Henry Othersen Jr, MD - Surgery in Charleston, SC

Henry Othersen Jr, MD is a Surgery - Pediatric Surgery physician based in Charleston, South Carolina. Henry Othersen Jr is licensed to practice in South Carolina (license number 3602) and his current practice location is 171 Ashley Ave, Charleston, South Carolina. He can be reached at his office (for appointments etc.) via phone at (843) 792-1414.

NPI number for Henry Othersen Jr is 1073628913 and his current mailing address is Po Box 751461, Charlotte, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073628913.

Contact Information

Henry Othersen Jr, MD
171 Ashley Ave,
Charleston, SC 29425-0001
(843) 792-1414
Not Available

Map and Direction




Physician's Profile

Full NameHenry Othersen Jr
GenderMale
SpecialitySurgery - Pediatric Surgery
Location171 Ashley Ave, Charleston, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073628913
  • Provider Enumeration Date: 08/20/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Henry Othersen Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073628913NPI-NPPES
036026MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0120XSurgery - Pediatric Surgery 3602 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Henry Othersen Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Henry Othersen Jr, MD
Po Box 751461,
Charlotte, NC 28275-1461

Ph: (843) 792-6200
Henry Othersen Jr, MD
171 Ashley Ave,
Charleston, SC 29425-0001

Ph: (843) 792-1414

Reviews and Comments


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