HALF DOME INPATIENT SERVICES LLC (NPI# 1265841126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265841126 |
| Entity Type | Organization |
| Organization Name | HALF DOME INPATIENT SERVICES LLC |
| Practice Address |
501 Robertson Blvd Walterboro SC 29488-2787 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1331 |
| Practice Telephone | 8437822000 |
| Mailing Telephone | 4694012386 |
| Mailing Fax Number | 2147122444 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-08 |
| Authorized Official Name | GREGORY BYRNE (PRESIDENT) |
| Authorized Official Telephone | 4694012386 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
501 ROBERTSON BLVD |
| City | WALTERBORO |
| State | SC |
| Zip Code | 29488-2787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354888 | Kimberly D Rakes-stephens | Internal Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2005-05-31 |
| 1114482726 | Rachel Mcniesh | Dietitian, Registered | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2019-02-07 |
| 1386120301 | Kara A Ott | Nurse Practitioner | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2018-07-12 |
| 1386143311 | Andrew S Cook | Physician Assistant | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2018-02-05 |
| 1780057505 | Boxwood Emergency Physicians, LLC | Physician Assistant | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2015-11-02 |
| 1730552639 | Driftwood Emergency Physicians, LLC | Physician Assistant | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2015-11-02 |
| 1326446584 | Katherine Heacock | Dietitian, Registered | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2014-12-19 |
| 1265841134 | Greylock Emergency Physicians LLC | Emergency Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2014-08-05 |
| 1225440951 | Cheryl Dunlop | Physician Assistant | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2014-05-29 |
| 1144669524 | South Carolina Em-i Medical Services, PC | Nurse Practitioner | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2013-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996880 | Tamela Johnson | Counselor | 1439 Thunderbolt Drive Walterboro, Sc 29488, 1439 Thunderbolt Drive Walterboro, Sc 29488, Walterboro, SC 29488 | 2020-09-15 |
| 1558727941 | Amber Henderson | Counselor | 2004 Jefferies Hwyv, Walterbori, SC 29488 | 2016-01-14 |
| 1710130471 | George's Clearvision | Optometrist | 1009 Bells Hwy, Walterboro, SC 29488 | 2008-10-28 |
| 1992965503 | Colleton Chiropractic, LLC | Chiropractor | 211 Eddie Chasteen Drive, Walterboro, SC 29488 | 2008-06-17 |
| 1083885867 | Lowcountry Imaging Associates, LLC | Clinic/Center | 211 Meadow Street, Walterboro, SC 29488 | 2008-03-19 |
| 1215106794 | Lowcountry Center for Diabetes & Endocrinology Pa | Specialist | 16 Northside Dr., Walterboro, SC 29488 | 2008-02-28 |
| 1649399445 | Dan Russell Yarbrough | Dentist | 100a Commerce Drive, Walterboro, SC 29488 | 2007-03-29 |
| 1902931355 | Colleton County School District | Speech-Language Pathologist | 611 Colletonloop, Walterboro, SC 29488 | 2007-02-23 |
| 1477616555 | Samuel Michael Hazel | Dentist | 415a Robertson Blvd, One Professional Plaza, Walterboro, SC 29488 | 2006-12-19 |
| 1245243823 | Landrum Rescue Squad | Ambulance | 203 B Eddie Chasteen Blvd, Walterborough, SC 29488 | 2006-08-14 |
| Find all providers in zip 29488 | ||||
| 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 |
|---|---|---|---|---|
| 1386726040 | Barry Lorenzo Lee | Internal Medicine | 811 Carn St, Walterboro, SC 29488-4322 | 2006-10-20 |
| 1275632309 | Sanjay Kumar | Internal Medicine | 461 Spruce St, Walterboro, SC 29488-2766 | 2006-09-22 |
| 1588618169 | Jeffrey Rae Kramer | Internal Medicine | 873 Robertson Blvd, Walterboro, SC 29488 | 2006-05-19 |
| 1871546234 | John Frank Biggers | Internal Medicine | 124 Medical Park Dr, Walterboro, SC 29488-5719 | 2006-05-18 |
| 1750351508 | Robert L Thomas | Internal Medicine | 300 Ruby St, Walterboro, SC 29488-2758 | 2006-01-25 |
| 1073517595 | Edward J Mcneil | Internal Medicine | 302 Medical Park Dr, Suite 210, Walterboro, SC 29488-5747 | 2005-06-13 |
| 1457354888 | Kimberly D Rakes-stephens | Internal Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2005-05-31 |
| 1164072930 | Ashley Elaine Ward | Internal Medicine | 300 Ruby St, Walterboro, SC 29488-2758 | 2019-09-13 |
| 1477829992 | Titan Hospitalist Group,llc | Internal Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2012-03-29 |
| 1588930010 | Jacksonville Emergency Consultants,pa | Internal Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2012-03-29 |
| Find all providers in WALTERBORO | ||||
| City | WALTERBORO |
| Zip Code | 29488 |
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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.