TIDES GASTROENTEROLOGY, LLC (NPI# 1437566510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437566510 |
Entity Type | Organization |
Organization Name | TIDES GASTROENTEROLOGY, LLC |
Practice Address |
159 E Shipyard Rd Mt Pleasant SC 29464-2677 |
Practice Telephone | 8437434241 |
Enumeration Date | 2014-07-21 |
Last Update Date | 2014-07-21 |
Authorized Official Name | DR. JEFFREY DOROCIAK (PRESIDENT) |
Authorized Official Telephone | 8437434241 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
Street Address |
159 E SHIPYARD RD |
City | MT PLEASANT |
State | SC |
Zip Code | 29464-2677 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
Find all providers in zip 29464 |
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 |
---|---|---|---|---|
1982751764 | Punukollu Md and Associates, P.C. | Internal Medicine | 480 Eagle St, Mt Pleasant, PA 15666-1700 | 2007-01-04 |
1962445288 | Gastroenterology Hepatology and Endoscopy Pllc | Internal Medicine | 411 W Broadway, Ste A, Mt Pleasant, MI 48828 | 2006-06-14 |
1427001452 | Thomas Chadwick Eustis | Internal Medicine | 1240 Hospital Dr, Mt Pleasant, SC 29464 | 2006-05-19 |
1922059153 | Vandana Vedula | Internal Medicine | 1201 South Dr Ste 352, Mt Pleasant, MI 48858-3255 | 2006-05-12 |
1093810970 | David Michael Ingraham | Internal Medicine | 1300 Hospital Dr, Suite 300, Mt Pleasant, SC 29464-3261 | 2006-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861007163 | Ppcp Specialty Physicians, LLC | Internal Medicine | 5500 Front St Ste 260, Summerville, SC 29486-7735 | 2020-09-14 |
1497398721 | Brooke Alexa Brooks | Internal Medicine | 25 Courtenay Dr # 7018, Charleston, SC 29425-8911 | 2019-10-18 |
1912326893 | Gastroenterology Consultants of Savannah, PC | Internal Medicine | 10 Oak Forest Rd Ste B, Bluffton, SC 29910-4974 | 2014-04-08 |
1457616401 | Christopher Robert Brown | Internal Medicine | 4040 Highway 17 Unit 302, Murrells Inlet, SC 29576 | 2012-07-05 |
1326304478 | Madeline Rhea Russell | Internal Medicine | 1010 Medical Center Dr Ste 100, Hardeeville, SC 29927-3452 | 2012-04-03 |
1083909402 | Andrew Jonathan Motlis | Internal Medicine | 853 N Church St Ste 620, Spartanburg, SC 29303-3070 | 2011-06-14 |
1518250414 | Georgia Gastroenterology,llc. | Internal Medicine | 35 Varden Dr, Suite C, Aiken, SC 29803 | 2011-05-25 |
1811296239 | South Coast Gastroenterology | Internal Medicine | 2891 Tricom St Ste B, N Charleston, SC 29406-7110 | 2011-03-24 |
1235430745 | Beaufort County Memorial Hospital | Internal Medicine | 1716 Ribaut Rd, Port Royal, SC 29935-1927 | 2010-11-15 |
1710121843 | Gastroenterology Associates Pa | Internal Medicine | 552 Memorial Drive Ext Ste D, Greer, SC 29651-1135 | 2009-04-20 |
Find all providers with the same taxonomy |
City | MT PLEASANT |
Zip Code | 29464 |
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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.