CHRISTOPHER M PRUITT MD NPI 1942399217

NPI Information

NPI: 1942399217
Provider Name: CHRISTOPHER M PRUITT, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

Organization: UNIVERSITY MEDICAL ASSOCIATES

PECOS Registration: Yes

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

Christopher M Pruitt, MD is a pediatric emergency medicine pediatrics in Charleston, SC with 20 years of experience. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Christopher M Pruitt, MD NPI is 1942399217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2004

The provider's business location address is:

171 ASHLEY AVE
CHARLESTON, SC
ZIP 29425-711
Phone: (843) 792-1414

The NPI 1942399217 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 10/12/2006 and was last updated on 7/1/2019.

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	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		MD.28073	ALABAMA	No
2	208000000X	Pediatrics		27231	SOUTH CAROLINA	No
3	208000000X	Pediatrics		MD.28073	ALABAMA	No
4	2080P0204X	Pediatrics	Pediatric Emergency Medicine	27231	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	515-44055	OTHER	ALABAMA	BCBS
2	009941851	MEDICAID	ALABAMA
3	515-40540	OTHER	ALABAMA	BCBS
4	101785	MEDICAID	ALABAMA
5	9287054	OTHER	ALABAMA	AETNA
6	1942399217	OTHER	ALABAMA	TRICARE SOUTH

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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