CREEKSIDE WOMEN'S CARE, PA – NPI #1255400958
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CREEKSIDE WOMEN'S CARE, PA is a provider located in CHARLESTON, SC. NPPES has assigned the NPI number 1255400958 to CREEKSIDE WOMEN'S CARE, PA on November 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 10 years ago on Jan 05, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CREEKSIDE WOMEN'S CARE, PA below.

NPI Profile for
CREEKSIDE WOMEN'S CARE, PA

NPI Number
1255400958
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CREEKSIDE WOMEN'S CARE, PA
Primary location
2097 HENRY TECKLENBURG DR
SUITE 312-W
CHARLESTON, SC 29414-5740
Phone: (843) 769-5620 Fax: (843) 769-5625
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALYCIA LEAR
PRACTICE MANAGER
Phone: (843) 769-5620
Updated
Identifiers

Identifiers for CREEKSIDE WOMEN'S CARE, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSC47-1592
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.