Polly A Wurthmann, M.D

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

18657 Issued in SC

Practice address

1849 Savage Rd
Charleston, SC 29407-4726

Phone

(843) 576-2588

Fax

(843) 576-2610

NPI assigned

Jun 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anesthesia Services of Charleston

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1730258997

  SC, Specialist

  Medicare reassignment NPD
• Mt. Pleasant Anesthesia Associates, PA

  • Certified Registered Nurse Anesthetist
  • Mt Pleasant, SC
  • NPI 1447205372

  Specialist

  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1760427504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1583",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294651583",
            "telephone_number": "843-343-3740",
            "fax_number": "843-375-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 SAVAGE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074726",
            "telephone_number": "843-576-2588",
            "fax_number": "843-576-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURTHMANN",
        "first_name": "POLLY",
        "middle_name": "A",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "18657",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "18657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyra Wright, RBT
• William Arthur Wright, PA-C
• Wrmdsv III
• WSSH Powerback Rehabilitation Services, LLC
• Allison Wukovits
• Rachel Wyand, MD
• Wendy C Wyatt, RD,LD,CDM
• Rachel Wyllie
• Grace Wyszynski
• Stephanie Brooke Xavier, APRN, DNP, FNP-C

• All providers in Charleston, SC
• Anesthesiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.