Organization Active NPI

Wando Neuromonitoring LLC

  • Specialist
  • N Charleston, SC
National Provider Identifier
1417578915
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Dr. Don O Stovall, MDNPI 1003844523
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.