I MED CAROLINAS LLC (NPI# 1053800821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053800821 |
| Entity Type | Organization |
| Organization Name | I MED CAROLINAS LLC |
| Practice Address |
105 Stone Village Dr Fort Mill SC 29708-6489 |
| Mailing Address |
2764 Pleasant Rd # 11605 Fort Mill SC 29708-7213 |
| Practice Telephone | 8035432610 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | FARSHAD HOSSEINI (MANAGING DIRECTOR) |
| Authorized Official Telephone | 8778620061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Street Address |
105 STONE VILLAGE DR |
| City | FORT MILL |
| State | SC |
| Zip Code | 29708-6489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639729551 | Benjamin Obiaks Nwoke | Specialist/Technologist, Other | 105 Stone Village Dr, Fort Mill, SC 29708-6489 | 2019-09-12 |
| 1912556598 | Core I Med LLC | Electrodiagnostic Medicine | 105 Stone Village Dr, Fort Mill, SC 29708-6489 | 2019-09-06 |
| 1770040073 | Farshad Hosseini | Counselor | 105 Stone Village Dr, Fort Mill, SC 29708-6489 | 2019-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265089098 | Jennifer Priory O'keefe | Nurse Practitioner | 117 Stone Village Dr., Fort Mill, SC 29708 | 2019-08-26 |
| 1144790577 | Mary Kathleen Gerber | Speech-Language Pathologist | 1874 Second Baxter Crossing, Fort Mill, SC 29708 | 2018-11-28 |
| 1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
| 1861985384 | Hf Care Services LLC | Counselor | 150 B.w. Thomas Dr., 108, Fort Mills, SC 29708 | 2018-06-09 |
| 1134619802 | Myeyedr Optometry of South Carolina, LLC | Optometrist | 1826 Highway 160 W Ste 101, Fort Mill, SC 29708 | 2018-05-17 |
| 1255832549 | Lakeshore Dental Inc. | Dentist | 1200 Gold Hill Road, Fort Mill, SC 29708 | 2018-02-22 |
| 1407362338 | Smith Physical Therapy and Wellness | Physical Therapist | 2435 Highway 160 West, Suite 108, Tega Cay, SC 29708 | 2017-12-14 |
| 1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
| 1942729355 | Alexis Rose Muttillo | Specialist/Technologist | 1054 Cameron Creek Pkwy, Tega Cay, SC 29708 | 2017-09-18 |
| 1407308208 | Brenda Terry | Acupuncturist | 1171 Market Street, Ste # 112, Fort Mill, SC 29708 | 2016-10-27 |
| Find all providers in zip 29708 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467992768 | Endocrinology and Diabetes of The Carolinas LLC | Internal Medicine | 901 West Meeting Street, Suite 205, Lancaster, SC 29720 | 2017-03-06 |
| 1700241379 | William Wilson Quick | Internal Medicine | 5402 Overland Trl, Retired From Medical Practice, North Charleston, SC 29420-9024 | 2015-12-23 |
| 1205214202 | St Francis Physician Services Inc | Internal Medicine | 2 Innovation Dr Ste 300b, Greenville, SC 29607-5268 | 2015-05-11 |
| 1639584683 | Mc Anto Antony | Internal Medicine | 2000 E Greenville St Ste 3100, Anderson, SC 29621 | 2014-06-29 |
| 1619226842 | Carolina Hormone and Health Center of Charleston | Internal Medicine | 300 W Coleman Blvd Ste 101, Mount Pleasant, SC 29464-5604 | 2012-09-04 |
| 1902118268 | St. Francis Physician Services | Internal Medicine | 2 Innovation Dr Ste 300-b, Greenville, SC 29607-5261 | 2010-07-02 |
| 1750619144 | James Bernard Field | Internal Medicine | 50 Stoney Creek Road, Hilton Head, SC 29928-2909 | 2009-11-24 |
| 1497906432 | Marion E Betancourt Albrecht | Internal Medicine | 901 West Meeting St Suite 205, Lancaster, SC 29720-6209 | 2008-10-08 |
| 1821257676 | Coastal Carolina Primary Care, LLC | Internal Medicine | 9221 University Blvd Ste 102, North Charleston, SC 29406-9148 | 2008-06-06 |
| 1083872030 | Myrtle Beach Endocrinology | Internal Medicine | 1039 44th Avenue North, Suite 204, Myrtle Beach, SC 29577 | 2008-05-27 |
| Find all providers with the same taxonomy | ||||
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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.