Charleston Surgical Consultants, LLC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

CHARLESTON SURGICAL CONSULTANTS, LLC

Doing business as

The Charleston Sinus Center/Russell Facial Plastic Surgery

Practice address

2850 Tricom St
North Charleston, SC 29406-9192

Phone

(843) 863-1188

Fax

(843) 863-8286

NPI assigned

Jun 27, 2025

Last updated

Apr 2, 2026By 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

Joseph L Russell, MDNPI 1578855433

Title

Owner

Phone

(843) 863-1188

Specialties & licenses 3

Addresses

Other names 1

• The Charleston Sinus Center/Russell Facial Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 5

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.

• Joseph L. a. Russell, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • North Charleston, SC
  • NPI 1578855433
  Medicare reassignment Care Compare group NPD Authorized official
• Russell David Kitch, M.D.

  • Otolaryngology Physician
  • North Charleston, SC
  • NPI 1992705099
  Medicare reassignment Care Compare group NPD
• Julie T Malka, AUDIOLOGIST

  • Audiologist
  • North Charleston, SC
  • NPI 1467627471
  Medicare reassignment Care Compare group NPD
• Savannah Halter, PA-C

  • Physician Assistant
  • North Charleston, SC
  • NPI 1437923075
  Medicare reassignment Care Compare group
• Debra Anne Mack, PA-C

  • Physician Assistant
  • North Charleston, SC
  • NPI 1598300840
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1629966460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069192",
            "telephone_number": "843-863-1188",
            "fax_number": "843-863-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 TRICOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069192",
            "telephone_number": "843-863-1188",
            "fax_number": "843-863-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON SURGICAL CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-863-1188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Charleston Sinus Center/Russell Facial Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Charleston Specialty Rehab Institute Limited Partnership
• Charleston VA Cmop
• Charleston Vamc
• Charleston Vamc
• Charleston Vamc
• Charleston Youth Dentistry, LLC

• Otolaryngology/Facial Plastic Surgery Physician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Otolaryngology/Facial Plastic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.