PALMETTO VASCULAR DIAGNOSTIC LLC (NPI# 1013944206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013944206 |
| Entity Type | Organization |
| Organization Name | PALMETTO VASCULAR DIAGNOSTIC LLC |
| Practice Address |
2020 Mcqueen Blvd Orangeburg SC 29118-1200 |
| Practice Telephone | 8033081524 |
| Practice Fax Number | 8039376520 |
| Mailing Telephone | 8033081524 |
| Mailing Fax Number | 8039376520 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-10-02 |
| Authorized Official Name | ROBERT E MYERS (OWNER) |
| Authorized Official Telephone | 8033081524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
33630 | SC | Technologists, Technicians & Other Technical Service Providers |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SL0071 | 05 |
| Street Address |
2020 MCQUEEN BLVD |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29118-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
| 1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
| 1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
| 1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
| 1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
| 1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
| 1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
| 1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
| Find all providers in zip 29118 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164591756 | Advanced Diagnostic Imaging Center, LLC | Radiology | 1728 Village Park Dr, Orangeburg, SC 29118-2426 | 2006-11-07 |
| 1104918390 | Leland D Cropper Jr. | Radiology | 1728 Village Park Drive, Orangeburg, SC 29118 | 2006-09-28 |
| 1346644119 | Edisto Regional Health Services Inc. | Radiology | 1728 Village Park Dr, Orangeburg, SC 29118-2426 | 2014-10-22 |
| 1205082500 | The Regional Medical Center of Orangeburg and Calhoun Counties | Radiology | 3000 St. Matthews Road, Orangeburg, SC 29118-1442 | 2008-08-18 |
| 1720280530 | Amit Kumar Sanghi | Radiology | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2007-06-04 |
| 1346313558 | Advanced Diagnostic Imaging, LLC | Radiology | 1728 Village Park Dr, Orangeburg, SC 29118-2426 | 2006-11-16 |
| 1871666073 | Radiology Associates, Pa | Radiology | 1728 Village Park Dr, Orangeburg, SC 29118-2426 | 2006-11-16 |
| 1881764363 | Dallas W Lovelace IIi | Radiology | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2006-11-09 |
| 1417035643 | William Y Buchanan Jr. | Radiology | 1728 Village Park Drive, Orangeburg, SC 29118 | 2006-11-02 |
| 1366527566 | The Regional Medical Center of Orangeburg and Calhoun Counties | Radiology | 3000 St. Matthews Road, Orangeburg, SC 29118-1442 | 2006-10-26 |
| Find all providers in ORANGEBURG | ||||
| City | ORANGEBURG |
| Zip Code | 29118 |
Please comment or provide details below to improve the information on PALMETTO VASCULAR DIAGNOSTIC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.