TIDES GASTROENTEROLOGY, LLC


Address: 159 E Shipyard Rd, Mt Pleasant, SC 29464-2677
Phone: 8437434241

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians

Office Location

Street Address 159 E SHIPYARD RD
City MT PLEASANT
State SC
Zip Code 29464-2677

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City MT PLEASANT
Zip Code 29464

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Dataset Information

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.

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