ATLANTIC COAST INTEGRATIVE MEDICINE, LLC (NPI# 1174955439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174955439 |
| Entity Type | Organization |
| Organization Name | ATLANTIC COAST INTEGRATIVE MEDICINE, LLC |
| Practice Address |
1203 Old Trolley Rd Suite F Summerville SC 29485-5296 |
| Practice Telephone | 8434860999 |
| Practice Fax Number | 8434860989 |
| Mailing Telephone | 8434860999 |
| Mailing Fax Number | 8434860989 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2015-08-10 |
| Authorized Official Name | MR. STEPHEN P LAMBERT (PRACTICE MANAGER) |
| Authorized Official Telephone | 8434860999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 29692 | SC | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 29692 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
1203 OLD TROLLEY RD SUITE F |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-5296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639187123 | Joseph Daniel Ewens | Family Medicine | 1203 Old Trolley Rd, Ste F, Summerville, SC 29485-5296 | 2006-08-03 |
| 1518319623 | Deeana Burr | Nurse Practitioner | 1203 Old Trolley Rd, Suite F, Summerville, SC 29485-5296 | 2016-07-13 |
| 1346457793 | Atlantic Coast Physical Medicine, LLC | Chiropractor | 1203 Old Trolley Rd, Suite F, Summerville, SC 29485-5668 | 2007-05-16 |
| 1922124189 | Heather A Lambert | Chiropractor | 1203 Old Trolley Rd, Ste F, Summerville, SC 29485-5296 | 2007-03-21 |
| 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 | 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 |
|---|---|---|---|---|
| 1952945636 | Jag Medical Services LLC | Internal Medicine | 105 S Cedar St Ste G, Summerville, SC 29483-6078 | 2019-11-05 |
| 1023503315 | 1800doctorb | Internal Medicine | 5130 Wescott Blvd, Summerville, SC 29485-9043 | 2018-06-28 |
| 1760710545 | Dorothy Thomas-blume | Internal Medicine | 105 Burton Ave, Summerville, SC 29485-8118 | 2009-12-06 |
| 1578603056 | Summerville Internal Medicine | Internal Medicine | 1710 Old Trolley Rd Ste C, Summerville, SC 29485-8281 | 2007-02-07 |
| 1811904592 | William B Sheldon | Internal Medicine | 116 Briarwood Ln, Summerville, SC 29483-3708 | 2006-08-02 |
| 1750344263 | William R Cook | Internal Medicine | 295a Midland Pkwy, Suite 140, Summerville, SC 29485-8104 | 2006-04-07 |
| 1619952371 | Colby H Grossman | Internal Medicine | 201 Oakbrook Ln, Suite 255, Summerville, SC 29485-8215 | 2005-12-14 |
| 1144205824 | David Eric Bolster | Internal Medicine | 1516 Old Trolley Rd # 101, Summerville, SC 29485-8209 | 2005-12-14 |
| 1407329709 | Palmetto Primary Care Physicians | Internal Medicine | 1516 Old Trolley Rd # 101, Summerville, SC 29485-8209 | 2019-01-09 |
| 1851844377 | Roper Saint Francis Physicians Network | Internal Medicine | 1595 Central Ave, Summerville, SC 29483 | 2016-08-02 |
| Find all providers in SUMMERVILLE | ||||
| 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.