SOUTHEAST PULMONARY AND CRITICAL CARE LLC (NPI# 1275830507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275830507 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST PULMONARY AND CRITICAL CARE LLC |
| Practice Address |
370 S Herlong Ave Suite 200 Rock Hill SC 29732-1160 |
| Practice Telephone | 8039805864 |
| Practice Fax Number | 8039805817 |
| Mailing Telephone | 8039805864 |
| Mailing Fax Number | 8039805817 |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2012-08-31 |
| Authorized Official Name | DR. MICHAEL B DENENBERG (PHYSICIAN) |
| Authorized Official Telephone | 8039805864 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
21599 | SC | Ambulatory Health Care Facilities |
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
21599 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 215992 | 05 |
| Street Address |
370 S HERLONG AVE SUITE 200 |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-1160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184083479 | Carolina Lung Clinic, Pa | Internal Medicine | 370 S Herlong Ave, Suite 1000, Rock Hill, SC 29732-1160 | 2016-02-16 |
| 1992057285 | Jennifer E Peelman | Physician Assistant | 370 S Herlong Ave, Suite 200, Rock Hill, SC 29732-1160 | 2012-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396881066 | Affinity Health Center | Clinic/Center | 455 Lakeshore Pkwy, Rock Hill, SC 29730-4205 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843804 | Holistic Healthcare | Clinic/Center | 1024 Cane Branch Rd, Walterboro, SC 29488-0802 | 2020-08-24 |
| 1043846595 | Vip Cosmetic Surgery, Pa | Clinic/Center | 10 William Pope Dr Ste 4, Bluffton, SC 29909-7550 | 2020-03-17 |
| 1720638026 | Veinart Diagnostics and Aesthetics | Clinic/Center | 531 Pine Trl, Williamston, SC 29697-9263 | 2019-09-18 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1477881126 | Baptist Easley Hospital | Clinic/Center | 1807a East Main St., Easley, SC 29640-0000 | 2009-11-18 |
| 1265674253 | Plastic Surgery Center of The Carolinas | Clinic/Center | 391 Serpentine Dr Ste 300, Spartanburg, SC 29303-3080 | 2009-04-06 |
| 1770723512 | May River Dermatology | Clinic/Center | 350 Fording Island Rd, Suite 100, Bluffton, SC 29910-5168 | 2009-03-05 |
| 1215183215 | The Head and Neck Center: for Otolaryngology, Facial Plastic and Recon | Clinic/Center | 2 Leas Courtyard Dr, Seneca, SC 29672-6660 | 2008-08-11 |
| 1447468111 | George Richmond Mushet | Clinic/Center | 117 Pine Needle Rd, Aiken, SC 29803-2631 | 2007-05-18 |
| 1730225178 | Caroline R. Price Md Pa | Clinic/Center | 10 Enterprise Blvd Ste 107, Greenville, SC 29615-3534 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
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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.