-9155 |
Practice Telephone | 8435532909 |
Practice Fax Number | 8435534684 |
Mailing Telephone | 8435532909 |
Mailing Fax Number | 8435534684 |
Enumeration Date | 2006-02-22 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
505 | SC | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | PD5051 | 05 |
Street Address |
9313 MEDICAL PLAZA DR 301 |
City | CHARLESTON |
State | SC |
Zip Code | 29406-9155 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053319400 | John Williams Plyler | Psychiatry & Neurology | 9313 Medical Plaza Dr, Suite 310, Charleston, SC 29406-9155 | 2005-07-11 |
1992237275 | Rhonda L. Cumbee | Nurse Practitioner | 9313 Medical Plaza Dr, Suite 202, Charleston, SC 29406-9155 | 2017-03-28 |
1871032086 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 9313 Medical Plaza Dr, Ste 310, Charleston, SC 29406-9155 | 2017-02-21 |
1902351448 | Jillian N. White | Nurse Practitioner | 9313 Medical Plaza Dr, Suite 202, Charleston, SC 29406-9155 | 2016-08-24 |
1578918504 | Clemson Sports Medicine and Rehabilitation, Inc | Rehabilitation Unit | 9313 Medical Plaza Dr, Suite 306, Charleston, SC 29406-9155 | 2016-04-27 |
1699140103 | Palmetto Primary Care Physicians | Family Medicine | 9313 Medical Plaza Dr, Suite 308, Charleston, SC 29406-9155 | 2015-12-09 |
1831565035 | Kerrison | Neurological Surgery | 9313 Medical Plaza Dr, Suite 305, Charleston, SC 29406-9155 | 2015-08-11 |
1740575307 | Robert Matthew Carlile | Psychiatry & Neurology | 9313 Medical Plaza Dr, Suite 310, Charleston, SC 29406-9155 | 2011-06-12 |
1285860098 | Palmetto Vein Specialists, LLC | Clinic/Center | 9313 Medical Plaza Dr, Ste 303, Charleston, SC 29406-9155 | 2009-06-08 |
1235327230 | Lowcountry Hematology & Oncology, Pa | Specialist | 9313 Medical Plaza Dr, Suite 204, Charleston, SC 29406-9155 | 2007-10-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
Find all providers in zip 29406 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174968218 | Foot and Ankle Clinic of The Virginias Inc | Podiatrist | 5504 Maccorkle Ave Se, Charleston, WV 25304-2320 | 2013-05-02 |
1992904270 | Carrie Parris Frame | Podiatrist | 100 Tracy Way Ste 400, Charleston, WV 25311 | 2007-07-16 |
1376597062 | Stuart L Tessler | Podiatrist | 60 Markfield Dr, #3, Charleston, SC 29407-7907 | 2006-05-19 |
1134183643 | Mohammad Imani | Podiatrist | 4813 Maccorkle Ave Se, Charleston, WV 25304-1948 | 2006-04-12 |
1164497582 | Dennis Emerson Martin | Podiatrist | 9279 Medical Plaza Dr, Suite D, Charleston, SC 29406-9141 | 2006-02-20 |
1699279455 | Neurological Associates, Inc. | Podiatrist | 100 Tracy Way, Charleston, WV 25311-1257 | 2018-03-19 |
1811212137 | Roper Saint Francis Physicians Network | Podiatrist | 60 Markfield Dr, Ste 3, Charleston, SC 29407-7907 | 2010-03-30 |
1639492473 | Rahn Antonio Ravenell | Podiatrist | 171 Ashley Ave, Charleston, SC 29425-1810 | 2010-03-08 |
1578742631 | Carrie A Lakin | Podiatrist | 331 Laidley St, Suite 602, Charleston, WV 25301-1619 | 2007-10-25 |
1760531495 | Charleston Podiatry Pa | Podiatrist | 60 Markfield Dr, Ste 3, Charleston, SC 29407-7907 | 2007-01-10 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 29406 |
Please comment or provide details below to improve the information on PAUL JASON SHROMOFF.
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.