Individual provider Active NPI

Wade Dehnkamp, MD

  • Emergency Medicine Physician
  • Charleston, SC
National Provider Identifier
1295961332
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
38612 Issued in SC
Practice address
316 Calhoun Street
Charleston, SC 29401-1113
Phone
(843) 724-2010
Fax
(843) 724-2005
NPI assigned
Jun 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD435502 PA
Emergency Medicine Physician 207P00000X 38612 SC Primary

Addresses

Primary practice location

316 Calhoun Street
Charleston, SC 29401-1113

Mailing address

PO Box 601495
Charlotte, NC 28260-1495
Phone (843) 789-1620

Other practice location 1

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-4476

Other identifiers 1

IdentifierTypeStateIssuer
386120MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150916003485 SC Practitioner - Emergency Medicine 6002967254 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Temple University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broad River Physicians Group, LLCGroup PAC ID 8123385143, 70 clinicians

Practice addresses (Care Compare)

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2901

Hospital & facility affiliations

  • Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104
  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
  • Roper Hospital Hospital, Charleston, SC, CCN 420087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38612SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St Francis Xavier Hospital, Inc. Emergency Medicine CurrentSince Jan 9, 2017 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Broad River Physicians Group, LLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Roper Hospital Inc Emergency Medicine CurrentSince Jan 9, 2017 Accepting new patients
Roper Hospital Inc Emergency Medicine Current Accepting new patients
Roper St. Francis Mount Pleasant Hospital Emergency Medicine CurrentSince Jan 9, 2017 Accepting new patients
Roper St. Francis Mount Pleasant Hospital Current Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Aug 1, 2015 Accepting new patients
Roper St. Francis Mount Pleasant Hospital CurrentSince Jan 9, 2017 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Jan 9, 2017 Accepting new patients
Roper Hospital Inc. CurrentSince Jan 9, 2017 Accepting new patients
Abington Emergency Physician Associates PC Emergency Medicine Past Accepting new patients

Locations

185 McGee St
Bamberg, SC 29003
Phone (803) 245-4327

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

730 Stony Landing Rd
Moncks Corner, SC 29461
Phone (843) 572-9211

3500 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 606-7000

7832 Rivers Ave
North Charleston, SC 29406
Phone (843) 824-8733

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

111 John Lawson Ave
Santee, SC 29142
Phone (781) 280-1577

100 Callen Blvd
Summerville, SC 29486
Phone (845) 529-3165

101 Sawmill Centre Dr
Summerville, SC 29483

Organizations & group practices 12

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1295961332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601495",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601495",
            "telephone_number": "843-789-1620",
            "fax_number": "843-724-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 CALHOUN STREET",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011113",
            "telephone_number": "843-724-2010",
            "fax_number": "843-724-2005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405103",
            "country_code": "US",
            "telephone_number": "215-707-4476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEHNKAMP",
        "first_name": "WADE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD435502",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "38612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "386120",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.