Active NPI
Christine Elizabeth Kulish-Shaw, DO
- Obstetrics & Gynecology Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 83425
- Practice address
- 2097 Henry Tecklenburg Dr Ste 312W
Charleston, SC 29414-5744 - Phone
- (843) 789-1800
- Fax
- (843) 606-8036
- NPI assigned
- May 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2013-01654 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 83425 | SC | Primary |
Addresses
Primary practice location
2097 Henry Tecklenburg Dr Ste 312W
Charleston, SC 29414-5744
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83425 | Other | SC | SC MEDICAL LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210211001103 | SC | Practitioner - Obstetrics/Gynecology | 9032353149 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Roper Saint Francis Physicians Network
Practice addresses (Care Compare)
2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800
2093 Henry Tecklenburg Dr
Charleston, SC 29414-5743
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 723-6426
2097 Henry Tecklenburg Dr
Charleston, SC 29414-5740
2097 Henry Tecklenburg Dr
Charleston, SC 29414-5744
300 Callen Blvd
Summerville, SC 29486-2809
8950 University Blvd
Suite 300
North Charleston, SC 29406-9889
Phone (843) 720-8369
Hospital & facility affiliations
- Bon Secours-St Francis Xavier Hospital
- Roper Hospital
- Roper St Francis Hospital-Berkeley Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-01654 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Saint Francis Physicians Network | Obstetrics & Gynecology | Current | Accepting new patients |
| Uwh of the Carolinas, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Obstetrics & Gynecology | Current | Accepting new patients |
| Roper St. Francis Specialty Physicians | Obstetrics & Gynecology | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital Inc. | Past | Accepting new patients | |
| Cornerstone Health Care PA | Past | Accepting new patients | |
| Roper Saint Francis Physicians Network | Past | Accepting new patients |
Locations
2097 Henry Tecklenburg Dr
Ste 322W
Charleston, SC 29414
Phone (843) 402-5035
1027 Physicians Dr
Ste 110
Charleston, SC 29414
Phone (843) 740-6700
2097 Henry Tecklenburg Dr
Ste 312W
Charleston, SC 29414
Phone (843) 769-5620
2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
8950 University Blvd
Ste 300
North Charleston, SC 29406
Phone (843) 402-1766
Interoperability endpoints
- ckulishshaw1236318@direct.bsmhealth.org
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 and National Provider Directory roles.
-
- Surgery Physician
- Ladson, SC
- NPI 1528945912
Obstetrics & Gynecology, SC
-
- Obstetrics & Gynecology Physician
- Morrisville, NC
- NPI 1639506470
Obstetrics & Gynecology, SC
-
- Orthopaedic Surgery Physician
- Mt Pleasant, SC
- NPI 1285941815
-
- Orthopaedic Surgery Physician
- Charleston, SC
- NPI 1598906265
-
- Clinical Medical Laboratory
- North Charleston, SC
- NPI 1649414285
-
- Durable Medical Equipment & Medical Supplies
- N Charleston, SC
- NPI 1730540287
-
- Clinical Medical Laboratory
- North Charleston, SC
- NPI 1912536525
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1245617844
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
- Internal Medicine Physician
- Charleston, SC
- NPI 1013158187
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
Hospital
-
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1972737484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "843-789-1620",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2097 HENRY TECKLENBURG DR STE 312W",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145744",
"telephone_number": "843-789-1800",
"fax_number": "843-606-8036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULISH-SHAW",
"first_name": "CHRISTINE",
"middle_name": "ELIZABETH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-12",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "2013-01654",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "83425",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC MEDICAL LICENSE",
"identifier": "83425",
"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 Feb 1, 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.