CHARLESTON BONE & JOINT PA (NPI# 1992900286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992900286 |
| Entity Type | Organization |
| Organization Name | CHARLESTON BONE & JOINT PA |
| Practice Address |
2097 Henry Tecklenburg Dr Ste 316 Charleston SC 29414-5740 |
| Mailing Address |
255 E Bay St Charleston SC 29401-2632 |
| Practice Telephone | 8438533474 |
| Practice Fax Number | 8438533500 |
| Mailing Telephone | 8438533474 |
| Mailing Fax Number | 8438533500 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DIANNE THESING (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8438533474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians | ||
| X | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP0535 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184828808 | Charleston Bone & Joint Pa | Orthopaedic Surgery | 767 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3027 | 2007-06-14 |
| 1790989416 | Charleston Bone & Joint Pa | Orthopaedic Surgery | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2007-06-14 |
| 1255381083 | Charleston Bone & Joint Pa | Podiatrist | 255 E Bay St, Charleston, SC 29401-2632 | 2006-05-11 |
| Street Address |
2097 HENRY TECKLENBURG DR STE 316 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122112 | Michael Alan Spandorfer | Internal Medicine | 2097 Henry Tecklenburg Dr, Ste 305, Charleston, SC 29414-5744 | 2005-05-24 |
| 1073066932 | Mark J Segal Md LLC | Specialist | 2097 Henry Tecklenburg Dr, Suite 212w, Charleston, SC 29414-5740 | 2016-07-27 |
| 1194132852 | Roper Saint Francis Physicians Network | Internal Medicine | 2097 Henry Tecklenburg Dr, Suite 201w, Charleston, SC 29414 | 2014-07-15 |
| 1144647850 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 2097 Henry Tecklenburg Dr, Suite 322 W, Charleston, SC 29414-5740 | 2014-03-20 |
| 1356636682 | Roper Saint Francis Physicians Network | Internal Medicine | 2097 Henry Tecklenburg Dr, Ste 316 W, Charleston, SC 29414-5740 | 2011-06-15 |
| 1407141633 | John Daniel Gentry | Psychiatry & Neurology | 2097 Henry Tecklenburg Dr, Suite 316 W, Charleston, SC 29414-5740 | 2011-06-15 |
| 1003114406 | Palmetto Primary Care Physicians | Family Medicine | 2097 Henry Tecklenburg Dr, Charleston, SC 29414-5740 | 2011-03-09 |
| 1164733366 | Erin Victoria Sparks | Psychiatry & Neurology | 2097 Henry Tecklenburg Dr, Suite 322w, Charleston, SC 29414-5740 | 2010-06-23 |
| 1841515152 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 2097 Henry Tecklenburg Dr, Suite 218 West, Charleston, SC 29414-5740 | 2010-03-30 |
| 1225366719 | Roper Saint Francis Physicians Network | Internal Medicine | 2097 Henry Tecklenburg Dr, Suite 305 West, Charleston, SC 29414 | 2009-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932373198 | Ereny Magdy Bishara | Orthopaedic Surgery | 415 Morris St, Suite 201, Charleston, WV 25301-1842 | 2008-04-18 |
| 1942417381 | Jessica C. Chiang | Orthopaedic Surgery | 415 Morris St, Suite 201, Charleston, WV 25301-1842 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043452741 | James Clinton Black | Orthopaedic Surgery | 480 Floyd Rd Ste A, Spartanburg, SC 29307-1518 | 2009-03-27 |
| 1184828808 | Charleston Bone & Joint Pa | Orthopaedic Surgery | 767 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3027 | 2007-06-14 |
| 1407050123 | Charlestone Bone & Joint Pa | Orthopaedic Surgery | 730 Stoney Landing Rd Ste 100, Moncks Corner, SC 29461-2948 | 2007-06-14 |
| 1922555739 | Mcleod Physician Associates II | Orthopaedic Surgery | 1005 E Cheves St, Florence, SC 29506-2707 | 2016-09-09 |
| 1063968055 | Jessica Roberson Strickland | Orthopaedic Surgery | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2016-08-30 |
| 1083907125 | Kevin Murr | Orthopaedic Surgery | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2011-05-23 |
| 1073799433 | Michael Srinivasa Sridhar | Orthopaedic Surgery | 105 Doctors Dr, Greenville, SC 29605-5608 | 2008-01-16 |
| 1790989416 | Charleston Bone & Joint Pa | Orthopaedic Surgery | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2007-06-14 |
| 1841227220 | Thomas Michael Schaller | Orthopaedic Surgery | 200 Patewood Drive, Suite C100, Greenville, SC 29615-3557 | 2006-06-28 |
| 1811947419 | Kyle James Jeray | Orthopaedic Surgery | 105 Doctors Dr, Greenville, SC 29605-5608 | 2006-05-12 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on CHARLESTON BONE & JOINT PA.
| 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.