PHILIP A CUSUMANO (NPI# 1295767572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295767572 |
| Entity Type | Individual |
| Full Name | PHILIP A CUSUMANO |
| Credential | M.D. |
| Practice Address |
117 Sea Island Parkway Beaufort SC 29907 |
| Practice Telephone | 8435227240 |
| Practice Fax Number | 8435227249 |
| Mailing Telephone | 8435227240 |
| Mailing Fax Number | 8435227249 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 34018 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0861456 | 05 |
| Street Address |
117 SEA ISLAND PARKWAY |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285069856 | Smiles By Wyles, LLC | Dentist | 27 A Kemmerlin Lane, Beaufort, SC 29907 | 2013-09-13 |
| 1578803847 | Earthfit Pt LLC | Clinic/Center | 39 Sams Point Rd, Beaufort, SC 29907 | 2013-02-25 |
| 1205130630 | Jane Shinder | Speech-Language Pathologist | 12 Sheridan Road, Beaufort, SC 29907 | 2010-12-28 |
| 1114109618 | Earl Bostick,sr. D.m.d & Assoc. P.a. | Dentist | 102 Sea Island Pwky, Suite J, Beaufort, SC 29907 | 2007-11-27 |
| 1568534782 | Jack M Mcgill Jr. | Dentist | 65 Sams Point Road, Beaufort, SC 29907 | 2006-11-14 |
| 1881612810 | Bruce Kevin Wyles | Dentist | 134 D Ladys Island Drive, Beaufort, SC 29907 | 2006-07-17 |
| 1255315024 | Julia B Hetherington | Occupational Therapist | 18 Professional Village Circle, Beaufort, SC 29907 | 2005-12-05 |
| 1780675603 | Heather Riessland Allen | Physician Assistant | 242 Ladys Island Dr, Beaufort, SC 29907 | 2005-10-31 |
| 1528547502 | David P. Babb, Dmd, LLC | Dentist | 109 Sea Island Pkwy, Beaufort, SC 29907 | 2018-08-09 |
| 1033627443 | David Paul Babb | Dentist | 109 Sea Island Pkwy, Beaufort, SC 29907 | 2018-01-19 |
| Find all providers in zip 29907 | ||||
| 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 |
|---|---|---|---|---|
| 1255749909 | Primary & Specialty Care for Assisted Living & Independent Living | Internal Medicine | 14 Wrights Point Cir, Beaufort, SC 29902-6955 | 2014-07-25 |
| 1548569965 | Matthew T Mclaughlin | Internal Medicine | Bmh Hospitalists, 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2011-03-24 |
| 1750532115 | Sailaja Adari | Internal Medicine | 300 Mid Town Drive, Beaufort, SC 29906 | 2008-10-03 |
| 1801808258 | John Garner | Internal Medicine | 9 Rue Du Bois # A, Beaufort, SC 29907-1649 | 2006-08-13 |
| 1760400881 | Robert G Vyge | Internal Medicine | 117 Sea Island Pkwy, Beaufort, SC 29907-1500 | 2006-07-17 |
| 1598713117 | Beaufort County Memorial Hospital | Internal Medicine | Beaufort Memorial Primary Care, 989 Ribaut Rd, Ste 260, Beaufort, SC 29902-5499 | 2006-05-05 |
| 1679568216 | Andrea Dell Hucks | Internal Medicine | 989 Ribaut Rd, Ste 260, Beaufort, SC 29902-5472 | 2005-09-20 |
| 1750385274 | Internal Medicine Healthcare, P.a. | Internal Medicine | 1055 Ribaut Rd, Ste 10, Beaufort, SC 29902-3402 | 2005-06-13 |
| 1417342247 | Emi Michelle Rendon Pope | Internal Medicine | Beaufort Memorial Lowcountry Medical Group, 300 Midtown Drive, Beaufort, SC 29906 | 2015-03-30 |
| 1396181996 | Summer Tuthill | Internal Medicine | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2013-05-22 |
| Find all providers in BEAUFORT | ||||
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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.