NPIMap

Individual provider Active NPI

Christian Fernando Reusche, M.D.

  • Psychiatry Physician
  • Mount Pleasant, SC
National Provider Identifier
1932306545
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
LL30081 Issued in SC
Practice address
757 Johnnie Dodds Blvd Ste 100
Mount Pleasant, SC 29464-3079
Phone
(843) 709-2013
NPI assigned
Jun 27, 2007
Last updated
Feb 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X LL30081 SC Primary

Addresses

Primary practice location

757 Johnnie Dodds Blvd Ste 100
Mount Pleasant, SC 29464-3079

Mailing address

1305 Sand Harbor LN
Charleston, SC 29412-9643
Phone (301) 904-7995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110816000705 SC Practitioner - Psychiatry 3678742244 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL30081SCMDPsychiatry Physician
30081SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Regional Medical Center of Orangeburg and Calhoun Counties Current Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jul 18, 2011 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Dec 11, 2015 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jul 14, 2015 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Oct 10, 2011 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office Psychiatry CurrentSince Jul 18, 2011 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Dec 11, 2015 Accepting new patients
University Medical Associates of the Medical University of South Carol Psychiatry CurrentSince Dec 10, 2015 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jul 14, 2015 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Dec 10, 2015 Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

2319 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 536-1571

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0fba742b-eec1-4103-87e5-edbdf1fe1e30/

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1932306545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 SAND HARBOR LN",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294129643",
            "telephone_number": "301-904-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 JOHNNIE DODDS BLVD STE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643079",
            "telephone_number": "843-709-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUSCHE",
        "first_name": "CHRISTIAN",
        "middle_name": "FERNANDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "LL30081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.