SELECT HEALTH OF SC, LLC (NPI# 1962904946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962904946 |
| Entity Type | Organization |
| Organization Name | SELECT HEALTH OF SC, LLC |
| Practice Address |
6650 Rivers Ave Ste 410 North Charleston SC 29406-4809 |
| Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
| Practice Telephone | 6153860064 |
| Mailing Telephone | 6153860064 |
| Mailing Fax Number | 6153860067 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2019-05-07 |
| Authorized Official Name | EDWARD LELAND HUTTON EADIE (DIRECTOR / AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6157332064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
6650 RIVERS AVE STE 410 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-4809 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477802403 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 2881 Tricom Blvd., Suite A, North Charleston, SC 29406-9823 | 2012-09-06 |
| 1720291545 | Orthopaedic Specialists of Charleston | Orthopaedic Surgery | 2891 Tricom St Ste A, North Charleston, SC 29406-7110 | 2007-05-08 |
| 1548714256 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 8901 University Blvd, North Charleston, SC 29406-9116 | 2016-08-10 |
| 1114345626 | Christopher Thomas Battista | Orthopaedic Surgery | 2880 Tricom St, North Charleston, SC 29406-9171 | 2014-04-01 |
| 1255697967 | David Charles Johannesmeyer | Orthopaedic Surgery | 2880 Tricom St, North Charleston, SC 29406 | 2012-04-06 |
| 1487881934 | Francis Patterson Owings | Orthopaedic Surgery | 2880 Tricom St, North Charleston, SC 29406-9171 | 2009-06-11 |
| 1912147083 | Christopher Kestner | Orthopaedic Surgery | 9100 Medcom St, North Charleston, SC 29406-9167 | 2009-03-02 |
| 1740437052 | Keith John Santiago | Orthopaedic Surgery | 2880 Tricom St, North Charleston, SC 29406-9171 | 2008-08-19 |
| 1700097722 | William Steven Corey | Orthopaedic Surgery | 2880 Tricom St, North Charleston, SC 29406-9171 | 2007-05-24 |
| 1871702175 | Adam C. Schaaf | Orthopaedic Surgery | 2880 Tricom St, North Charleston, SC 29406-9171 | 2007-05-22 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
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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.