JONATHAN JAY LIU (NPI# 1639103039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639103039 |
| Entity Type | Individual |
| Full Name | JONATHAN JAY LIU |
| Credential | MD |
| Practice Address |
6237 Carolina Commons Dr Ste 101 Indian Land SC 29707-4511 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 8035489393 |
| Mailing Telephone | 8035489393 |
| Mailing Fax Number | 8035489590 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 28083 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 280831 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750797247 | Jonathan Liu | Social Worker | 62 Moore St # 2, Providence, RI 02907-1415 | 2014-07-07 |
| 1215292453 | Jonathan Liu | Student in an Organized Health Care Education/Training Program | 11250 Taylor Draper Ln, Austin, TX 78759-3975 | 2012-07-12 |
| 1710516174 | Jonathan Liu | Student in an Organized Health Care Education/Training Program | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2020-04-06 |
| 1679136618 | Jonathan Liu | Student in an Organized Health Care Education/Training Program | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2019-04-16 |
| 1992281851 | Jonathan Wing-chiu Liu | Internal Medicine | 513 Parnassus Ave # 111, San Francisco, CA 94143-2205 | 2018-07-13 |
| 1285161505 | Jonathan Liu | Pharmacist | 75 Main St, Danbury, CT 06810-7802 | 2017-05-17 |
| 1942661863 | Jonathan Liu | Student in an Organized Health Care Education/Training Program | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2016-03-20 |
| 1548681695 | Jonathan Liu | Counselor | 12505 Se Raymond St, Portland, OR 97236-3931 | 2013-12-16 |
| 1750640868 | Jonathan Liu | Internal Medicine | 1145 Broadway, Seattle, WA 98122-4201 | 2012-05-09 |
| 1174756381 | Jonathan James Liu | Specialist | 300 Pasteur Dr, Edwards Building Room R295, Stanford, CA 94305-2200 | 2009-09-03 |
| Street Address |
6237 CAROLINA COMMONS DR STE 101 |
| City | INDIAN LAND |
| State | SC |
| Zip Code | 29707-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535844 | Anomaly Bodywork & Wellness Center, LLC | Massage Therapist | 4068 Flats Main Street, Apt 100, Indian Land, SC 29707 | 2020-10-15 |
| 1164034369 | Renu Kapoor Virdi | Dentist | 9709 Redstone Dr, Ste 500, Indian Land, SC 29707 | 2020-08-19 |
| 1205467420 | Brian Keith Sutton | Physical Therapist | 2021 Bridgemill Dr, Ste 106, Indian Land, SC 29707 | 2020-01-27 |
| 1215575774 | Doby's Bridge Dentistry | Dentist | 4174 Dobys Brige Road Ste 100, Indian Land, SC 29707 | 2019-12-16 |
| 1346895141 | Redstone Modern Dentistry, PC | Dentist | 9709 Redstone Dr., Suite 500, Indian Land, SC 29707 | 2019-08-08 |
| 1396228698 | Daniel Allen | Massage Therapist | 4068 Flats Main St, Apt 100, Indian Land, SC 29707 | 2018-09-12 |
| 1598269409 | Dawn K Beatty-batten | Occupational Therapy Assistant | The Blake At Edgewater, 1099 Edgewater Corporate Parkway, Indian Land, SC 29707 | 2018-03-23 |
| 1366940959 | Kds Consultants, LLC | Family Medicine | 8351 Charlotte Hwy Ste 200, Indian Land, SC 29707 | 2018-01-29 |
| 1093227464 | Ivision Associates LLC | Optometrist | 9700 Red Stone Drive Suite 300, Indian Land, SC 29707 | 2017-10-25 |
| 1396274742 | Carson Tyler Mcginn | Specialist/Technologist | 8690 Henry Harris Rd., Fort Mill, SC 29707 | 2017-06-08 |
| Find all providers in zip 29707 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861341 | Dominique Moreno | Family Medicine | 1040 Edgewater Corporate Pkwy Ste 101, Indian Land, SC 29707-4526 | 2020-04-30 |
| 1891286258 | Med First Immediate Care & Family Practice, Pa | Family Medicine | 9623 Redstone Dr Ste 300, Indian Land, SC 29707-5407 | 2018-05-22 |
| 1366940959 | Kds Consultants, LLC | Family Medicine | 8351 Charlotte Hwy Ste 200, Indian Land, SC 29707 | 2018-01-29 |
| 1538386610 | Shephali Nimish Patel | Family Medicine | 1040 Edgewater Corporate Pkwy Suite 101, Indian Land, SC 29707-7177 | 2007-04-19 |
| 1043275522 | William Lee Thomas | Family Medicine | 6237 Carolina Commons Dr, Suite 101, Indian Land, SC 29707-6014 | 2006-04-19 |
| 1356332779 | Joyce Ward | Family Medicine | 7666 Charlotte Hwy, Suite 120, Indian Land, SC 29707-7000 | 2005-11-03 |
| 1245748045 | Daniel Kirkley | Family Medicine | 1040 Edgewater Corporate Pkwy, Indian Land, SC 29707-4514 | 2018-01-15 |
| 1306232004 | Scott Gremillion | Family Medicine | 1040 Edgewater Corporate Pkwy, Indian Land, SC 29707 | 2015-04-09 |
| 1750795183 | Patrick Jenkins IIi | Family Medicine | 7666 Charlotte Hwy, Suite 120, Indian Land, SC 29707-7000 | 2014-06-13 |
| 1720378136 | Matthew Thomas | Family Medicine | 7666 Charlotte Hwy, Suite 120, Indian Land, SC 29707-7000 | 2011-04-19 |
| Find all providers in INDIAN LAND | ||||
| City | INDIAN LAND |
| Zip Code | 29707 |
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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.