Charleston Physicians for Women, PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CHARLESTON PHYSICIANS FOR WOMEN, PLLC

Doing business as

Creekside Women's Care Physicians

Practice address

2097 Henry Tecklenburg Dr
Suite 312 W
Charleston, SC 29414-5740

Phone

(843) 769-5620

Fax

(843) 769-5625

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Rene Montgomery

Title

Office Manager

Phone

(843) 769-5620

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Creekside Women's Care Physicians Doing business as

Tax ID family

Charleston Physicians for Women PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Charleston Physicians for Women

  dba Ashley River OBGYN

  • Obstetrics & Gynecology Physician
  • Charleston, SC
  • NPI 1053453803
  NPD tax ID
• Charleston Physicians for Women PLLC

  • Obstetrics & Gynecology Physician
  • North Charleston, SC
  • NPI 1669568952
  NPD tax ID

Locations

Practitioners 1

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

• Lorianne T Ezman, MD

  • Obstetrics & Gynecology Physician
  • Charleston, SC
  • NPI 1588635429
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043340623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2097 HENRY TECKLENBURG DR",
            "address_2": "SUITE 312 W",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145740",
            "telephone_number": "843-769-5620",
            "fax_number": "843-769-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 HENRY TECKLENBURG DR",
            "address_2": "SUITE 312 W",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145740",
            "telephone_number": "843-769-5620",
            "fax_number": "843-769-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON PHYSICIANS FOR WOMEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-769-5620"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Women's Care Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charleston Periodonticspa
• Charleston Physical Medicine LLC (Charleston Neck and Back Center)
• Charleston Physical Therapy on-Site Partners, LLC
• Charleston Physical Therapy Practice PA
• Charleston Physicians for Women (Ashley River OBGYN)
• Charleston Plastic Surgery
• Charleston Podiatry PA (carolina foot centers)
• Charleston Primary
• Charleston Psychiatric Associates, PA
• Charleston Psychiatry

• Obstetrics & Gynecology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Obstetrics & Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.