VA Medical Center Charleston

Primary specialty

SpecialistTaxonomy code 174400000X

License

23846 Issued in SC

Legal business name

VA MEDICAL CENTER CHARLESTON

Practice address

109 Bee St # a-112
Charleston, SC 29401-5703

Phone

(843) 789-7378

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Jaime Enrique Torres, M.D.

Title

Assistant Professor

Phone

(843) 792-5699

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881799567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 WATERPOINTE CIR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294666706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BEE ST # A-112",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294015703",
            "telephone_number": "843-789-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA MEDICAL CENTER CHARLESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "ASSISTANT PROFESSOR",
        "authorized_official_telephone_number": "843-792-5699",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "23846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jonathan Vaden, DPT
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• Maria A Valente, ANP

• Specialist in Charleston, SC
• Providers in Charleston, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.