Individual provider Active NPI

Christopher Chillura, P.A.

  • Physician Assistant
  • North Charleston, SC
National Provider Identifier
1750578688
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
LL1252 Issued in SC
Practice address
7750 Northwoods Blvd
North Charleston, SC 29406-4034
Phone
(843) 824-8733
NPI assigned
Sep 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X LL1252 SC Primary

Addresses

Primary practice location

7750 Northwoods Blvd
North Charleston, SC 29406-4034

Mailing address

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2016

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080129000851 SC Practitioner - Physician Assistant 6204918287 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
LL1252SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roper St. Francis Mount Pleasant Hospital CurrentSince Sep 9, 2014 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Roper Hospital Inc CurrentSince Oct 1, 2007 Accepting new patients
Roper St. Francis Mount Pleasant Hospital CurrentSince Sep 9, 2014 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Sep 1, 2020 Accepting new patients

Locations

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

3500 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 606-7000

Interoperability endpoints

  • Direct secure messaging: christopher.chillura.1@18006.direct.athenahealth.com

Organizations & group practices 6

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1750578688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 CALHOUN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011113",
            "telephone_number": "843-724-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 NORTHWOODS BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064034",
            "telephone_number": "843-824-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILLURA",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "LL1252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.