Dr. Allen E Pendarvis Jr., M.D.
Anesthesiology in Charleston, SC. Individual provider (NPI-1).
NPI number1265753248
StatusActive
Last updated in NPPESMay 5, 2024
Details
- NPI
- 1265753248
- Entity type
- Individual (NPI-1)
- Name
- Dr. Allen E Pendarvis Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2010
- Certification date
- May 5, 2024
- Last updated
- May 5, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ANESTHESIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 32696 | SC | Yes |
Practice location
1064 Gardner Rd Ste 112Charleston, SC 29407-5768
Phone 843-723-3441 · Fax 843-805-4040
Mailing address
1064 Gardner Rd Ste 112Charleston, SC 29407-5768
Other practice locations
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Charleston, SC 29414-5733
Phone 843-402-1436
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