Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Walter Jaenicke, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063892008

Matthew Walter Jaenicke, MD is a Rheumatology in Mt Pleasant, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2015, 11 years ago. Practices with East Cooper Rheumatology, PA, a 2-clinician group and accepts Medicare assignment. Licensed in South Carolina and Vermont.

Years since qualifying
11
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC, VT
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

890 Johnnie Dodds Blvd Ste 2A
Mt Pleasant, SC 29464
Phone: (843) 881-9971
Fax: (843) 881-9973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence 38299 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (VT)

Record details

NPI number1063892008
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 4, 2015
Last updated in NPPESApril 24, 2025
Certification dateNovember 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRHEUMATOLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice East Cooper Rheumatology, Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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