Individual provider Active NPI

John MJ Ernst, MD

  • Orthopaedic Hand Surgery Physician
  • Charleston, SC
National Provider Identifier
1619902905
Registry record updated Nov 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
11777 Issued in SC
Practice address
2093 Henry Tecklenburg Dr Ste 200E
Charleston, SC 29414-5742
Phone
(843) 958-2500
Fax
(843) 958-2680
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 11777 SC Primary

Addresses

Primary practice location

2093 Henry Tecklenburg Dr Ste 200E
Charleston, SC 29414-5742

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 958-2500

Other identifiers 3

IdentifierTypeStateIssuer
P00614933OtherSCRAILROAD MEDICARE
117778MedicaidSC
P00727260OtherSCRAILROAD MEDICARE ID-RSFPN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address John.Ernst@rsfpp.eclinicaldirectplus.com Direct

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
I20040223000700 SC Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 0244126720 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11777SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince May 1, 2009 Accepting new patients
Roper Hospital, Inc. CurrentSince May 1, 2008 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Roper Hospital Inc. CurrentSince May 1, 2008 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince May 1, 2009 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients
Orthopaedic Specialists of Charleston Past Accepting new patients

Locations

2093 Henry Tecklenburg Dr
Ste 200E
Charleston, SC 29414
Phone (843) 766-6494

1 S Park Cir
Ste 400
Charleston, SC 29407
Phone (843) 789-1651

2093 Henry Tecklenburg Dr
Ste 200
Charleston, SC 29414
Phone (803) 577-6251

2093 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1006

594 Lone Tree Dr
Mt Pleasant, SC 29464

3510 N Highway 17
Ste 105
Mt Pleasant, SC 29466
Phone (843) 789-1850

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

2891 Tricom St
Ste A
North Charleston, SC 29406
Phone (843) 789-1850

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Interoperability endpoints

  • Direct secure messaging: john.ernst@rsfpp.eclinicaldirectplus.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669420800000",
    "number": "1619902905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "843-958-2500",
            "fax_number": "843-958-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2093 HENRY TECKLENBURG DR STE 200E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145742",
            "telephone_number": "843-958-2500",
            "fax_number": "843-958-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNST",
        "first_name": "JOHN",
        "middle_name": "MJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-11-26",
        "certification_date": "2022-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "SC",
            "license": "11777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00614933",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117778",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID-RSFPN",
            "identifier": "P00727260",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "John.Ernst@rsfpp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Document and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Care Documents",
            "address_1": "2093 Henry Tecklenburg Dr",
            "address_2": "Suite 200",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294145741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.