TRIDENT MEDICAL CENTER
NPI 1912029612
Clinic/Center - Medical Specialty in Charleston, SC

NPI Status: Active since April 04, 2007

Contact Information

9330 MEDICAL PLAZA DR
CHARLESTON, SC
ZIP 29406
Phone: (843) 797-7000
Fax: (843) 797-4086

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  • Organization
  • Clinic/Center
  • Medical Specialty

About TRIDENT MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Trident Medical Center, a provider established in Charleston, South Carolina operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1912029612 assigned on April 2007. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Trident Medical Center. The authorized official of this NPI record is Andy S. Miller (Cfo)

NPI
1912029612
Provider Legal Name
TRIDENT MEDICAL CENTER, LLC
Other Organization Name
TRIDENT MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9330 MEDICAL PLAZA DR CHARLESTON, SC 29406
Location Phone
(843) 797-7000
Location Fax
(843) 797-4086
Mailing Address
9330 MEDICAL PLAZA DR CHARLESTON, SC 29406
Mailing Phone
(843) 797-7000
Mailing Fax
(843) 797-4086
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2007
Last Update Date
10-31-2019
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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

ANDY S. MILLER

Authorized Official Title
CFO
Authorized Official Phone
(843) 847-4100

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
DPE045MEDICAID (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.
1912029612
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2922021862
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 0 + 2 + 1 + 8 + 6 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1912029612 is valid because the calculated check digit 2 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
1497740476DR. ERIC STEWART BRITTAIN MD
Individual
Emergency Medicine9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
(843) 847-4946
1295724334TRIDENT NEONATOLOGY SERVICES LLC
Organization
Pediatrics (Neonatal-Perinatal Medicine)9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 797-4272
1437123288 MARGARET T MACDOWELL MD
Individual
Radiology (Radiation Oncology)9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 847-4571
1619944758 KARL K. GRUBER MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)9330 MEDICAL PLAZA DR
N CHARLESTON, SC 29406
(843) 797-4179
1811956378 CHARLES J. GEILFUSS III MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)9330 MEDICAL PLAZA DR
N CHARLESTON, SC 29406
(843) 847-4179
1306803044 DEBORAH S LAY DO
Individual
Family Medicine9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 847-3225
1164480497 DAVID F. MURRAY MD
Individual
Internal Medicine9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 847-3225
1144275850RADIATION ONCOLOGY ASSOCIATES OF CHARLESTON
Organization
Radiology (Radiation Oncology)9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 847-4482
1962444752TRIDENT BEHAVIORAL HEALTH SERVICES LLC
Organization
Psychiatry & Neurology (Psychiatry)9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 572-9800
1518976869 BRIAN R. WHIRRETT M.D.
Individual
Family Medicine9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 847-3225
1285740852 AMANDA B. KOGOS MD
Individual
Specialist9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 824-3225
1750473096 ENON MACI M.D.
Individual
Internal Medicine9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 847-3225
1295899250DR. MICHAEL L TAYLOR M.D,
Individual
Emergency Medicine9330 MEDICAL PLAZA DR EMERGENCY DEPARTMENT
CHARLESTON, SC 29406
(843) 797-8860
1134325913DR. MATTHEW BROOKS MADDEN M.D.
Individual
Internal Medicine9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 847-3225
1184891012 GEOFFREY MILTON GRAY
Individual
Emergency Medicine9330 MEDICAL PLAZA DR TRIDENT HEALTH SYSTEM
CHARLESTON, SC 29406
(843) 797-7000
1295988996MRS. CYNTHIA LEE MACDONALD NP
Individual
Nurse Practitioner (Adult Health)9330 MEDICAL PLAZA DR C/O COASTAL INPATIENT PHYSICIANS
CHARLESTON, SC 29406
(843) 847-3225
1184976524SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF SOUTH CAROLINA, P.A.
Organization
Pediatrics (Neonatal-Perinatal Medicine)9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 797-7000
1902140767 ERIN L STAPP PHARMD
Individual
Pharmacist9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 847-4155
1801057294DR. BRIGID EILEEN SULLIVAN M.D.
Individual
Family Medicine9330 MEDICAL PLAZA DR COASTAL INPATIENT PHYSICIANS
CHARLESTON, SC 29406
(843) 847-3225
1225292014 LINDSAY MARIE ANDERSON PHYSICIAN ASSISTANT
Individual
Physician Assistant9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
(843) 847-4854

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912029612, enumerated in the NPI registry as an "organization" on April 04, 2007

The provider is located at 9330 Medical Plaza Dr Charleston, Sc 29406 and the phone number is (843) 797-7000

This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty

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 April 04, 2007. 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.