Active NPI
Wando Neuromonitoring LLC
- Specialist
- N Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- WANDO NEUROMONITORING LLC
- Practice address
- 2880 Tricom St
N Charleston, SC 29406-9171 - Phone
- (843) 509-1968
- NPI assigned
- May 6, 2020
- Last updated
- May 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Don O Stovall, MD
- Title
- Member
- Phone
- (843) 509-1968
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2880 Tricom St
N Charleston, SC 29406-9171
Mailing address
2880 Tricom St
N Charleston, SC 29406-9171
Phone (843) 509-1968
National Provider Directory
National Provider DirectoryLocations
2880 Tricom St
North Charleston, SC 29406
Phone (843) 797-5050
Practitioners & affiliated clinicians
Practitioners 1
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.
-
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- North Charleston, SC
- NPI 1003844523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588723200000",
"number": "1417578915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 TRICOM ST",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294069171",
"telephone_number": "843-509-1968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 TRICOM ST",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294069171",
"telephone_number": "843-509-1968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WANDO NEUROMONITORING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-06",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A",
"authorized_official_last_name": "STOVALL",
"authorized_official_first_name": "DON",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "843-509-1968",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.