PENINSULA ENT AND PLASTIC SURGERY, LLC
NPI 1497735997
Specialist in Charleston, SC

NPI Status: Active since January 19, 2006

Contact Information

125 DOUGHTY ST
SUITE 440
CHARLESTON, SC
ZIP 29403
Phone: (843) 958-8877
Fax: (843) 958-8878

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  • Organization
  • Specialist

About PENINSULA ENT AND PLASTIC SURGERY, LLC

This page provides the complete NPI Profile along with additional information for Peninsula Ent And Plastic Surgery, Llc, a provider established in Charleston, South Carolina operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1497735997 assigned on January 2006. The practitioner's primary taxonomy code is 174400000X with license number 12840 (SC). The provider is registered as an organization and their NPI record was last updated 18 years ago. Peninsula Ent And Plastic Surgery, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Natahsa F Glencamp (Billing Specialist)

NPI
1497735997
Provider Name
PENINSULA ENT AND PLASTIC SURGERY, LLC
Entity Type
Organization
Location Address
125 DOUGHTY ST SUITE 440 CHARLESTON, SC 29403
Location Phone
(843) 958-8877
Location Fax
(843) 958-8878
Mailing Address
125 DOUGHTY ST SUITE 440 CHARLESTON, SC 29403
Mailing Phone
(843) 958-8877
Mailing Fax
(843) 958-8878
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-19-2006
Last Update Date
09-26-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
12840
License State
SC
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. NATAHSA F GLENCAMP

Authorized Official Title
BILLING SPECIALIST
Authorized Official Phone
(843) 958-8877

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
D17525MEDICARE UPIN (02)SC 
128409MEDICAID (05)SC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497735997
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2418714310918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 4 + 3 + 1 + 0 + 9 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1497735997 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548263510MRS. LAUREL K FOX CRNA
Individual
Nurse Anesthetist, Certified Registered125 DOUGHTY ST STE 430
CHARLESTON, SC 29403
(843) 720-8448
1710969449 TROY J OCKERMAN MD
Individual
Anesthesiology125 DOUGHTY ST STE 420
CHARLESTON, SC 29403
(843) 723-3441
1659354579DR. ROBERT M. DHEIN M.D.
Individual
Anesthesiology125 DOUGHTY ST SUITE 420
CHARLESTON, SC 29403
(843) 723-3441
1669457016 RAYMOND SAMUEL KAPLAN M.D.
Individual
Otolaryngology (Plastic Surgery within the Head & Neck)125 DOUGHTY ST SUITE 280
CHARLESTON, SC 29403
(843) 958-8877
1679542278DR. THOMAS H. DUKES III M.D.
Individual
Psychiatry & Neurology (Neurology)125 DOUGHTY ST SUITE 460
CHARLESTON, SC 29403
(843) 723-0202
1477522845DR. JAMES L. BUMGARTNER M.D.
Individual
Psychiatry & Neurology (Neurology)125 DOUGHTY ST SUITE 460
CHARLESTON, SC 29403
(843) 723-0202
1821052556DR. DAVID S PETERSEIM MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)125 DOUGHTY ST SUITE 690
CHARLESTON, SC 29403
(843) 720-8490
1386600633DR. BOZMAN RELL REEVES JR. MD
Individual
Internal Medicine (Cardiovascular Disease)125 DOUGHTY ST SUITE 370
CHARLESTON, SC 29403
(843) 723-6111
1245298397MEDICAL ASSOCIATES, P.A.
Organization
Internal Medicine (Hematology & Oncology)125 DOUGHTY ST SUITE 500
CHARLESTON, SC 29403
(843) 577-2276
1285692855 GEORGE FREDERICK GEILS SR. MD
Individual
Internal Medicine (Hematology & Oncology)125 DOUGHTY ST SUITE 280
CHARLESTON, SC 29403
(843) 577-6957
1982662409DR. WILLIAM EKENGREN CRAMER MD
Individual
Anesthesiology125 DOUGHTY ST SUITE 420
CHARLESTON, SC 29403
(843) 723-3441
1548210982 WILLIAM T. DAWSON JR. M.D.
Individual
Internal Medicine (Pulmonary Disease)125 DOUGHTY ST SUITE 200
CHARLESTON, SC 29403
(843) 577-6791
1285680124 GEORGE E GRATZICK MD
Individual
Anesthesiology125 DOUGHTY ST STE 420
CHARLESTON, SC 29403
(843) 723-3441
1265488894 JUDITH B HOOD MD
Individual
Anesthesiology125 DOUGHTY ST STE 420
CHARLESTON, SC 29403
(843) 723-3441
1225084866 ROBERTA S KARNOFSKY MD
Individual
Anesthesiology125 DOUGHTY ST STE 420
CHARLESTON, SC 29403
(843) 723-3441
1053367474 JONATHAN W KIRSHTEIN MD
Individual
Anesthesiology125 DOUGHTY ST STE 420
CHARLESTON, SC 29403
(843) 723-3441
1871549295 SARAH E MCWHORTER MD
Individual
Anesthesiology125 DOUGHTY ST STE 420
CHARLESTON, SC 29403
(843) 723-3441
1508812900 FRANK M SCHABEL MD
Individual
Anesthesiology125 DOUGHTY ST STE 420
CHARLESTON, SC 29403
(843) 723-3441
1376590364 DAVID T SOKEVITZ MD
Individual
Anesthesiology125 DOUGHTY ST STE 420
CHARLESTON, SC 29403
(843) 723-3441
1194772194 MARK T HERRIN MD
Individual
Anesthesiology125 DOUGHTY ST
CHARLESTON, SC 29403
(843) 723-3441

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497735997, enumerated in the NPI registry as an "organization" on January 19, 2006

The provider is located at 125 Doughty St Suite 440 Charleston, Sc 29403 and the phone number is (843) 958-8877

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.