PALMETTO ENDOCRINE ASSOCIATES, INC. (NPI# 1508809906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508809906 |
| Entity Type | Organization |
| Organization Name | PALMETTO ENDOCRINE ASSOCIATES, INC. |
| Other Organization Name | PALMETTO ENDOCRINE ASSOCIATES, INC. |
| Practice Address |
1709 Village Park Dr Orangeburg SC 29118-2401 |
| Practice Telephone | 8035159744 |
| Practice Fax Number | 8035159733 |
| Mailing Telephone | 8035159744 |
| Mailing Fax Number | 8035159733 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | JOCELYN A MYERS (MANAGING PHYSICIAN) |
| Authorized Official Telephone | 8035159744 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4264 | 05 |
| Other Name | Type Code |
|---|---|
| Palmetto Endocrine Associates, Inc. | Other Name - Individual/Organization |
| Street Address |
1709 VILLAGE PARK DR |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29118-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
| 1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
| 1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
| 1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
| 1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
| 1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
| 1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
| 1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
| Find all providers in zip 29118 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1255393211 | Charles H. Raine | Internal Medicine | 112 Blue Bird Lane, Orangeburg, SC 29115 | 2006-04-05 |
| 1700325479 | Gustavo Antonio Meyreles-chaljub | Internal Medicine | 1175 Cook Rd Ste 145, Orangeburg, SC 29118-8235 | 2017-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053800821 | I Med Carolinas LLC | Internal Medicine | 105 Stone Village Dr, Fort Mill, SC 29708-6489 | 2018-05-07 |
| 1467992768 | Endocrinology and Diabetes of The Carolinas LLC | Internal Medicine | 901 West Meeting Street, Suite 205, Lancaster, SC 29720 | 2017-03-06 |
| 1700241379 | William Wilson Quick | Internal Medicine | 5402 Overland Trl, Retired From Medical Practice, North Charleston, SC 29420-9024 | 2015-12-23 |
| 1205214202 | St Francis Physician Services Inc | Internal Medicine | 2 Innovation Dr Ste 300b, Greenville, SC 29607-5268 | 2015-05-11 |
| 1639584683 | Mc Anto Antony | Internal Medicine | 2000 E Greenville St Ste 3100, Anderson, SC 29621 | 2014-06-29 |
| 1619226842 | Carolina Hormone and Health Center of Charleston | Internal Medicine | 300 W Coleman Blvd Ste 101, Mount Pleasant, SC 29464-5604 | 2012-09-04 |
| 1902118268 | St. Francis Physician Services | Internal Medicine | 2 Innovation Dr Ste 300-b, Greenville, SC 29607-5261 | 2010-07-02 |
| 1750619144 | James Bernard Field | Internal Medicine | 50 Stoney Creek Road, Hilton Head, SC 29928-2909 | 2009-11-24 |
| 1497906432 | Marion E Betancourt Albrecht | Internal Medicine | 901 West Meeting St Suite 205, Lancaster, SC 29720-6209 | 2008-10-08 |
| 1821257676 | Coastal Carolina Primary Care, LLC | Internal Medicine | 9221 University Blvd Ste 102, North Charleston, SC 29406-9148 | 2008-06-06 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 29118 |
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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.