Individual provider Active NPI

Eleanor E Sahn, MD

  • Dermatology Physician
  • Daniel Island, SC
National Provider Identifier
1386699742
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
11665 Issued in SC
Practice address
900 Island Park Dr
Suite 104
Daniel Island, SC 29492-7560
Phone
(843) 856-4465
NPI assigned
May 24, 2006
Last updated
Oct 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 11665 SC Primary

Addresses

Primary practice location

900 Island Park Dr
Suite 104
Daniel Island, SC 29492-7560

Mailing address

900 Island Park Dr
Suite 104
Daniel Island, SC 29492-7559
Phone (843) 856-4465

Other identifiers 2

IdentifierTypeStateIssuer
116653MedicaidSC
070016710OtherSCRR MEDICARE

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
I20100220000113 SC Practitioner - Dermatology 9830233436 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11665SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eleanor E. Sahn MD PC Dermatology CurrentSince May 24, 2002 Accepting new patients
Marianne W Rosen, M.D. Dermatology Past Accepting new patients

Locations

225 Seven Farms Dr
Ste 105
Daniel Island, SC 29492
Phone (843) 471-2020

900 Island Park Dr
Ste 104
Daniel Island, SC 29492
Phone (843) 264-7973

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1386699742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ISLAND PARK DR",
            "address_2": "SUITE 104",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927559",
            "telephone_number": "843-856-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ISLAND PARK DR",
            "address_2": "SUITE 104",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927560",
            "telephone_number": "843-856-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHN",
        "first_name": "ELEANOR",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "11665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116653",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "070016710",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daniel Island, SC

Sources for this page

Verify at the official NPI Registry.