THE CLINIC (NPI# 1639422892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639422892 |
| Entity Type | Organization |
| Organization Name | THE CLINIC |
| Other Organization Name | LA CLINICA |
| Practice Address |
157 William Hilton Pkwy Hilton Head Island SC 29926-5218 |
| Practice Telephone | 8436818260 |
| Mailing Telephone | 8436818260 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |
| Authorized Official Name | MR. GIUSEPPE BALIN DEABATE (OWNER) |
| Authorized Official Telephone | 8433381337 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
P1897 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
A1897 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE ID-TYPE UNSPECIFIED | AA10337919 | 01 |
| SC | NP0909 | 05 |
| Other Name | Type Code |
|---|---|
| La Clinica | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295031441 | The Clinic | Pediatrics | 2515 Packard St, Ann Arbor, MI 48104-6806 | 2011-02-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | THE CLINIC | 2208 Harrison Ave, Medford, OR 97504 |
| Iowa Business Entities | THE CLINIC BAR, LLC | 324 S Main Avenue Apt. 1, Alburnett, IA 52202 |
| Colorado Business Entities | The Clinic Colorado, LLC | 12 Broadway #220, Denver, CO 80203 |
| Colorado Business Entities | The Clinic Florida, LLC | 12 Broadway #220, Denver, CO 80203 |
| Oregon Corporations, Companies and Business Names | THE CLINIC FOR DERMATOLOGY & WELLNESS, LLC | 2924 Siskiyou Blvd Suite 200, Medford, OR 97504 |
| Colorado Business Entities | The Clinic Inc LLC | 1966 1/2 Robertson Blvd, Los Angeles, CA 90034 |
| Colorado Business Entities | THE CLINIC INC. | 23698 Hwy 24, Minturn, CO 81645 |
| Colorado Business Entities | The Clinic Maryland, LLC | 12 Broadway #220, Denver, CO 80203 |
| Colorado Business Entities | The Clinic New York, LLC | 12 Broadway #220, Denver, CO 80203 |
| Colorado Business Entities | The Clinic of the Rockies, LLC | 1113 Hawkshead St., Timnath, CO 80547 |
| Street Address |
157 WILLIAM HILTON PKWY |
| City | HILTON HEAD ISLAND |
| State | SC |
| Zip Code | 29926-5218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184678435 | David Edward Dorsner | Family Medicine | 157 William Hilton Pkwy, Hilton Head Island, SC 29926-5218 | 2006-05-20 |
| 1902382963 | Omega Primary Care, LLC | Clinic/Center | 157 William Hilton Pkwy, Hilton Head Island, SC 29926-5218 | 2018-07-12 |
| 1073946745 | Michael Anthony Petrillo | Physician Assistant | 157 William Hilton Pkwy, Hilton Head Island, SC 29926-5218 | 2013-08-16 |
| 1265752588 | La Clinica | Nurse Practitioner | 157 William Hilton Pkwy, Hilton Head Island, SC 29926-5218 | 2010-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447728795 | Island Imaging, LLC | Radiology | 40 Palmetto Parkway, Hilton Head Island, SC 29926 | 2018-11-05 |
| 1134608805 | Optim Orthopedics, LLC | Orthopaedic Surgery | 25 Hospital Center Blvd Ste 100, Hilton Head, SC 29926 | 2018-08-13 |
| 1114443728 | Rehabcare Group East, LLC | Clinic/Center | 421 Squire Pope Rd, Hilton Head Island, SC 29926 | 2017-08-15 |
| 1043734429 | Laura Ann Elizabeth Mccall | Nurse Practitioner | Dba Ltc Health Solutions, 110 Gardner Dr, Hilton Head Island, SC 29926 | 2017-07-27 |
| 1508286014 | Johan Schutz | Pharmacist | 20 Hanahan Ln, Hilton Head Island, SC 29926 | 2014-04-23 |
| 1740614460 | Tcg Medical Specialists LLC | Emergency Medicine | 19 Moss Creek Village Ste. B4, St. Joseph's/candler Hyperbarics and Wound Care, Hilton Head Island, SC 29926 | 2013-08-29 |
| 1215288790 | Collin George | Physical Therapist | 250 Ladyslipper Lane, Hilton Head, SC 29926 | 2012-09-25 |
| 1508136698 | Podiatry Associates of Hilton Head Pa | Podiatrist | 88 D Main Street, Hilton Head Island, SC 29926 | 2012-01-05 |
| 1467689646 | Moss Creek Sport & Spine Institute Promp Care, LLC | Clinic/Center | 15 Moss Creek Village, Hilton Head, SC 29926 | 2009-06-16 |
| 1245487545 | Kathleen M Shea | Audiologist | 1401 F Main St, Hilton Head Island, SC 29926 | 2008-08-19 |
| Find all providers in zip 29926 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942579347 | Angela Hebert Hayden Np | Clinical Nurse Specialist | 400-4 College Ave, Suite 3, Clemson, SC 29631-2925 | 2011-12-14 |
| 1710291455 | Linda Ramsey Bright | Clinical Nurse Specialist | 103 Bee Street, Charleston, SC 29403 | 2010-08-05 |
| 1568604338 | Shannon Bright Smith | Clinical Nurse Specialist | 400 Magnolia St # 135a, Orangeburg, SC 29115-6815 | 2009-03-25 |
| 1790967131 | Pamela Bearden | Clinical Nurse Specialist | 160 Rutledge Ave, Charleston, SC 29403-5821 | 2007-11-28 |
| 1295169241 | Tolvalyn Shinia Dennison | Clinical Nurse Specialist | 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8005 | 2013-08-27 |
| 1699112425 | Kelly Marie Pabst | Clinical Nurse Specialist | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414-7710 | 2013-06-03 |
| 1922362052 | Melissa Renee Bouassaba | Clinical Nurse Specialist | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2012-07-03 |
| 1861702532 | Amanda K Krutke | Clinical Nurse Specialist | 107 Omni Dr, Suite A, Seneca, SC 29672-9448 | 2010-10-15 |
| 1164668224 | Christine M Moffett | Clinical Nurse Specialist | 109 Bee St, Charleston, SC 29401-5703 | 2008-12-19 |
| 1831213545 | Donna D Burroughs | Clinical Nurse Specialist | 100 Healthy Way, Suite 1210, Anderson, SC 29621-7915 | 2007-03-19 |
| Find all providers with the same taxonomy | ||||
| City | HILTON HEAD ISLAND |
| Zip Code | 29926 |
Please comment or provide details below to improve the information on THE CLINIC.
| 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.