DR. JESSICA TARLETON M.D M.P.H. NPI 1457640047

NPI Information

NPI: 1457640047
Provider Name: DR. JESSICA TARLETON, M.D, M.P.H.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: UNIVERSITY MEDICAL ASSOCIATES

PECOS Registration: Yes

Address:
171 ASHLEY AVE
CHARLESTON, SC
ZIP 29425
Phone: (843) 792-1414
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DR. Jessica Tarleton, M.D, M.P.H. is an obstetrics gynecology in Charleston, SC with 13 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Jessica Tarleton, M.D, M.P.H. NPI is 1457640047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

171 ASHLEY AVE
CHARLESTON, SC
ZIP 29425-108
Phone: (843) 792-1414

The NPI 1457640047 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/4/2011 and was last updated on 9/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology	MD455692	PENNSYLVANIA	No
2	390200000X	Student in an Organized Health Care Education/Training Program			No
3	207V00000X	Obstetrics & Gynecology	61179	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103058310	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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