Elizabeth Anne Richardson (NPI# 1396125209, PAC ID# 5698026573) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1396125209 |
| PAC ID by PECOS | 5698026573 |
| Professional Enrollment ID | I20191007003151 |
| Full Name | Elizabeth Anne Richardson |
| Organization Legal Name | CHARLESTON OB/GYN LLC |
| Address |
446 Folly Rd Charleston SC 29412-2641 |
| Phone Number | 8437406700 |
| Gender | F |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2019 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 5890693998 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420065 | BON SECOURS-ST FRANCIS XAVIER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 | 8437406700 | CHARLESTON OB/GYN LLC |
| 446 Folly Rd, Charleston, SC 29412-2641 | 8437406700 | CHARLESTON OB/GYN LLC |
| Organization Legal Name | CHARLESTON OB/GYN LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica June Mitchum | Obstetrics/gynecology | Charleston Ob/gyn LLC | 446 Folly Rd, Charleston, SC 29412-2641 |
| William S Ottinger | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Heidi M Sapp | Obstetrics/gynecology | Charleston Ob/gyn LLC | 446 Folly Rd, Charleston, SC 29412-2641 |
| Margaret Crosby Papadea | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Lauren Hamilton | Obstetrics/gynecology | Charleston Ob/gyn LLC | 446 Folly Rd, Charleston, SC 29412-2641 |
| Rebecca Baird | Obstetrics/gynecology | Charleston Ob/gyn LLC | 446 Folly Rd, Charleston, SC 29412-2641 |
| Jennifer Fouquette Fisher | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Denise Hays Devine | Obstetrics/gynecology | Charleston Ob/gyn LLC | 1027 Physicians Dr, Suite 110, Charleston, SC 29414-5351 |
| Street Address |
446 FOLLY RD |
| City | CHARLESTON |
| State | SC |
| Zip | 29412-2641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica June Mitchum | Obstetrics/gynecology | Charleston Ob/gyn LLC | 446 Folly Rd, Charleston, SC 29412-2641 |
| Heidi M Sapp | Obstetrics/gynecology | Charleston Ob/gyn LLC | 446 Folly Rd, Charleston, SC 29412-2641 |
| Lauren Hamilton | Obstetrics/gynecology | Charleston Ob/gyn LLC | 446 Folly Rd, Charleston, SC 29412-2641 |
| Rebecca Baird | Obstetrics/gynecology | Charleston Ob/gyn LLC | 446 Folly Rd, Charleston, SC 29412-2641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Michaud | Chiropractic | 1939 Maybank Hwy, Charleston, SC 29412-2114 | |
| Peter W Kfoury | Chiropractic | 147 Wappoo Creek Dr, Suite 103, Charleston, SC 29412-2122 | |
| Erin Elizabeth Kosak | Nurse Practitioner | Remedy Internal Medicine and Wellness Center P A | 109 Wappoo Creek Dr, 2a, Charleston, SC 29412-2138 |
| Shannon Kennedy | Internal Medicine | Remedy Internal Medicine and Wellness Center P A | 109 Wappoo Creek Dr, 2a, Charleston, SC 29412-2138 |
| Glen Robison | Chiropractic | 1939 Maybank Hwy, Unit C, Charleston, SC 29412-2170 | |
| Barbara S Fox | Clinical Social Worker | 2045 Maybank Hwy, Charleston, SC 29412-2342 | |
| Tu Anh N Khuu | Internal Medicine | Roper Saint Francis Physicians Network | 325 Folly Rd, Suite 101, Charleston, SC 29412-2507 |
| Carolyn A Newton | Nurse Practitioner | Roper Saint Francis Physicians Network | 325 Folly Rd, Suite 101, Charleston, SC 29412-2507 |
| Jessica Walters | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 325 Folly Rd, Suite 107, Charleston, SC 29412-2507 |
| Elizabeth A Murray | Family Medicine | Roper Saint Francis Physicians Network | 325 Folly Rd, Suite 101, Charleston, SC 29412-2507 |
| Find all physicians in zip 29412 | |||
| City | CHARLESTON |
| Zip Code | 29412 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | CHARLESTON + OBSTETRICS/GYNECOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.