PALMETTO TRAVEL MEDICINE (NPI# 1467691568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467691568 |
| Entity Type | Organization |
| Organization Name | PALMETTO TRAVEL MEDICINE |
| Other Organization Name | PASSPORT HEALTH |
| Practice Address |
2154 N Center St Suite A-104 North Charleston SC 29406-4056 |
| Practice Telephone | 8432255688 |
| Practice Fax Number | 8432255689 |
| Mailing Telephone | 8432255688 |
| Mailing Fax Number | 8432255689 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |
| Authorized Official Name | MS. INGRID NIELSEN BREWSTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8432255688 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | R98024 | SC | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Passport Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376890152 | Palmetto Travel Medicine | Clinic/Center | 2154 N Center St, Suite A104, North Charleston, SC 29406-4056 | 2012-08-10 |
| Street Address |
2154 N CENTER ST SUITE A-104 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-4056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376933358 | Monique Stinson | Social Worker | 2154 N Center St, Ste 410d, North Charleston, SC 29406-4052 | 2015-01-29 |
| 1588094585 | Passport Health Holdings LLC | Preventive Medicine | 2154 N Center St, Ste A-104, North Charleston, SC 29406-4049 | 2013-11-13 |
| 1376890152 | Palmetto Travel Medicine | Clinic/Center | 2154 N Center St, Suite A104, North Charleston, SC 29406-4056 | 2012-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275932865 | Ashley Hudson | Specialist | 4401 Belle Oaks Drive, North Charleston, SC 26405 | 2014-08-19 |
| 1801172176 | Rachel Marcia Lee | Specialist | 7671 Northwoods Blvd, Ste L, North Charleston, SC 29406-4058 | 2011-10-31 |
| 1992032304 | Alpha Medical | Specialist | 2165 Ashley Phosphate Rd Ste A, North Charleston, SC 29406-4157 | 2009-11-05 |
| 1093989006 | Jon R Jacobs | Specialist | 9213 University Blvd Ste D, North Charleston, SC 29406-9145 | 2008-04-22 |
| 1740478288 | Low Country Ent Pa | Specialist | 2850 Tricom St, North Charleston, SC 29406-9192 | 2007-10-10 |
| 1144395146 | Carolina Obgyn | Specialist | 7457 Northside Dr, North Charleston, SC 29420-4209 | 2006-11-22 |
| 1568535953 | Jon Robert Jacobs | Specialist | 9213 University Blvd, Suite D, North Charleston, SC 29406-9145 | 2006-11-16 |
| 1750300406 | Alan Boyer Mcdaniel | Specialist | 7510 Northforest Drive, North Charleston, SC 29420 | 2006-07-19 |
| 1679524888 | James T. Martin Jr. Md | Specialist | 9213 University Blvd Ste A, Trident Executive Village, North Charleston, SC 29406-9145 | 2006-05-12 |
| 1467012021 | Pain Specialists of Charleston | Specialist | 2683 Elms Plantation Blvd, North Charleston, SC 29406-7119 | 2019-06-17 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
Please comment or provide details below to improve the information on PALMETTO TRAVEL MEDICINE.
| 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.