NPIMap

Individual provider Active NPI

David Edward Stickler, MD

  • Neurology Physician
  • North Charleston, SC
National Provider Identifier
1699711945
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
28323 Issued in SC
Practice address
2695 Elms Plantation Blvd
Suite - a
North Charleston, SC 29406-7132
Phone
(843) 818-1181
Fax
(843) 818-1145
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 28323 SC Primary

Addresses

Primary practice location

2695 Elms Plantation Blvd
Suite - a
North Charleston, SC 29406-7132

Mailing address

2695 Elms Plantation Blvd
Suite - a
North Charleston, SC 29406-7132
Phone (843) 818-1181

Other identifiers 1

IdentifierTypeStateIssuer
283231MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914000977 SC Practitioner - Neurology 3476586090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
West Virginia University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Specialists of CharlestonGroup PAC ID 6002971165, 17 clinicians

Practice addresses (Care Compare)

15 Monckton Blvd
Columbia, SC 29206-4700
Phone (843) 818-1181

Hospital & facility affiliations

  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073
  • Roper Hospital Hospital, Charleston, SC, CCN 420087

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28323SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Specialists of Charleston PA CurrentSince Mar 1, 2014 Accepting new patients
Pain Specialists of Charleston CurrentSince Mar 1, 2014 Accepting new patients
Pain Specialists of Charleston PastSince Feb 13, 2022 Accepting new patients

Locations

15 Monckton Blvd
Columbia, SC 29206
Phone (803) 252-4900

2791 Tricom St
North Charleston, SC 29406
Phone (843) 797-3711

2675 Elms Plantation Blvd
North Charleston, SC 29406
Phone (843) 408-0386

2675 Elms Plantation Blvd
Ste A
North Charleston, SC 29406

2695 Elms Plantation Blvd
Ste A
North Charleston, SC 29406
Phone (843) 818-1181

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1699711945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ELMS PLANTATION BLVD",
            "address_2": "SUITE - A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294067132",
            "telephone_number": "843-818-1181",
            "fax_number": "843-818-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 ELMS PLANTATION BLVD",
            "address_2": "SUITE - A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294067132",
            "telephone_number": "843-818-1181",
            "fax_number": "843-818-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKLER",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "28323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283231",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.