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OLIVIA COYLE WALDTHAUSEN MD
NPI 1396482527
Anesthesiology in Charleston, SC

Active since May 18, 2022PECOS Enrolled
167 ASHLEY AVE STE 301, CHARLESTON, SC 29425(843) 792-2322 Get Directions Write a Review

NPPES record last updated: August 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 16, 2026, May 18, 2022 (2 updates tracked since 2022).

About Olivia Coyle Waldthausen Md NPPES

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

OLIVIA COYLE WALDTHAUSEN MD (NPI 1396482527) is an individual anesthesiology provider in Charleston, South Carolina, licensed in South Carolina (87819) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1396482527
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameOLIVIA COYLE WALDTHAUSENCredential: MD
Location Address167 ASHLEY AVE STE 301Charleston, SC 29425-8905
Mailing Address169 Ashley Ave Rm 202Charleston, SC 29425-8905
Phone(843) 792-2322
Sole ProprietorNo
Enumeration DateMay 18, 2022
Last NPPES UpdateAugust 16, 20262 updates tracked since enumeration
NPPES CertifiedAugust 16, 2026
✔ NPI 1396482527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in SC · 87819
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
167 ASHLEY AVE STE 301, Charleston, SC 29425
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Other Names 1

Former Name (1)Olivia Coyle

Secondary Practice Location 1

Location 12095 Henry Tecklenburg DrCharleston, SC 29414-5733 · Phone (843) 402-1436 · Fax (843) 402-1833

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Coyle Waldthausen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Olivia Waldthausen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bon Secours St. Francis Xavier Hosptial, Inc.
5.8 mi
Neurology
2095 HENRY TECKLENBURG DR
Charleston, SC 29414
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Bon Secours St Francis Xavier Hospital Inc
  • 375 clinicians in this Medicare group
NPI 1578929634 (843) 724-2450

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

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

DR. ANDREW GRONECK MD
Anesthesiology
167 ASHLEY AVE STE 301
CHARLESTON, SC 29425
Charleston County (843) 792-1932
ELLEN HAY JOHNSON MD
Anesthesiology
167 ASHLEY AVE STE 301
CHARLESTON, SC 29425
Charleston County (843) 792-2322
DR. SARAH RICE STENDER MD
Anesthesiology (Pediatric Anesthesiology)
167 ASHLEY AVE STE 301
CHARLESTON, SC 29425
Charleston County (843) 792-1932
DR. CHAMARA GUNARATNE MD
Anesthesiology
167 ASHLEY AVE STE 301
CHARLESTON, SC 29425
Charleston County (843) 792-7293
MOLLY FRAGOPOULOS PA-C
Physician Assistant
167 ASHLEY AVE STE 301
CHARLESTON, SC 29425
Charleston County (843) 792-5699
DR. JAIMIE DIETRICH MD
Anesthesiology
167 ASHLEY AVE STE 301
CHARLESTON, SC 29425
Charleston County (843) 792-1932
MADISON MCCLUNE MD
Student in an Organized Health Care Education/Training Program
167 ASHLEY AVE STE 301
CHARLESTON, SC 29425
Charleston County (843) 792-2322
DR. WILLIAM LUTHER MILLS JR. MD
Anesthesiology
167 ASHLEY AVE STE 301
CHARLESTON, SC 29425
Charleston County (843) 792-1932

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 Olivia Waldthausen's NPI number?

The NPI number for Olivia Waldthausen is 1396482527. It was assigned to this individual provider in the NPPES registry on May 18, 2022. The provider is also known as Olivia Coyle.

Where is Olivia Waldthausen located?

Olivia Waldthausen practices at 167 Ashley Ave Ste 301, Charleston, SC 29425. The listed phone number is (843) 792-2322.

What is Olivia Waldthausen's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Olivia Waldthausen enrolled in Medicare?

Yes. Olivia Waldthausen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Olivia Waldthausen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olivia Waldthausen reassigns Medicare benefits to Bon Secours St. Francis Xavier Hosptial, Inc. (Charleston, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olivia Waldthausen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Olivia Waldthausen was last updated on August 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.