DR. EUSTACE DAVID RILEY IV (NPI# 1639163058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639163058 |
| Entity Type | Individual |
| Full Name | DR. EUSTACE DAVID RILEY IV |
| Credential | MD |
| Practice Address |
3410 Cokesbury Rd Hodges SC 29653-9181 |
| Practice Telephone | 8642272099 |
| Practice Fax Number | 8642271779 |
| Mailing Telephone | 8642272099 |
| Mailing Fax Number | 8642271779 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 16253 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | L13901 | 05 |
| Street Address |
3410 COKESBURY RD |
| City | HODGES |
| State | SC |
| Zip Code | 29653-9181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225579741 | Andrea Curran Howell | Registered Nurse | 3410 Cokesbury Rd, Hodges, SC 29653-9181 | 2017-03-16 |
| 1992192496 | Self Medical Group | Family Medicine | 3410 Cokesbury Rd, Hodges, SC 29653-9181 | 2015-04-22 |
| 1811383003 | Self Medical Group | Family Medicine | 3410 Cokesbury Rd, Hodges, SC 29653-9181 | 2015-04-14 |
| 1871683268 | William Eric Stanley | Physician Assistant | 3410 Cokesbury Rd, Hodges, SC 29653-9181 | 2006-10-13 |
| 1992799316 | Robin C Stone | Family Medicine | 3410 Cokesbury Rd, Hodges, SC 29653-9181 | 2005-08-31 |
| 1003800426 | William Edward Fowler | Family Medicine | 3410 Cokesbury Rd, Hodges, SC 29653 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265617179 | Lynn F Cathcart | Dentist | 3404 Cokesbury Road, Hodges, SC 29653 | 2008-01-09 |
| 1629221569 | Sergio Rivero | Physical Therapy Assistant | 24552 Paseo De Valencia, Laguna Hills, CA 29653 | 2008-10-23 |
| 1457536369 | Jeanie M Sucin | Dentist | 3404 Cokesbury Road, Hodges, SC 29653 | 2008-01-09 |
| 1508041419 | Joseph D Fennell Jr. | Dentist | 3404 Cokesbury Road, Hodges, SC 29653 | 2008-01-09 |
| 1477637700 | Dinara M Beasley | Counselor | 21770 Fdr Boulevard, Lexington Park, MD 29653 | 2006-10-24 |
| 1164819132 | Promise Kept LLC | Assisted Living Facility | 2968 Old Douglas Mill Rd, Hodges, SC 29653-8930 | 2015-04-17 |
| 1518177542 | Barbara Gulesserian Warner | Registered Nurse | 754 Eagles Harbor Dr, Hodges, SC 29653-9085 | 2007-05-22 |
| 1700107422 | Hospital Consultants of Greenwood | Family Medicine | 706 Windsor Rd, Hodges, SC 29653-9164 | 2010-06-16 |
| 1164697181 | Piedmont Family Dentistry, Pa | Dentist | 3404 Cokesbury Rd, Hodges, SC 29653-9181 | 2008-04-30 |
| 1205177300 | Jill Nicholson Evans | Registered Nurse | 4717 Main St, Hodges, SC 29653-9225 | 2013-03-14 |
| Find all providers in zip 29653 | ||||
| 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 |
|---|---|---|---|---|
| 1700107422 | Hospital Consultants of Greenwood | Family Medicine | 706 Windsor Rd, Hodges, SC 29653-9164 | 2010-06-16 |
| 1992192496 | Self Medical Group | Family Medicine | 3410 Cokesbury Rd, Hodges, SC 29653-9181 | 2015-04-22 |
| 1811383003 | Self Medical Group | Family Medicine | 3410 Cokesbury Rd, Hodges, SC 29653-9181 | 2015-04-14 |
| 1992799316 | Robin C Stone | Family Medicine | 3410 Cokesbury Rd, Hodges, SC 29653-9181 | 2005-08-31 |
| 1003800426 | William Edward Fowler | Family Medicine | 3410 Cokesbury Rd, Hodges, SC 29653 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495841 | Neuro Health Sc LLC | Family Medicine | 108 Commons Blvd Ste A, Piedmont, SC 29673-7766 | 2020-10-21 |
| 1811595499 | Laura Coolidge | Family Medicine | 1528 Seacroft Rd, Charleston, SC 29412-8113 | 2020-10-15 |
| 1154928570 | Lexington Health Inc | Family Medicine | 146 E Hospital Dr Ste 500, West Columbia, SC 29169-4842 | 2020-10-08 |
| 1477150340 | Meghan Hodapp | Family Medicine | 623 Awendaw Lakes Blvd, Awendaw, SC 29429-6407 | 2020-10-05 |
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1851906267 | Avneet Nagra | Family Medicine | 162 Montauk Dr, Lexington, SC 29072-6776 | 2020-09-11 |
| 1134732753 | Ovp Health Care, Inc. | Family Medicine | 101 S Catawba St, Lancaster, SC 29720-2411 | 2020-08-24 |
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1922617950 | Fred E Hill | Family Medicine | 1033 Jervey Point Rd, Charleston, SC 29492-8372 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.