PALMETTO PEDIATRICS (NPI# 1508897109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508897109 |
| Entity Type | Organization |
| Organization Name | PALMETTO PEDIATRICS |
| Practice Address |
2450 India Hook Rd Suite A Rock Hill SC 29732-3270 |
| Mailing Address |
Po Box 60099 Charlotte NC 28260-0099 |
| Practice Telephone | 8033275772 |
| Practice Fax Number | 8033279303 |
| Mailing Telephone | 8033275772 |
| Mailing Fax Number | 8033279303 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2013-04-25 |
| Authorized Official Name | DANIEL L. WIENS (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7043550648 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5906681 | 05 | |
| SC | GP0671 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528397593 | Palmetto Pediatrics | Pediatrics | 9332 S Tryon St, Charlotte, NC 28273-3108 | 2009-12-21 |
| Street Address |
2450 INDIA HOOK RD SUITE A |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-3270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891726477 | Medical Associates of Rock Hill | Family Medicine | 2450 India Hook Rd, Suite B, Rock Hill, SC 29732-3270 | 2006-07-05 |
| 1730740333 | Riverview Family Medicine, LLC | Durable Medical Equipment & Medical Supplies | 2450 India Hook Rd, Rock Hill, SC 29732-3270 | 2019-06-25 |
| 1184947566 | Carolinas Physicians Network Inc | Urology | 2450 India Hook Rd, Rock Hill, SC 29732-3270 | 2010-03-12 |
| 1215180278 | Rita M Dixon | Physician Assistant | 2450 India Hook Rd, Suite B, Rock Hill, SC 29732-3270 | 2008-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366780793 | Eduardo Jose Garrido Goico | Pediatrics | 165 Amendment Ave # 102, Rock Hill, SC 29732-3036 | 2013-01-18 |
| 1528235942 | Kristie Elizabeth Appelgren | Pediatrics | 5320 Kingswood Drive Ext, Rock Hill, SC 29732-9589 | 2008-05-14 |
| 1487609624 | Larry N Byrd | Pediatrics | 724 Arden Ln Ste 100, Rock Hill, SC 29732-2995 | 2006-05-24 |
| 1811941941 | Gashaw Tedla Tafari | Pediatrics | 225 S Herlong Ave Ste 250, Rock Hill, SC 29732-2147 | 2006-05-22 |
| 1932169968 | Gaurang C Shah | Pediatrics | 165 Amendment Ave, Suite 102, Rock Hill, SC 29732-3036 | 2006-03-24 |
| 1932192481 | Rajeshkumar M. Patel | Pediatrics | 724 Arden Ln, Suite 100, Rock Hill, SC 29732-2984 | 2005-08-30 |
| 1720504954 | Leanne Sue Kohlmeier | Pediatrics | 165 Amendment Ave # 102, Rock Hill, SC 29732-3036 | 2017-08-18 |
| 1609220045 | Ranya Chakra | Pediatrics | 1656 Riverchase Blvd, Suite 3400, Rock Hill, SC 29732-2084 | 2016-04-22 |
| 1801273933 | Sharonjit Grewal | Pediatrics | 1656 Riverchase Blvd, Suite 3400, Rock Hill, SC 29732-2084 | 2015-04-27 |
| 1881953370 | Ali Haider | Pediatrics | 1656 Riverchase Blvd, Suite 3400, Rock Hill, SC 29732-2084 | 2012-05-03 |
| Find all providers in ROCK HILL | ||||
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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.