FRED TECKLENBURG MD
NPI 1750499794
Pediatrics - Pediatric Critical Care Medicine in Charleston, SC
NPI Status: Active since August 29, 2006
Contact Information
171 ASHLEY AVE
CHARLESTON, SC
ZIP 29425
Phone: (843) 792-1414
- Individual
- Male
- Pediatrics
- Pediatric Critical Care Medicine
- Accepts Insurance
About FRED TECKLENBURG
This page provides the complete NPI Profile along with additional information for Fred Tecklenburg, a pediatrician established in Charleston, South Carolina with a medical specialization in Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1750499794 assigned on August 2006. The practitioner's primary taxonomy code is 2080P0203X with license number 12515 (SC). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1750499794
- Provider Name
- FRED TECKLENBURG MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 171 ASHLEY AVE CHARLESTON, SC 29425
- Location Phone
- (843) 792-1414
- Mailing Address
- PO BOX 751461 CHARLOTTE, NC 28275
- Mailing Phone
- (843) 792-6200
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-29-2006
- Last Update Date
- 11-13-2020
- Code Navigator
A pediatrician like Fred Tecklenburg is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
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
Pediatrics Pediatric Critical Care Medicine
- Taxonomy Code
- 2080P0203X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 12515
- License State
- SC
- Taxonomy Description
- A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- First Choice Next Bronze Essential - HMO
- First Choice Next Bronze Premier - HMO
- First Choice Next Bronze Signature - HMO
- First Choice Next Gold Deluxe - HMO
- First Choice Next Gold Signature - HMO
- First Choice Next Silver Deluxe - HMO
- First Choice Next Silver Premier - HMO
- First Choice Next Silver Signature - HMO
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.
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 |
|---|---|---|---|
| 125153 | MEDICAID (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. | |||||||||
| 1 | 7 | 5 | 0 | 4 | 9 | 9 | 7 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 8 | 9 | 18 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 8 + 9 + 1 + 8 + 7 + 1 + 8 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1750499794 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1811987407 | MRS. VICKI E ALLEN PA C Individual | Physician Assistant | 171 ASHLEY AVE CHARLESTON, SC 29425 (843) 792-1414 |
| 1932183373 | DR. CHRISTINA L BOURNE MD Individual | Emergency Medicine | 171 ASHLEY AVE EMERGENCY MEDICINE CHARLESTON, SC 29425 (843) 792-1414 |
| 1831174861 | MUNAZZA ANIS MD Individual | Radiology (Diagnostic Radiology) | 171 ASHLEY AVE CHARLESTON, SC 29425 (843) 792-1414 |
| 1902883580 | ROY B SESSIONS MD Individual | Otolaryngology | 171 ASHLEY AVE CHARLESTON, SC 29425 (843) 792-1414 |
| 1033198353 | STEVEN STEUER GLAZIER MD Individual | Neurological Surgery | 171 ASHLEY AVE CHARLESTON, SC 29425 (843) 792-1414 |
| 1427020726 | DR. WALTER S BARTYNSKI MD Individual | Radiology (Neuroradiology) | 171 ASHLEY AVE CHARLESTON, SC 29425 (843) 792-1414 |
| 1508839051 | DR. STACY MARIE PRUTTING BS,PHARMD, BCPS, CDE Individual | Pharmacist (Pharmacotherapy) | 171 ASHLEY AVE CHARLESTON, SC 29425 (843) 792-2300 |
| 1255305876 | MEDICAL UNIVERSITY HOSPITAL AUTHORITY Organization | Nurse Anesthetist, Certified Registered | 171 ASHLEY AVE CHARLESTON, SC 29425 (843) 792-1414 |
| 1780658641 | DR. CHERYL P LYNCH MD Individual | Internal Medicine | 171 ASHLEY AVE CHARLESTON, SC 29425 (412) 876-1344 |
| 1992779128 | MINOO N KAVARANA M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 171 ASHLEY AVE CHARLESTON, SC 29425 (843) 792-1414 |
| 1518936574 | RITA MARIE RYAN MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 171 ASHLEY AVE CHARLESTON, SC 29425 (843) 792-1414 |
| 1124097753 | LINDA A. THOMAS L.I.S.W. Individual | Social Worker (Clinical) | 171 ASHLEY AVE CHARLESTON, SC 29425 (843) 792-1414 |
| 1265492284 | MS. SUSAN C CRAVEN CRNA Individual | Nurse Anesthetist, Certified Registered | 171 ASHLEY AVE CHARLESTON, SC 29425 (843) 792-1414 |
| 1598726465 | R. BHANU VIKRAMAN PILLAI M.D Individual | Pediatrics (Pediatric Gastroenterology) | 171 ASHLEY AVE CHARLESTON, SC 29425 (843) 792-7653 |
| 1336102581 | ANGELA MARIE SAVATIEL MD Individual | Obstetrics & Gynecology | 171 ASHLEY AVE CHARLESTON, SC 29425 (843) 792-1414 |
| 1356305494 | MS. JENNIFER LEE PELTIER ATC Individual | Specialist/Technologist (Athletic Trainer) | 171 ASHLEY AVE MSC 622 CHARLESTON, SC 29425 (843) 792-8147 |
| 1366409161 | DR. STEPHEN AUSTIN FANN M.D. Individual | Surgery (Surgical Critical Care) | 171 ASHLEY AVE CHARLESTON, SC 29425 (843) 792-1414 |
| 1275591299 | DR. MARIA F EGIDI MD Individual | Internal Medicine (Nephrology) | 171 ASHLEY AVE CHARLESTON, SC 29425 (843) 792-1414 |
| 1700834868 | DR. BARTON LEWIS SACHS M.D. Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 171 ASHLEY AVE CHARLESTON, SC 29425 (843) 792-1414 |
| 1255382958 | MS. ELIZABETH BLAIR TILLER CNM Individual | Midwife | 171 ASHLEY AVE CHARLESTON, SC 29425 (843) 792-1414 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750499794, enumerated in the NPI registry as an "individual" on August 29, 2006
The provider is located at 171 Ashley Ave Charleston, Sc 29425 and the phone number is (843) 792-1414
The provider's speciality is Pediatrics with taxonomy code 2080P0203X with a focus in Pediatric Critical Care Medicine
The provider might be accepting Accepts: First Choice Next, 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 August 29, 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.