Active NPI
Sarah Cullen
- Foot & Ankle Surgery Podiatrist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD723
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1478 | MA | |
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PD7236 | Medicaid | SC |
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
Enrollment records 1
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 135 |
| Removal or shaving of skin growth | 95 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Foot & Ankle Specialists LLC | Single Specialty | Current | Accepting new patients |
| Associated Foot & Ankle Specialists, LLC | Single Specialty | Past | 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.
-
- Foot & Ankle Surgery Podiatrist
- Charleston, SC
- NPI 1649862293
Single Specialty
-
- Foot & Ankle Surgery Podiatrist
- Englewood, NJ
- NPI 1003858598
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.