Active NPI
Kenneth A Sharpe, MD
- Ophthalmology Physician
- Charleston, SC
National Provider Identifier
1013023340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 10062
- Practice address
- 3531 Mary Ader Ave
Charleston, SC 29414-5896 - Phone
- (843) 352-0674
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 10062 | SC | Primary |
Addresses
Primary practice location
3531 Mary Ader Ave
Charleston, SC 29414-5896
Mailing address
PO Box 63350
Charlotte, NC 28263-0001
Phone (843) 352-0674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100624 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100624 | SC | MD | Infusion Therapy Registered Nurse |
| 10062 | SC | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Neurosciences Institute | Ophthalmology | Current | Accepting new patients |
| Charleston Neuroscience Institute LLC | Current | Accepting new patients | |
| The Retina Center of Charleston, PA | Past | Accepting new patients | |
| Carolina Eyecare Physicians LLC | Ophthalmology | Past | Accepting new patients |
Locations
3531 Mary Ader Ave
Ste D
Charleston, SC 29414
3531 Mary Ader Ave
Charleston, SC 29414
Phone (843) 352-0674
9565 Highway 78
Bldg 300
Ladson, SC 29456
Phone (843) 412-2339
Interoperability endpoints
- ksharpe@retinacharleston.intellechartdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Charleston, SC
- NPI 1225094600
-
- Oxygen Equipment & Supplies (DME)
- Mount Pleasant, SC
- NPI 1033359294
-
- Ophthalmology Physician
- N Charleston, SC
- NPI 1659421238
-
- Ophthalmologic Surgery Clinic/Center
- Charleston, SC
- NPI 1205031234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1013023340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63350",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282630001",
"telephone_number": "843-352-0674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3531 MARY ADER AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145896",
"telephone_number": "843-352-0674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARPE",
"first_name": "KENNETH",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "10062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100624",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.