Individual provider Active NPI

Sarah Cullen

  • Foot & Ankle Surgery Podiatrist
  • Charleston, SC
National Provider Identifier
1831684869
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD723 Issued in SC
Practice address
2097 Henry Tecklenburg Dr Ste 210
Charleston, SC 29414-5739
Phone
(843) 356-9673
Fax
(843) 852-9404
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1478 MA
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X POD723 SC Primary

Addresses

Primary practice location

2097 Henry Tecklenburg Dr Ste 210
Charleston, SC 29414-5739

Mailing address

966 Harbor Oaks Dr
Charleston, SC 29412-4352
Phone (843) 356-9673

Other identifiers 1

IdentifierTypeStateIssuer
PD7236MedicaidSC

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629003003 SC Practitioner - Podiatry 2062813934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Foot and Ankle Specialists LLCGroup PAC ID 2466851944, 2 clinicians

Practice addresses (Care Compare)

2097 Henry Tecklenburg Dr
Suite 210
Charleston, SC 29414-5739
Phone (843) 852-9444

Hospital & facility affiliations

  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue135
Removal or shaving of skin growth95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Foot & Ankle Specialists LLC Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Associated Foot & Ankle Specialists, LLC Single Specialty PastSince May 16, 2021 Accepting new patients

Locations

2097 Henry Tecklenburg Dr
Ste 210
Charleston, SC 29414
Phone (843) 356-9673

Organizations & group practices 2

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 1

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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1831684869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 HARBOR OAKS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124352",
            "telephone_number": "843-356-9673",
            "fax_number": "843-852-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 HENRY TECKLENBURG DR STE 210",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145739",
            "telephone_number": "843-356-9673",
            "fax_number": "843-852-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "1478",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "POD723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD7236",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.