CAROLINA KIDNEY AND HYPERTENSION SPECIALISTS, P.C. (NPI# 1245392208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245392208 |
| Entity Type | Organization |
| Organization Name | CAROLINA KIDNEY AND HYPERTENSION SPECIALISTS, P.C. |
| Practice Address |
11945 Grandhaven Dr Suite G Murrells Inlet SC 29576-8091 |
| Practice Telephone | 8433573334 |
| Practice Fax Number | 8664187457 |
| Mailing Telephone | 8433573334 |
| Mailing Fax Number | 8664187457 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2014-12-18 |
| Authorized Official Name | DR. REYNALDO MATUTE (CEO) |
| Authorized Official Telephone | 8433573334 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 27909 | SC | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
27909 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 279095 | 05 |
| Street Address |
11945 GRANDHAVEN DR SUITE G |
| City | MURRELLS INLET |
| State | SC |
| Zip Code | 29576-8091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437178613 | Nancy Weber Inc | Dietitian, Registered | 11945 Grandhaven Dr, Ste G, Murrells Inlet, SC 29576-8091 | 2006-07-19 |
| 1851777866 | Healing Lifestyle Center, Inc | Dietitian, Registered | 11945 Grandhaven Dr, Ste G, Murrells Inlet, SC 29576-8091 | 2015-08-03 |
| 1215162136 | Waccamaw Family Chiropractic, P.C. | Chiropractor | 11945 Grandhaven Dr, Suite F, Murrells Inlet, SC 29576-8091 | 2009-05-20 |
| 1588808794 | Matthew R Cullum | Chiropractor | 11945 Grandhaven Dr, Suite F, Murrells Inlet, SC 29576-8091 | 2009-05-01 |
| 1255574497 | Dunes Podiatry LLC | Podiatrist | 11945 Grandhaven Dr, Suite G, Murrells Inlet, SC 29576-8091 | 2009-04-17 |
| 1831336692 | Amy Lynne Wisdo | Podiatrist | 11945 Grandhaven Dr, Suite G, Murrells Inlet, SC 29576-8091 | 2009-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577665 | Mobilityworks, LLC | Durable Medical Equipment & Medical Supplies | 11816 Frontage Rd., Murrells Inlet, SC 29576 | 2020-10-29 |
| 1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
| 1710443833 | Sirach Health Professional Limited Liability Company | Physical Medicine & Rehabilitation | 4070 Us Highway 17 Bypass South, Murrells Inlet, SC 29576 | 2019-02-13 |
| 1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
| 1568949154 | Melanie Lewis | Physical Therapist | 2586 Hwy 17 Business S, Murrells Inlet, SC 29576 | 2018-07-26 |
| 1528550035 | Lauren Munck | Family Medicine | Tidelands Waccamaw Community Hospital, 4070 Highway 17, Murrells Inlet, SC 29576 | 2018-05-31 |
| 1003312521 | Myrtle Beach Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4070 Hwy 17 Bypass South, Murrells Inlet, SC 29576 | 2018-04-03 |
| 1467952218 | Jamaica E Alston | Student in an Organized Health Care Education/Training Program | 14 Ambassador Lane, Murrells Inlet, SC 29576 | 2018-02-19 |
| 1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
| 1043720964 | Chartwell Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 671 Jamestown Drive, Suite 104, Murrells Inlet, SC 29576 | 2017-10-05 |
| Find all providers in zip 29576 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1912915265 | Reynaldo Matute | Internal Medicine | 11945 Grandhaven Dr Ste G, Murrells Inlet, SC 29576-8091 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512353 | Maria Creciun Browne | Internal Medicine | Musc 96 Jonathan Lucas Str Room 822, Msc 629, Charleston, SC 29425-0001 | 2020-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1245719939 | Keisuke Okamoto | Internal Medicine | 96 Jonathan Lucas Street, Suite 822, Msc 629, Charleston, SC 29425 | 2018-08-13 |
| 1104332774 | Darius Lucian Lazarus | Internal Medicine | 96 Jonathan Lucas Street Musc - Csb 822 / Msc 629, Charleston, SC 29425-0001 | 2017-12-19 |
| 1689122749 | Sudarshan Bhimbra | Internal Medicine | 16 Main St # 635, Hardeeville, SC 29927-5926 | 2016-09-19 |
| 1396198800 | Karim Soliman | Internal Medicine | 171 Ashley Ave # Msc629, Charleston, SC 29425 | 2016-07-20 |
| 1427455393 | Jennifer Kinnard | Internal Medicine | 8 Orange St, Charleston, SC 29401-2408 | 2014-11-20 |
| 1073854527 | William Muirhead Turner | Internal Medicine | 131 Addis Cir, Anderson, SC 29626-5700 | 2013-03-08 |
| 1528313525 | Charis Lloyd Ellington | Internal Medicine | 727 Se Main St Ste 180, Simpsonville, SC 29681-3248 | 2012-07-17 |
| 1013291079 | Hamlet Hma Ppm LLC | Internal Medicine | 913 Oakwood St, Bennettsville, SC 29512-2459 | 2011-10-07 |
| Find all providers with the same taxonomy | ||||
| City | MURRELLS INLET |
| Zip Code | 29576 |
Please comment or provide details below to improve the information on CAROLINA KIDNEY AND HYPERTENSION SPECIALISTS, P.C..
| 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.