VASCULAR MEDICINE AND WOUND MANAGEMENT CLINIC
NPI 1205388618
Preventive Medicine - Undersea and Hyperbaric Medicine in Summerville, SC

Active since November 02, 2016
300 CALLEN BLVD STE 220, SUMMERVILLE, SC 29486(843) 724-2289(843) 606-8038 Get Directions Write a Review

NPPES record last updated: March 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 19, 2022, Sep 14, 2020, Aug 18, 2020 and 5 more (8 updates tracked since 2016).

About Vascular Medicine And Wound Management Clinic NPPES

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

VASCULAR MEDICINE AND WOUND MANAGEMENT CLINIC (NPI 1205388618) is a healthcare organization registered as an undersea and hyperbaric medicine in Summerville, South Carolina and active in the NPI registry since November 2016. The organization lists William Anthony Jackson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205388618
Entity TypeOrganization
Primary Taxonomy2083P0011X
Legal Business NameROPER HOSPITAL, INC.
Location Address300 CALLEN BLVD STE 220Summerville, SC 29486-2816
Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (888) 472-0043 · Fax (843) 724-2454
Fax(843) 606-8038
Organization SubpartNo
Authorized OfficialWilliam Anthony JacksonCeo · (843) 724-2954
Enumeration DateNovember 2, 2016
Last NPPES UpdateMarch 17, 20248 updates tracked since enumeration
NPPES CertifiedMarch 17, 2024
NPI 1205388618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0011X
Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

300 CALLEN BLVD STE 220, Summerville, SC 29486

Other Names 1

Doing Business AsVascular Medicine And Wound Management Clinic

Other Identifiers 1

MedicaidGP7573SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 11

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Physician Assistant (Surgical)
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Urology
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Colon & Rectal Surgery
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Internal Medicine (Gastroenterology)
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Thoracic Surgery (Cardiothoracic Vascular Surgery)
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Preventive Medicine (Undersea and Hyperbaric Medicine)
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205388618, enumerated as an "organization" on November 02, 2016.

The provider is located at 300 CALLEN BLVD STE 220 SUMMERVILLE, SC 29486 and the phone number is (843) 724-2289.

Preventive Medicine with taxonomy code 2083P0011X and a focus in Undersea and Hyperbaric Medicine.

The provider might be accepting Accepts: First Choice Next, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.