Palmetto Anesthesia of Charleston, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

PALMETTO ANESTHESIA OF CHARLESTON, LLC

Practice address

9263 Medical Plaza Dr
Ste E
Charleston, SC 29406-7112

Phone

(843) 572-1228

Fax

(877) 561-7564

NPI assigned

May 16, 2006

Last updated

Aug 2, 2012By the provider in NPPES

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 Beall, M.D.NPI 1740257450

Title

Partner

Phone

(843) 572-1228

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony C Beall, MD

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1740257450
  Medicare reassignment NPD Authorized official
• William R Brown III, M.D.

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1790752582
  Medicare reassignment NPD
• Shane Vincent Cherry, M.D.

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1386986784
  Medicare reassignment NPD
• Robert Manning Christopher Jr., MD

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1639244148
  Medicare reassignment NPD
• Sara Leitch Ewing, M.D.

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1033569520
  Medicare reassignment NPD
• Douglas M Feller, M.D.

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1679541114
  Medicare reassignment NPD
• Richard L Fishman, M.D.

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1518935352
  Medicare reassignment NPD
• Warren Kirk Fowler, MD

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1588195101
  Medicare reassignment NPD
• Matthew P Gannon, M.D.

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1700942646
  Medicare reassignment NPD
• Shaughnessy V Mullen, M.D.

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1215905054
  Medicare reassignment NPD
• Summar Christian Phillips, M.D.

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1134201734
  Medicare reassignment NPD
• Tara A Queener, MD

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1093978496
  Medicare reassignment NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1265484422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294560308",
            "telephone_number": "843-572-1228",
            "fax_number": "877-561-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9263 MEDICAL PLAZA DR",
            "address_2": "STE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294067112",
            "telephone_number": "843-572-1228",
            "fax_number": "877-561-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO ANESTHESIA OF CHARLESTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "BEALL",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-572-1228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF3518",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4029",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen Palmer, NP
• James Clifton Palmer III, PHARMD
• Kady Palmer, MD
• Olivia Calhoun Palmer, D.M.D.
• Richard A Palmer
• Palmetto Axon Neuromonitoring, LLC
• Palmetto Behavioral Health Solutions, LLC
• Palmetto Behavorial Health Solutions
• Palmetto Cardiovascular and Thoracic Assoc PA
• Palmetto Care Services of S.C. (Palmetto Home Healthcare)

• Anesthesiology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Anesthesiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.