DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN LANE FOUTCH, MD

Active

JORDAN LANE FOUTCH, MD is a Pediatrics healthcare provider located in CHARLESTON, South Carolina. NPI 1053846352 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · CHARLESTON, SC

Registration Details

NPI Number
1053846352
Provider Type
Individual
Gender
Male
NPI Issued
Apr 24, 2017 (9.2649156436716 yrs)
Last Updated
Nov 4, 2025
Licenses
66051 (TN)
84704 (SC)
66051 (TN)

Practice Information

Address
171 ASHLEY AVE
CHARLESTON, SC, 294251405
Browse SC providers · Browse ZIP 29425
Phone
8437921414
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics
Additional Specialty
Pediatrics

Other Pediatrics Providers in CHARLESTON, SC

Name Credential NPI
DR. ERIN K BALOG M.D. 1417937442
DR. RITA ANN HART D.O. 1760452825
MICHAEL TAYLOR M.D. 1063483360
DR. ROBERT ANDREW CLIFFORD M.D. 1780659284
DR. KIMBERLY K CARISTI M.D. 1942275060
MRS. KARA BLEVENS HUNCIK M.D. 1174598221
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.