PENINSULA ENT AND PLASTIC SURGERY, LLC
NPI 1497735997
Specialist in Charleston, SC

Q: What is Peninsula Ent And Plastic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since January 19, 2006

125 DOUGHTY ST, SUITE 440, CHARLESTON, SC 29403(843) 958-8877(843) 958-8878 Get Directions Write a Review

NPPES record last updated: September 26, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Peninsula Ent And Plastic Surgery, Llc NPPES

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

PENINSULA ENT AND PLASTIC SURGERY, LLC (NPI 1497735997) is a healthcare organization registered as a specialist in Charleston, South Carolina and active in the NPI registry since January 2006. The organization lists Natahsa F Glencamp, Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1497735997

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePENINSULA ENT AND PLASTIC SURGERY, LLC

Location Address125 DOUGHTY ST, SUITE 440Charleston, SC 29403-5736

Mailing Address125 Doughty St, Suite 440Charleston, SC 29403-5736 · (843) 958-8877 · Fax (843) 958-8878

Phone(843) 958-8877

Fax(843) 958-8878

Organization SubpartNo

Authorized OfficialNatahsa F GlencampBilling Specialist · (843) 958-8877

Enumeration DateJanuary 19, 2006

Last NPPES UpdateSeptember 26, 2007

✔ NPI 1497735997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in SC · 12840

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

125 DOUGHTY ST, Charleston, SC 29403

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Other Identifiers 2

Medicare UPIND17525SC

Medicaid128409SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MRS. ELEANOR CODY RN

Registered Nurse

125 DOUGHTY ST
CHARLESTON, SC 29403

Charleston County (843) 402-1815

CATHERINE K ELLYN MD

Anesthesiology

125 DOUGHTY ST, STE 420
CHARLESTON, SC 29403

Charleston County (843) 723-3441

ROPER SAINT FRANCIS PHYSICIANS NETWORK

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

125 DOUGHTY ST, STE 680
CHARLESTON, SC 29403

Charleston County (843) 789-1850

CHARLESTON PULMONARY ASSOCIATES PA

Internal Medicine (Pulmonary Disease)

125 DOUGHTY ST, SUITE 200
CHARLESTON, SC 29403

Charleston County (843) 577-6791

JONATHAN W KIRSHTEIN MD

Anesthesiology

125 DOUGHTY ST, STE 420
CHARLESTON, SC 29403

Charleston County (843) 723-3441

CHARLES S HILL MD

Anesthesiology

125 DOUGHTY ST, STE 420
CHARLESTON, SC 29403

Charleston County (843) 723-3441

BRIAN CRAIG MD

Anesthesiology

125 DOUGHTY ST, STE 420
CHARLESTON, SC 29403

Charleston County (843) 723-3441

JOHN DOUGLAS MCDONALD MD

Anesthesiology

125 DOUGHTY ST, STE 420
CHARLESTON, SC 29403

Charleston County (843) 723-3441

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 Peninsula Ent And Plastic Surgery, LLC's NPI number?

The NPI number for Peninsula Ent And Plastic Surgery, LLC is 1497735997. It was assigned to this organization in the NPPES registry on January 19, 2006.

Where is Peninsula Ent And Plastic Surgery, LLC located?

Peninsula Ent And Plastic Surgery, LLC is located at 125 Doughty St Suite 440, Charleston, SC 29403. The listed phone number is (843) 958-8877.

What is Peninsula Ent And Plastic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Peninsula Ent And Plastic Surgery, LLC was last updated on September 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.