Organization Active NPI

Eleanor E. Sahn MD PC

  • Dermatology Physician
  • Daniel Island, SC
National Provider Identifier
1528128121
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
11665 Issued in SC
Legal business name
ELEANOR E. SAHN MD PC
Practice address
225 Seven Farms Dr
Suite 105
Daniel Island, SC 29492-8353
Phone
(843) 971-4460
Fax
(843) 971-0991
NPI assigned
Dec 12, 2006
Last updated
Dec 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Dr. Eleanor E Sahn, M.D.NPI 1386699742
Title
President
Phone
(843) 971-4460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

225 Seven Farms Dr
Suite 105
Daniel Island, SC 29492-8353

Mailing address

225 Seven Farms Dr
Suite 105
Daniel Island, SC 29492-8353
Phone (843) 971-4460

Other identifiers 2

IdentifierTypeStateIssuer
070016710OtherSCRR MEDICARE
GP3471MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041011000502 SC Part B Supplier - Clinic/Group Practice 2365402765 Receives reassigned benefits from 3 practitioners
Practice locations: Daniel Island, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0961833Eleanor E Sahn, MD PC225 Seven Farms Dr, Suite 105, Daniel Island, SC 29492Provider-performed microscopyJun 17, 2027

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1528128121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SEVEN FARMS DR",
            "address_2": "SUITE 105",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928353",
            "telephone_number": "843-971-4460",
            "fax_number": "843-971-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SEVEN FARMS DR",
            "address_2": "SUITE 105",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928353",
            "telephone_number": "843-971-4460",
            "fax_number": "843-971-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEANOR E. SAHN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "SAHN",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-971-4460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "11665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "070016710",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3471",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daniel Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.