Individual provider Active NPI

Ruth Schirmer De Haven, M.D.

  • General Practice Physician
  • Charleston, SC
National Provider Identifier
1841265220
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16710 Issued in SC
Practice address
1249A Savannah Hwy
St. Andrews Medical, Inc
Charleston, SC 29407-7826
Phone
(843) 763-2000
Fax
(843) 763-2325
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16710 SC Primary

Addresses

Primary practice location

1249A Savannah Hwy
St. Andrews Medical, Inc
Charleston, SC 29407-7826

Mailing address

1249A Savannah Hwy
St. Andrews Medical, Inc
Charleston, SC 29407-7826
Phone (843) 763-2000

Other identifiers 1

IdentifierTypeStateIssuer
TL6836MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081027000655 SC Practitioner - General Practice 0749348258 Practice locations: Charleston, SC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1841265220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249A SAVANNAH HWY",
            "address_2": "ST. ANDREWS MEDICAL, INC",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077826",
            "telephone_number": "843-763-2000",
            "fax_number": "843-763-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249A SAVANNAH HWY",
            "address_2": "ST. ANDREWS MEDICAL, INC",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077826",
            "telephone_number": "843-763-2000",
            "fax_number": "843-763-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE HAVEN",
        "first_name": "RUTH",
        "middle_name": "SCHIRMER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "16710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL6836",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.