SOUTH CAROLINA DIAGNOSTIC IMAGING, INC. (NPI# 1134524028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134524028 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA DIAGNOSTIC IMAGING, INC. |
| Other Organization Name | TRICOUNTY RADIOLOGY MONCKS CORNER |
| Practice Address |
2061 Highway 52 400 Moncks Corner SC 29461-5017 |
| Mailing Address |
3480 Preston Ridge Rd 600 Alpharetta GA 30005-2028 |
| Practice Telephone | 6789927373 |
| Mailing Telephone | 7703000101 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-17 |
| Authorized Official Name | MR. DANIEL J SCHAEFER (COO) |
| Authorized Official Telephone | 7703000101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Tricounty Radiology Moncks Corner | Doing Business As Name - Organization |
| Street Address |
2061 HIGHWAY 52 400 |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461-5017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962420927 | Berkeley Family Practice LLC | Family Medicine | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2006-07-18 |
| 1598300840 | Debra Anne Mack | Physician Assistant | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2019-11-11 |
| 1699212019 | Rhiannon Gluhosky | Physical Therapist | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2017-01-24 |
| 1538611553 | Mary Matthews | Physical Therapist | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2016-10-25 |
| 1558736199 | Arcis Healthcare | Durable Medical Equipment & Medical Supplies | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2015-12-08 |
| 1184098485 | Arcis Healthcare, LLC | Orthopaedic Surgery | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2015-11-24 |
| 1033580980 | Mary Hogan | Physical Therapist | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2015-10-16 |
| 1447626676 | Britton Livingston Tucker | Physician Assistant | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2015-08-11 |
| 1255733671 | Ashlyn Burns | Physician Assistant | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2014-09-17 |
| 1407165178 | Charleston Brace Company, LLC | Prosthetic/Orthotic Supplier | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2010-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| 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 |
|---|---|---|---|---|
| 1609486786 | Tara Noone | Radiology | 545 Planters Loop, Mount Pleasant, SC 29464-2743 | 2020-08-04 |
| 1447728795 | Island Imaging, LLC | Radiology | 40 Palmetto Parkway, Hilton Head Island, SC 29926 | 2018-11-05 |
| 1417423088 | Bon Secours Diagnostic Imaging | Radiology | 1 Marcus Dr Ste 100, Greenville, SC 29615-4818 | 2018-10-22 |
| 1700352374 | Bon Secours Diagnostic Imaging | Radiology | 2 Innovation Dr Ste 350, Greenville, SC 29607-5269 | 2018-10-22 |
| 1548797533 | Gregory S Connor, Md, Pa | Radiology | 628 W Home Ave, Hartsville, SC 29550-4430 | 2017-05-22 |
| 1407393861 | Mcleod Physician Associates II | Radiology | 1116 W Evans St, Florence, SC 29501-3320 | 2017-01-24 |
| 1932651908 | Long Bay Diagnostic Imaging Murrells Inlet, LLC | Radiology | 4407 Highway 17 Bypass, Murrells Inlet, SC 29576-5097 | 2016-10-26 |
| 1245687540 | John Frederick Hughes | Radiology | 96 Jonathan Lucas St # 323, Charleston, SC 29425-3230 | 2016-05-17 |
| 1295104073 | Arthur Knight Walter | Radiology | 737 River Rd, Columbia, SC 29212-8809 | 2015-09-22 |
| 1386030021 | Shawn Hobby | Radiology | 96 Jonathan Lucas St Charleston Sc 29425, Charleston, SC 29425-0001 | 2015-04-09 |
| Find all providers with the same taxonomy | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
Please comment or provide details below to improve the information on SOUTH CAROLINA DIAGNOSTIC IMAGING, INC..
| 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.