Active NPI
Christopher C Stephanoff, PA
- Medical Physician Assistant
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- A341HEM
- Practice address
- 2910 Tricom St
North Charleston, SC 29406-9350 - Phone
- (843) 572-9211
- Fax
- (843) 572-0457
- NPI assigned
- Aug 8, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | A341HEM | SC | Primary |
Addresses
Primary practice location
2910 Tricom St
North Charleston, SC 29406-9350
Mailing address
2910 Tricom St
North Charleston, SC 29406-9350
Phone (843) 572-9211
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 341 | SC | MD | Psychologist |
| A341HEM | SC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours St Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Roper St. Francis Mount Pleasant Hospital | Current | Accepting new patients | |
| Roper Hospital Inc | Current | Accepting new patients | |
| Roper Hospital Inc. | Current | Accepting new patients |
Locations
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000
730 Stony Landing Rd
Moncks Corner, SC 29461
Phone (843) 572-9211
3500 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 606-7000
2910 Tricom St
North Charleston, SC 29406
Phone (843) 572-9211
7832 Rivers Ave
North Charleston, SC 29406
Phone (843) 824-8733
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Charleston, SC
- NPI 1770867442
-
dba Roper Hospital ER Berkeley
- Emergency Medicine Physician
- Moncks Corner, SC
- NPI 1104983055
-
- Emergency Medicine Physician
- Summerville, SC
- NPI 1295443000
-
dba Mt. Pleasant EKG
- Cardiovascular Disease Physician
- Mount Pleasant, SC
- NPI 1629499298
-
dba Roper St. Francis Healthcare Pediatrics
- Pediatrics Physician
- Charleston, SC
- NPI 1982583068
-
dba Vascular Medicine and Wound Management Clinic
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- N Charleston, SC
- NPI 1104563758
-
dba Roper St. Francis Intensivist Services
- Critical Care Medicine (Internal Medicine) Physician
- Mount Pleasant, SC
- NPI 1578362232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265442891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 TRICOM ST",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069350",
"telephone_number": "843-572-9211",
"fax_number": "843-572-0457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 TRICOM ST",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069350",
"telephone_number": "843-572-9211",
"fax_number": "843-572-0457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHANOFF",
"first_name": "CHRISTOPHER",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "A341HEM",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.