James Island Pediatrics

Primary specialty

SpecialistTaxonomy code 174400000X

License

093375 Issued in SC

Legal business name

JAMES ISLAND PEDIATRICS

Practice address

James Island Pediatrics
776 Daniel Ellis Dr Suite 3C
Charleston, SC 29412

Phone

(843) 795-0900

Fax

(843) 762-5495

NPI assigned

Apr 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Martine A Hutton, M.D.

Title

President

Phone

(843) 795-0900

Specialties & licenses 1

Addresses

Other names 1

• DR HUTTON Other name

Locations

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1366404725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 DANIEL ELLIS DR",
            "address_2": "STE 3C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123094",
            "telephone_number": "843-795-0900",
            "fax_number": "843-762-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAMES ISLAND PEDIATRICS",
            "address_2": "776 DANIEL ELLIS DR SUITE 3C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29412",
            "telephone_number": "843-795-0900",
            "fax_number": "843-762-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES ISLAND PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "MARTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-795-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "093375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR HUTTON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James Island Dental, LLC
• James Island Dentistry for Children LLC
• James Island Family Chiropractic, LLC.
• James Island Family Orthodontics LLC
• James Island Family Practice
• James Island Presbyterian Foundation
• James Myers III LLC
• Amy Dawn James
• Andrew James
• Nancy Ravenel James

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.