STEPHEN MARSHALL WISSMAN (NPI# 1972648244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972648244 |
| Entity Type | Individual |
| Full Name | STEPHEN MARSHALL WISSMAN |
| Credential | M.D. |
| Practice Address |
1311 Elfe St Charleston SC 29492-7438 |
| Practice Telephone | 8432781013 |
| Mailing Telephone | 8432781013 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25987 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
1311 ELFE ST |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29492-7438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144877333 | Megan Potter | Speech-Language Pathologist | Wellmore Daniel Island, 580 Robert Daniel Drive, Charleston, SC 29492 | 2019-08-22 |
| 1013408301 | River Landing Dentistry LLC | Clinic/Center | 145 River Landing Drive, Suite 102, Daniel Island, SC 29492 | 2018-05-23 |
| 1972018026 | Wellmore of Daniel Island LLC | Skilled Nursing Facility | 580 Robert Daniel Drive, Charleston, SC 29492 | 2017-12-12 |
| 1245758283 | Lindsey Alyse Vanbeusecum | Speech-Language Pathologist | 211 River Landing Dr, Daniel Island, SC 29492 | 2017-08-30 |
| 1508302423 | Sleep Better Sc, LLC | Clinic/Center | 210 Seven Farms Drive # 103, Daniel Island, SC 29492 | 2017-01-17 |
| 1164899696 | Employer's Collective | Pharmacy | 100 Calhoun Street, Suite 210, Charleston, SC 29492 | 2015-09-01 |
| 1376933440 | Rachel F. Henry | Counselor | 260 Seven Farms Dr Ste C, Daniel Island, SC 29492 | 2015-01-28 |
| 1417352253 | Kristen Helmly | Speech-Language Pathologist | 135 Pier View Street, Unit 304, Charleston, SC 29492 | 2014-10-22 |
| 1215268578 | Newton Gaston Quantz Jr. | Otolaryngology | 401 Ralston Creek Street, Charleston, SC 29492 | 2010-01-26 |
| 1053541581 | Chet Allen Tharpe Jr. | Allergy & Immunology | 6051 Grand Council St, Daniel Island, SC 29492 | 2009-07-17 |
| Find all providers in zip 29492 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632809 | Caitlin Marie Stoll | Pediatrics | 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414-6168 | 2020-06-08 |
| 1134743420 | Elizabeth Alden Mccants | Pediatrics | 125 Doughty St Ste 520d, Charleston, SC 29403-5736 | 2020-06-02 |
| 1770127516 | Nicole Danielle Clendenin | Pediatrics | 314 Goff Mountain Rd Ste 16, Charleston, WV 25313-6600 | 2019-11-05 |
| 1871059238 | Aminah Fraser- Abdur Rahim | Pediatrics | 1373 W Lenevar Dr, Charleston, SC 29407-5148 | 2019-02-11 |
| 1720518384 | Nicholas Matthew Cundiff | Pediatrics | 135 Rutledge Ave Dept Of, Charleston, SC 29425-8903 | 2017-06-15 |
| 1649632225 | Collin Dubick | Pediatrics | 1118 Sea Eagle Watch, Charleston, SC 29412-8249 | 2016-03-23 |
| 1417338781 | Heather Michelle Greene | Pediatrics | 169 Ashlet Avenue, Room 202 Main Hospital Msc 333, Charleston, SC 29425 | 2015-06-12 |
| 1780098160 | Matthew John Saia | Pediatrics | 2124 Telfair Way, Charleston, SC 29412-2370 | 2014-06-13 |
| 1770922601 | Lauren Simpson Tipton | Pediatrics | 1243 Savannah Hwy Ste B, Charleston, SC 29407-7817 | 2013-06-25 |
| 1467747527 | Pratikkumar Patel | Pediatrics | 830 Pennsylvania Ave Ste 401, Charleston, WV 25302-3390 | 2011-06-16 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29492 |
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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.