NPIMap

Organization Active NPI

Charleston Maternal Fetal Medicine LLC

  • Maternal & Fetal Medicine Physician
  • Charleston, SC
National Provider Identifier
1750771705
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
CHARLESTON MATERNAL FETAL MEDICINE LLC
Practice address
2095 Henry Tecklenburg Dr
Room 100
Charleston, SC 29414-5733
Phone
(843) 402-2028
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Dr. Alison Elizabeth Dillon, M.D.
Title
Shareholder/Physician
Phone
(843) 437-0406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X Primary

Addresses

Primary practice location

2095 Henry Tecklenburg Dr
Room 100
Charleston, SC 29414-5733

Mailing address

2095 Henry Tecklenburg Dr
Room 100
Charleston, SC 29414-5733
Phone (843) 402-2028

National Provider Directory

National Provider Directory

Locations

2095 Henry Tecklenburg Dr
Rm 100
Charleston, SC 29414
Phone (843) 402-2028

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1750771705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 HENRY TECKLENBURG DR",
            "address_2": "ROOM 100",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145733",
            "telephone_number": "843-402-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 HENRY TECKLENBURG DR",
            "address_2": "ROOM 100",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145733",
            "telephone_number": "843-402-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON MATERNAL FETAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SHAREHOLDER/PHYSICIAN",
        "authorized_official_telephone_number": "843-437-0406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.