HENRY OTHERSEN JR. MD
NPI 1073628913
Surgery - Pediatric Surgery in Charleston, SC

Active since August 20, 2006
171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Henry Othersen Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENRY OTHERSEN JR. MD (NPI 1073628913) is an individual pediatric surgery provider in Charleston, South Carolina, licensed in South Carolina (3602) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1073628913
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameHENRY OTHERSEN JR.Credential: MD
Location Address171 ASHLEY AVECharleston, SC 29425-0001
Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200
Sole ProprietorNo
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1073628913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License Licensed in SC · 3602
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
171 ASHLEY AVE, Charleston, SC 29425

Other Identifiers 2

Medicare UPINB92091SC
Medicaid036026SC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Allergy & Immunology
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Pathology (Anatomic Pathology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Social Worker
171 ASHLEY AVE
CHARLESTON, SC 29425
Radiology (Pediatric Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Practitioner
171 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henry Othersen's NPI number?

The NPI number for Henry Othersen is 1073628913. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Henry Othersen located?

Henry Othersen practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Henry Othersen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

When was this NPI record last updated?

The NPPES record for Henry Othersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.