NATHAN LOREI (NPI# 1629579263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629579263 |
Entity Type | Individual |
Full Name | NATHAN LOREI |
Credential | MD |
Practice Address |
110 Naval Nuclear Power Training Command Cir Goose Creek SC 29445 |
Mailing Address |
5916 Tajo Ave Virginia Beach VA 23455-4636 |
Practice Telephone | 8437946000 |
Mailing Telephone | 2404399038 |
Enumeration Date | 2018-02-27 |
Last Update Date | 2020-01-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
Y | 171000000X | Military Health Care Provider | 0101267508 | VA | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
620 John Paul Jones Cir, Portsmouth, VA 237082111 | 7579532339 |
Street Address |
110 NAVAL NUCLEAR POWER TRAINING COMMAND CIR |
City | GOOSE CREEK |
State | SC |
Zip Code | 29445 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
1225335169 | Susan Kelley Jones | Psychologist | 105 Central Ave Ste 200b, Goose Creek, SC 29445 | 2011-02-11 |
Find all providers in zip 29445 |
Taxonomy Code | 171000000X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
Notes: [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023625019 | Byron Barbour | Military Health Care Provider | 670 Boulevard De France, Parris Island, SC 29905 | 2020-09-24 |
1174057947 | Christopher Gregory Topping | Military Health Care Provider | 1 Pinckney Blvd, Beaufort, SC 29902 | 2017-04-18 |
1518498443 | Samantha Panuski | Military Health Care Provider | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2017-03-22 |
1619354040 | William S Magin | Military Health Care Provider | 598 Geiger Blvd, Marine Corps Air Station Beaufort, Beaufort, SC 29904 | 2015-05-06 |
1134405830 | John Conway | Military Health Care Provider | 203 West Main Street, Suite E-1, Lexington, SC 29072-9494 | 2011-10-25 |
1568500676 | Buffy Howard | Military Health Care Provider | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2007-02-01 |
1912095423 | Paul Sanders | Military Health Care Provider | 4500 Stuart St, Moncrief Army Community Hospital/credentials, Columbia, SC 29207-5700 | 2006-10-10 |
1477644722 | Marc J Stevens | Military Health Care Provider | 4500 Stuart St, Moncrief Army Community Hospital/credentials, Columbia, SC 29207-5700 | 2006-09-28 |
1679673156 | Sejal Patel | Military Health Care Provider | 4500 Stuart St, Moncrief Army Community Hospital/credentials, Columbia, SC 29207-5700 | 2006-09-24 |
1346346624 | Juliana Infante Galang | Military Health Care Provider | 4500 Stuart St, Moncrief Army Community Hospital Att: Mcxl-pq, Columbia, SC 29207-5700 | 2006-09-15 |
Find all providers with the same taxonomy |
City | GOOSE CREEK |
Zip Code | 29445 |
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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.