Charleston Non Surgical Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1146 Issued in SC

Legal business name

CHARLESTON NON SURGICAL CENTER

Practice address

2352 Ashley River Rd
Charleston, SC 29414-4752

Phone

(843) 769-4188

Fax

(843) 769-4199

NPI assigned

Sep 26, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Anthony C Azzolino, DCNPI 1316120082

Title

DC

Phone

(843) 769-4188

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony C Azzolino, DC

  • Chiropractor
  • Charleston, SC
  • NPI 1316120082
  Medicare reassignment NPD Authorized official
• David Dierks Fitzpatrick, MD

  • Physical Medicine & Rehabilitation Physician
  • Charleston, SC
  • NPI 1750490769
  NPD (past)
• William Mark Luckie, D.C.

  • Chiropractor
  • Charleston, SC
  • NPI 1083641914
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1013903970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 ASHLEY RIVER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294144752",
            "telephone_number": "843-769-4188",
            "fax_number": "843-769-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 ASHLEY RIVER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294144752",
            "telephone_number": "843-769-4188",
            "fax_number": "843-769-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON NON SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "AZZOLINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "843-769-4188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charleston Memorial Hospital
• Charleston Mental Wellness, LLC
• Charleston Neck & Back Care, LLC
• Charleston Neurology Associates, LLC
• Charleston Neurosciences Institute (Retina Consultants of South Carolina)
• Charleston OB/GYN, LLC
• Charleston Oncology, PA
• Charleston Oral and Maxillofacial Surgery Associates LLC
• Charleston Orthodontic Specialists, Inc (Charleston Orthodontic Specialists)
• Charleston Orthopaedic Associate

• Chiropractor in Charleston, SC
• Providers in Charleston, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.