Charleston Healthspan Institute

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CHARLESTON HEALTHSPAN INSTITUTE

Practice address

900 Island Park Dr
Suite 104
Daniel Island, SC 29492

Phone

(843) 375-6588

Fax

(843) 353-1610

NPI assigned

Aug 4, 2015

Last updated

Aug 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Kady Wilson, M.D.

Title

Practitioner/Owner

Phone

(843) 442-8915

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1609252402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ISLAND PARK DR",
            "address_2": "SUITE 110",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "29492",
            "telephone_number": "843-375-6588",
            "fax_number": "843-353-1610"
        },
        {
            "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": "29492",
            "telephone_number": "843-375-6588",
            "fax_number": "843-353-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON HEALTHSPAN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "KADY",
        "authorized_official_title_or_position": "PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "843-442-8915",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T30464",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghann Carey Caloudas, P.T.
• Emily Campbell, MSLP, CF-SLP
• Carolina Family Care, Inc (MUSC Physicians PCP Daniel Island)
• Charlene Veronica Carr
• Margaret Wilkins Carroll, PHARM.D.
• Charleston Men's and Marriage Counseling, LLC
• Chiroserv Inc
• Aliece Wilson Christopher, PT
• Church DMD LLC
• Heidi L Clower, MS/CCC-A

• Obstetrics & Gynecology Physician in Daniel Island, SC
• Providers in Daniel Island, SC by specialty
• Obstetrics & Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.