TENET SOUTH CAROLINA ISLAND MEDICAL, LLC (NPI# 1053612861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053612861 |
Entity Type | Organization |
Organization Name | TENET SOUTH CAROLINA ISLAND MEDICAL, LLC |
Practice Address |
245 Seven Farms Dr Suite 110 Daniel Island SC 29492-8500 |
Mailing Address |
Po Box 741439 Atlanta GA 30374-1439 |
Practice Telephone | 8438561771 |
Practice Fax Number | 8438568788 |
Mailing Telephone | 8438561771 |
Mailing Fax Number | 8438568788 |
Enumeration Date | 2010-11-10 |
Last Update Date | 2016-07-28 |
Authorized Official Name | MR. WESLEY O. JAMES (REGIONAL CFO, TENET) |
Authorized Official Telephone | 4042655009 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP5667 | 05 |
Street Address |
245 SEVEN FARMS DR SUITE 110 |
City | DANIEL ISLAND |
State | SC |
Zip Code | 29492-8500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750304333 | Patrick O'neill | Surgery | 245 Seven Farms Dr, Suite 210, Daniel Island, SC 29492-8500 | 2006-07-25 |
1750713699 | Sweet Dreams Nurse Anesthesiology of Sc LLC | Nurse Anesthetist, Certified Registered | 245 Seven Farms Dr, Ste 210, Daniel Island, SC 29492-8500 | 2013-08-02 |
1871821843 | Meghan Elizabeth Biggers | Physician Assistant | 245 Seven Farms Dr, Suite 210, Daniel Island, SC 29492-8500 | 2009-12-02 |
1841425832 | O'neill Plastic Surgery, Pa | Clinic/Center | 245 Seven Farms Dr, Ste 210, Daniel Island, SC 29492-8500 | 2009-05-20 |
1922292358 | Palmetto Pharmaceutical Care | Pharmacist | 245 Seven Farms Dr, Ste 110, Daniel Island, SC 29492-7553 | 2007-08-29 |
1134205420 | Jennifer Dixon Swartz | Surgery | 245 Seven Farms Dr, Ste 210, Daniel Island, SC 29492-8500 | 2006-10-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144877333 | Megan Potter | Speech-Language Pathologist | Wellmore Daniel Island, 580 Robert Daniel Drive, Charleston, SC 29492 | 2019-08-22 |
1013408301 | River Landing Dentistry LLC | Clinic/Center | 145 River Landing Drive, Suite 102, Daniel Island, SC 29492 | 2018-05-23 |
1972018026 | Wellmore of Daniel Island LLC | Skilled Nursing Facility | 580 Robert Daniel Drive, Charleston, SC 29492 | 2017-12-12 |
1245758283 | Lindsey Alyse Vanbeusecum | Speech-Language Pathologist | 211 River Landing Dr, Daniel Island, SC 29492 | 2017-08-30 |
1508302423 | Sleep Better Sc, LLC | Clinic/Center | 210 Seven Farms Drive # 103, Daniel Island, SC 29492 | 2017-01-17 |
1164899696 | Employer's Collective | Pharmacy | 100 Calhoun Street, Suite 210, Charleston, SC 29492 | 2015-09-01 |
1376933440 | Rachel F. Henry | Counselor | 260 Seven Farms Dr Ste C, Daniel Island, SC 29492 | 2015-01-28 |
1417352253 | Kristen Helmly | Speech-Language Pathologist | 135 Pier View Street, Unit 304, Charleston, SC 29492 | 2014-10-22 |
1215268578 | Newton Gaston Quantz Jr. | Otolaryngology | 401 Ralston Creek Street, Charleston, SC 29492 | 2010-01-26 |
1053541581 | Chet Allen Tharpe Jr. | Allergy & Immunology | 6051 Grand Council St, Daniel Island, SC 29492 | 2009-07-17 |
Find all providers in zip 29492 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225417769 | Jessica Hund | Family Medicine | 964 Island Park Drive, Ste 101, Daniel Island, SC 29403-0100 | 2015-05-28 |
1255495644 | John Gardner Inman | Family Medicine | 880 Island Park Dr Unit 200, Daniel Island, SC 29492-2902 | 2006-12-20 |
1558318527 | Kimberly Shelley Jackson | Family Medicine | 864 Island Park Dr Ste 101, Daniel Island, SC 29492-7446 | 2006-05-27 |
1437107851 | Melissa Hodge Hunter | Family Medicine | 245 Seven Farms Dr Ste 110, Daniel Island, SC 29492 | 2006-05-05 |
1427015171 | Lucy Green Davis | Family Medicine | 899 Island Park Dr, Ste 200, Daniel Island, SC 29492-8112 | 2006-04-27 |
1487610119 | Edward J Giove | Family Medicine | 297 Seven Farms Dr Ste 202, Daniel Island, SC 29492-7553 | 2006-04-21 |
1053954909 | Liberty Doctors, LLC | Family Medicine | 297 Seven Farms Dr Ste 202, Daniel Island, SC 29492-7553 | 2019-10-23 |
1497925002 | Carolina Family Care, Inc | Family Medicine | 864 Island Park Dr Ste 101, Daniel Island, SC 29492-7369 | 2008-03-11 |
1215043856 | Leigh M Spicer | Family Medicine | 899 Island Park Dr, Ste. 200, Daniel Island, SC 29492-8112 | 2006-08-23 |
1316999295 | Tara Nicole Vandegrift | Family Medicine | 899 Island Park Dr, Suite 200, Daniel Island, SC 29492-8112 | 2006-05-17 |
Find all providers in DANIEL ISLAND |
City | DANIEL ISLAND |
Zip Code | 29492 |
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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.