Palmetto Endoscopy Center - Mt Pleasant LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PALMETTO ENDOSCOPY CENTER - MT PLEASANT LLC

Practice address

1250 Wire Grass Drive
Mt Pleasant, SC 29466

Phone

(843) 571-0643

Fax

(843) 571-0311

NPI assigned

Apr 16, 2021

Organization subpart

No

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

Authorized official

Name

Sonya M Wyatt

Title

Ceo

Phone

(843) 571-0643

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

Palmetto Endoscopy Center Mt Pleasant LLCCCN 42C0001103

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Andreevich Sagatelian, MD

  • Specialist
  • Charleston, SC
  • NPI 1962452367
  NPD
• James William Schnell, M.D.

  • Gastroenterology Physician
  • Charleston, SC
  • NPI 1679523070
  NPD
• Derek John Feussner, M.D.

  • Gastroenterology Physician
  • Charleston, SC
  • NPI 1396004479
  NPD (past)
• John Litchfield, DO

  • Gastroenterology Physician
  • Charleston, SC
  • NPI 1730329533
  NPD (past)
• Lori Allison Robbins, M.D.

  • Gastroenterology Physician
  • Charleston, SC
  • NPI 1629417761
  NPD (past)
• Alejandro Lee Suarez, M.D.

  • Gastroenterology Physician
  • Charleston, SC
  • NPI 1386936110
  NPD (past)
• Haily Vora, MD

  • Gastroenterology Physician
  • Charleston, SC
  • NPI 1386139178
  NPD (past)

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1861073371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29414",
            "telephone_number": "843-571-0643",
            "fax_number": "843-571-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WIRE GRASS DRIVE",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "29466",
            "telephone_number": "843-571-0643",
            "fax_number": "843-571-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO ENDOSCOPY CENTER - MT PLEASANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-571-0643"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Management, LLC
• Robert Painter, DMD
• Margaux Palmentiero, RN
• Palmetto Anesthesia Specialists LLC
• Palmetto Assessments and Learning Services
• Palmetto Facial Surgery Center, LLC
• Palmetto Mt. Pleasant Behavioral Health LLC
• Palmetto Natural Health LLC
• Palmetto Oculoplastics
• Palmetto Ortho of Chas, PA

• Ambulatory Surgical Clinic/Center in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.