SOUTH CAROLINA SLEEP MEDICINE LLC (NPI# 1174523286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174523286 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA SLEEP MEDICINE LLC |
| Practice Address |
92 Springview Ln Summerville SC 29485-8153 |
| Practice Telephone | 8438714006 |
| Practice Fax Number | 8438714074 |
| Mailing Telephone | 8438714006 |
| Mailing Fax Number | 8438714074 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2015-02-04 |
| Authorized Official Name | SUSANNAH RAYE KAELIN (MANAGER) |
| Authorized Official Telephone | 8438714006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | ========= | SC | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
========= | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3738 | 05 |
| Street Address |
92 SPRINGVIEW LN |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-8153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659371755 | David Keith Handshoe | Internal Medicine | 92 Springview Ln, Summerville, SC 29485-8153 | 2005-07-29 |
| 1265507404 | Summerville Sleep Consultants LLC | Specialist | 92 Springview Ln, Summerville, SC 29485-8153 | 2006-11-22 |
| 1902806011 | Karl Scott Miller | Internal Medicine | 92 Springview Ln, Summerville, SC 29485-8153 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1659371755 | David Keith Handshoe | Internal Medicine | 92 Springview Ln, Summerville, SC 29485-8153 | 2005-07-29 |
| 1902806011 | Karl Scott Miller | Internal Medicine | 92 Springview Ln, Summerville, SC 29485-8153 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922630912 | Medasic | Internal Medicine | 300 John St Ste 4b, Greer, SC 29651-1463 | 2020-02-07 |
| 1043759137 | Rober Albertini Sr. | Internal Medicine | 45 Wood Duck Rd, Hilton Head, SC 29928-7105 | 2017-02-22 |
| 1861863185 | Midlands Pulmonary and Critical Care Specialists, PC | Internal Medicine | 1403 E Greenville St Ste C, Anderson, SC 29621-2049 | 2015-10-13 |
| 1871905166 | Minuteman Medicine LLC | Internal Medicine | 8036 Hyannis Ct, North Charleston, SC 29420-8967 | 2014-05-21 |
| 1114355344 | Clarendon Memorial Hospital | Internal Medicine | 619 S Mill St, Manning, SC 29102-2806 | 2013-10-25 |
| 1699010983 | Gary B Anderson | Internal Medicine | 1892 Brigadoone Ln, Florence, SC 29505-3235 | 2012-11-28 |
| 1164789251 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 8 Okatie Center Blvd S, Suite 101, Bluffton, SC 29909-7532 | 2012-04-13 |
| 1518259977 | Hina Chaudhry | Internal Medicine | 2750 Laurel St Ste 200a, Columbia, SC 29204-2038 | 2011-05-04 |
| 1104159110 | Conway Hospital Inc | Internal Medicine | 2376 Cypress Cir, Ste 100, Conway, SC 29526-8964 | 2009-09-09 |
| 1528203205 | Kershawhealth | Internal Medicine | 1218 Roberts St, Camden, SC 29020-3736 | 2008-12-09 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
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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.