PPCP SPECIALTY PHYSICIANS , LLC (NPI# 1285248781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285248781 |
| Entity Type | Organization |
| Organization Name | PPCP SPECIALTY PHYSICIANS , LLC |
| Practice Address |
3700 Forest Dr Ste 200 Columbia SC 29204-4010 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7722 |
| Practice Telephone | 8037991922 |
| Mailing Telephone | 8436956071 |
| Mailing Fax Number | 8435695879 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | BRENDA REEVE (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 8438203403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427608819 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 9221 University Blvd Ste 2d, North Charleston, SC 29406-9148 | 2019-09-17 |
| 1922612423 | Ppcp Specialty Physicians, LLC | Internal Medicine | 7430 College St, Irmo, SC 29063-2903 | 2020-09-02 |
| 1407477797 | Ppcp Specialty Physicians, LLC | Internal Medicine | 7 S Alliance Dr Ste 211b, Goose Creek, SC 29445-7297 | 2020-04-28 |
| Street Address |
3700 FOREST DR STE 200 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477545325 | Peggy V. Toliver-dingle | Internal Medicine | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2005-08-17 |
| 1205484250 | Rachel E. Kessler | Nurse Practitioner | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2019-09-03 |
| 1437712445 | Palmetto Primary Care Physicians | Internal Medicine | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2019-04-16 |
| 1427497817 | Binyue Chang | Internal Medicine | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2013-06-18 |
| 1275888190 | Sarah Mizelle King | Nurse Practitioner | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2012-07-17 |
| 1205134939 | Brandon W. Palmer | Nurse Practitioner | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2011-03-03 |
| 1659400943 | Christopher Buckingham Ballou | Internal Medicine | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2007-03-05 |
| 1801843529 | Dana Mairi Nairn | Internal Medicine | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2006-05-28 |
| 1053398792 | Odette D Fisher-glover | Nurse Practitioner | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2005-12-23 |
| 1750376521 | James Richard Allison IIi | Internal Medicine | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2005-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1477160984 | Lifebridge Community Physicians Inc | Internal Medicine | 8875 Centre Park Dr Ste D, Columbia, MD 21045-2382 | 2020-09-29 |
| 1902099336 | Ekta Gupta | Internal Medicine | 10700 Charter Dr Ste 310, Columbia, MD 21044-3730 | 2007-08-20 |
| 1275743221 | Eduardo Castillo Del Castillo | Internal Medicine | 7120 Minstrel Way Ste 100, Columbia, MD 21045-5274 | 2007-05-22 |
| 1679583587 | Russell Owen Schub | Internal Medicine | 8875 Centre Park Dr, Suite D, Columbia, MD 21045-2114 | 2006-08-09 |
| 1992715361 | Richard Martin Helman | Internal Medicine | 6439 Garners Ferry Rd # V, Gastroenterology 2 East, Columbia, SC 29209-1638 | 2006-08-09 |
| 1265470140 | Gerald Bertiger | Internal Medicine | 3 Richland Medical Park Dr Ste 120, Columbia, SC 29203-6850 | 2006-06-03 |
| 1174575294 | Nicolas Llorens | Internal Medicine | 210 Portland St, Suite 100, Columbia, MO 65201-6677 | 2006-05-17 |
| 1376508374 | Amit A Choksi | Internal Medicine | 1222 Trotwood Avenue, Ste 501, Columbia, TN 38401-6422 | 2006-04-20 |
| 1093777310 | Daniel Iseman | Internal Medicine | 1520 Taylor St, Suite 200, Columbia, SC 29201-2901 | 2006-04-03 |
| 1811962517 | Lawrence Fredric Sorkin | Internal Medicine | 10382 Barcan Cir, Columbia, MD 21044-2504 | 2006-02-17 |
| Find all providers in COLUMBIA | ||||
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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.