| Sports Medicine & Orthopaedic Centers, Llc | |
|
900 Island Park Dr Ste 105 Daniel Island SC 29492-7560 | |
| (843) 284-5200 | |
| Not Available |
| Full Name | Sports Medicine & Orthopaedic Centers, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 900 Island Park Dr Ste 105, Daniel Island, South Carolina |
| Authorized Official Name and Position | Shane Woolf (OWNER) |
| Authorized Official Contact | 8434122614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sports Medicine & Orthopaedic Centers, Llc 2644 Burden Creek Rd Johns Island SC 29455-4601 Ph: (843) 412-2614 | Sports Medicine & Orthopaedic Centers, Llc 900 Island Park Dr Ste 105 Daniel Island SC 29492-7560 Ph: (843) 284-5200 |
| NPI Number | 1023892262 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 08/21/2023 |
| Medicare PECOS PAC ID | 3678918992 |
|---|---|
| Medicare Enrollment ID | O20240227000881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023892262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Shane K Woolf |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1326044686 PECOS PAC ID: 3678514940 Enrollment ID: I20060829000177 |
| Provider Name | Blake L Ohlson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609097153 PECOS PAC ID: 5799870531 Enrollment ID: I20071009000243 |
Tenet South Carolina Island Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 Seven Farms Dr, Suite 110, Daniel Island, SC 29492 Phone: 843-856-1771 Fax: 843-856-8788 | |
Liberty Doctors, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 297 Seven Farms Dr Ste 202, Daniel Island, SC 29492 Phone: 843-936-4470 Fax: 843-256-6877 | |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 899 Island Park Dr, Ste 200, Daniel Island, SC 29492 Phone: 843-856-6402 Fax: 843-216-5068 | |
Daniel Island Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Island Park Dr Ste 202b, Daniel Island, SC 29492 Phone: 843-856-1771 | |
High Tide Internal Medicine - East Cooper Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 880 Island Park Dr Unit 220, Daniel Island, SC 29492 Phone: 843-380-9330 Fax: 843-380-8212 | |
East Cooper Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 880 Island Park Dr Unit 230, Daniel Island, SC 29492 Phone: 843-380-9330 |