DR. HEIDI ENEJOSA RODILLO (NPI# 1124194451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124194451 |
| Entity Type | Individual |
| Full Name | DR. HEIDI ENEJOSA RODILLO |
| Credential | MD |
| Practice Address |
901 W Greenwood St Ste 1 Abbeville SC 29620-5727 |
| Mailing Address |
Po Box 968 Abbeville SC 29620-0968 |
| Practice Telephone | 8643669681 |
| Practice Fax Number | 8643665600 |
| Mailing Telephone | 8643669681 |
| Mailing Fax Number | 8643665600 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 11698 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC LICENSE NUMBER | 11698 | 01 |
| TAX ID | 582366449 | 01 | |
| SC | RHC210 | 05 | |
| SC | MEDICARE RAILROAD | 080085988 | 01 |
| SC | PC3126 | 05 | |
| SC | 116984 | 05 |
| Street Address |
901 W GREENWOOD ST STE 1 |
| City | ABBEVILLE |
| State | SC |
| Zip Code | 29620-5727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285618132 | Abbeville County Memorial Hospital | Clinic/Center | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5717 | 2005-12-05 |
| 1578175170 | Abbeville County Memorial Hospital | Podiatrist | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2020-08-17 |
| 1437780053 | Sarah Rudder | Nurse Practitioner | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2020-02-01 |
| 1831557149 | Jennifer Wright | Nurse Practitioner | 901 W Greenwood St Ste 1, Abbeville, SC 29620 | 2016-02-01 |
| 1346610524 | Kayla Peterson Tavernier | Physician Assistant | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2015-10-01 |
| 1659710440 | Blake M Hodges | Family Medicine | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2013-06-14 |
| 1225305345 | Rebecca G Botts | Physician Assistant | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2011-11-17 |
| 1629371661 | Abbeville County Memorial Hospital | Clinic/Center | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5717 | 2010-12-14 |
| 1275848020 | Julie Moore | Social Worker | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2010-08-17 |
| 1356570147 | Abbeville County Memorial Hospital | Surgery | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2009-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851893325 | Janet Nancy Phelps | Registered Nurse | 486 Highway 72 E, Abbeville, SC 29620 | 2018-03-01 |
| 1467961128 | Marisol Palacios-cruz | Assisted Living Facility | 294 Highway 28 Bypass, Abbeville, SC 29620 | 2017-09-26 |
| 1740599703 | Larry Darnell Tompkins | Pharmacist | 763 Highway 28 Bypass, Fred's Pharmacy #1028, Abbeville, SC 29620 | 2010-09-24 |
| 1780861765 | Dixon Chiropractic | Chiropractor | 131-1 Highland Terrace, Abbeville, SC 29620 | 2008-01-22 |
| 1306999636 | Carolina Bone and Joint Clinic | Specialist | 2526 Highway 72 East, Abbeville, SC 29620 | 2007-01-19 |
| 1891877221 | Abbeville Urology | Specialist | 420 Thomson Circle, Abbeville, SC 29620 | 2006-10-19 |
| 1285747949 | Ashley Medical Transport Service | Ambulance | 940 Stevenson Rd, Abbeville, SC 29620 | 2006-08-16 |
| 1699707026 | Mark Marion Horton | Family Medicine | 92 Highway 72 West, Abbeville, SC 29620 | 2006-07-07 |
| 1063449361 | Abbeville County Memorial Hospital | Pharmacy | 420 Thomson Cir, Abbeville, SC 29620 | 2006-06-26 |
| 1265404743 | Abbeville County School District | Clinic/Center | 400 Greenville St., Abbeville, SC 29620 | 2006-02-07 |
| Find all providers in zip 29620 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1881964336 | Tift Regional Health System Inc | Internal Medicine | 417 S Broad St, Abbeville, GA 31001-4305 | 2011-12-30 |
| 1518256262 | Gregory Mcintire Morgan | Internal Medicine | 101 N East St, Abbeville, LA 70510-5112 | 2011-04-04 |
| 1962697193 | Stephen Francis Wallner | Internal Medicine | 65 Timberland Trl, Abbeville, SC 29620-4556 | 2007-09-11 |
| 1467529495 | Jeffrey H. Fadil | Internal Medicine | 1833 Co Rd 133, Abbeville, AL 36310 | 2006-11-28 |
| 1487768214 | Ronald Myron Lahasky | Internal Medicine | 2621 North Dr Ste B, Abbeville, LA 70510-4042 | 2006-08-18 |
| 1396771846 | Myriam Dejesus Hutchinson | Internal Medicine | 104 N Hospital Dr, Abbeville, LA 70510-4039 | 2006-06-25 |
| 1588981864 | Dana Clay Dicharry | Internal Medicine | 2621 North Dr, Suite B, Abbeville, LA 70510-4078 | 2010-04-27 |
| 1770747834 | Anita Deborah | Internal Medicine | 1305 N State St, Abbeville, LA 70510-2825 | 2008-07-17 |
| 1356463962 | Gonzalez Internal Medicine Associates, P.a. | Internal Medicine | 901 W Greenwood St, Suite 6, Abbeville, SC 29620-5678 | 2007-04-04 |
| 1194841098 | Lahasky Medical Clinic Apmc | Internal Medicine | 2621 North Dr, Suite B, Abbeville, LA 70510-4042 | 2007-03-22 |
| Find all providers in ABBEVILLE | ||||
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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.