John Scott Stadalsky
MD | Pediatrics | Male
John Scott Stadalsky, MD is a Goose Creek, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics. John Scott Stadalsky is also known as
Scott Stadalsky.
Current practice location of John Scott Stadalsky is
105 Springhall Dr, Goose Creek, South Carolina - 29445-5370. He can be contacted on phone at
843-766-6308 and fax number 866-533-4473.
John Scott Stadalsky is a sole proprietor of his business.
NPI number (Unique professional ID) for John Scott Stadalsky is
1699720250 which was assigned by NPPES on 23 May, 2006 and it was last updated on 20 Dec, 2019.
John Scott Stadalsky license number is
24015 for Pediatrics (208000000X) in South Carolina.
John Scott Stadalsky is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
John Scott Stadalsky basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | John Scott Stadalsky |
|---|
| Other Name : | Scott Stadalsky |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
John Scott Stadalsky address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 105 Springhall Dr
Goose Creek, SC, 29445-5370
United States |
|---|
| Phone Number : | 843-766-6308 |
|---|
| Fax Number : | 866-533-4473 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1699720250 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 23 May, 2006 |
|---|
| Last Updated On : | 20 Dec, 2019 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Scott Stadalsky are as mentioned. Primary taxonomy code for John Scott Stadalsky, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 24015 | SC |
Legacy Identifiers:
Other legacy medical identifiers of John Scott Stadalsky such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 571020809007 | Other | SC | BCBS SC |
| T83086 | MEDICAID | SC | |
| 571020809042 | Other | SC | TRICARE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1871 Savage Rd
Charleston, SC, 29407-4726
United States |
|---|
| Phone Number : | 843-531-9961 |
|---|
| Fax Number : | 866-533-4473 |
|---|
Business Location:
Patients can refer following map for directions to
John Scott Stadalsky practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.