Summerville Sleep Consultants LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SUMMERVILLE SLEEP CONSULTANTS LLC

Practice address

92 Springview LN
Summerville, SC 29485-8153

Phone

(843) 871-4006

Fax

(843) 871-4074

NPI assigned

Nov 22, 2006

Last updated

Feb 3, 2015By 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

Ms. Susannah Raye Kaelin

Title

Manager

Phone

(843) 871-4006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 18

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.

• David Keith Handshoe, MD

  • Pulmonary Disease Physician
  • Summerville, SC
  • NPI 1659371755
  Medicare reassignment Care Compare group NPD
• Thomas D Kaelin Jr., DO

  • Pulmonary Disease Physician
  • N Charleston, SC
  • NPI 1740280841
  Medicare reassignment Care Compare group NPD
• Russell David Kitch, M.D.

  • Otolaryngology Physician
  • North Charleston, SC
  • NPI 1992705099
  Medicare reassignment Care Compare group NPD
• Taylor Wharton Green

  • Family Nurse Practitioner
  • Summerville, SC
  • NPI 1790540904
  Medicare reassignment NPD
• Jared M Intaphan, M.D.

  • Pulmonary Disease Physician
  • North Charleston, SC
  • NPI 1639486160
  Medicare reassignment NPD
• Sola Kim, M.D.

  • Pulmonary Disease Physician
  • N Charleston, SC
  • NPI 1508864968
  Medicare reassignment NPD
• Karl Scott Miller, MD

  • Pulmonary Disease Physician
  • Summerville, SC
  • NPI 1902806011
  Medicare reassignment NPD
• Michelle Felice Peterson, APRN

  • Adult Health Nurse Practitioner
  • Summerville, SC
  • NPI 1144601592
  Medicare reassignment NPD
• Marie Davis Rataj, ANP

  • Adult Health Nurse Practitioner
  • Summerville, SC
  • NPI 1003872391
  Medicare reassignment NPD
• John Michael Rucker, MD

  • Pulmonary Disease Physician
  • North Charleston, SC
  • NPI 1568462661
  Medicare reassignment NPD
• Leslie Dawn Wilke, D.O.

  • Pulmonary Disease Physician
  • N Charleston, SC
  • NPI 1548460744
  Medicare reassignment NPD
• Kaytlin Blake Hollingsworth, PA-C

  • Physician Assistant
  • Summerville, SC
  • NPI 1790383719
  NPD

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1265507404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 SPRINGVIEW LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858153",
            "telephone_number": "843-871-4006",
            "fax_number": "843-871-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 SPRINGVIEW LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858153",
            "telephone_number": "843-871-4006",
            "fax_number": "843-871-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERVILLE SLEEP CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "KAELIN",
        "authorized_official_first_name": "SUSANNAH",
        "authorized_official_middle_name": "RAYE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-871-4006",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summerville Pediatric Eyecare PC
• Summerville Pediatric Occupational Therapy, LLC
• Summerville Physical Therapy & Balance Rehabilitation for Adults, LLC
• Summerville Primary Care
• Summerville Primary Eyecare LLC (Summerville Primary Eyecare)
• Summerville Smiles Dental Office, PC
• Summerville Surgical Associates, PA
• Summit Hand Therapy, LLC
• Monica V Sumpter
• Ramona Perez Surprenant

• Specialist in Summerville, SC
• Providers in Summerville, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.