CAROLINA DIABETES & KIDNEY CENTER, LLC (NPI# 1689128951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689128951 |
| Entity Type | Organization |
| Organization Name | CAROLINA DIABETES & KIDNEY CENTER, LLC |
| Practice Address |
625 W Wesmark Blvd Sumter SC 29150-1900 |
| Practice Telephone | 8034697950 |
| Practice Fax Number | 8034697548 |
| Mailing Telephone | 8034697950 |
| Mailing Fax Number | 8034697548 |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |
| Authorized Official Name | DR. USAH LILAVIVAT (PRESIDENT) |
| Authorized Official Telephone | 8034697950 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RH0005X |
Internal Medicine Specialization: Hypertension Specialist |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Street Address |
625 W WESMARK BLVD |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326000837 | Deborah Lee Struchen | Nurse Practitioner | 625 W Wesmark Blvd, Sumter, SC 29150-1900 | 2006-04-03 |
| 1225467707 | Barbara Carden | Nurse Practitioner | 625 W Wesmark Blvd, Sumter, SC 29150-1900 | 2013-11-05 |
| 1164717054 | Geovani Abdo Faddoul | Internal Medicine | 625 W Wesmark Blvd, Sumter, SC 29150-1900 | 2011-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437241262 | Usah Lilavivat | Internal Medicine | 635 W Wesmark Blvd, Sumter, SC 29150-1900 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053800821 | I Med Carolinas LLC | Internal Medicine | 105 Stone Village Dr, Fort Mill, SC 29708-6489 | 2018-05-07 |
| 1467992768 | Endocrinology and Diabetes of The Carolinas LLC | Internal Medicine | 901 West Meeting Street, Suite 205, Lancaster, SC 29720 | 2017-03-06 |
| 1700241379 | William Wilson Quick | Internal Medicine | 5402 Overland Trl, Retired From Medical Practice, North Charleston, SC 29420-9024 | 2015-12-23 |
| 1205214202 | St Francis Physician Services Inc | Internal Medicine | 2 Innovation Dr Ste 300b, Greenville, SC 29607-5268 | 2015-05-11 |
| 1639584683 | Mc Anto Antony | Internal Medicine | 2000 E Greenville St Ste 3100, Anderson, SC 29621 | 2014-06-29 |
| 1619226842 | Carolina Hormone and Health Center of Charleston | Internal Medicine | 300 W Coleman Blvd Ste 101, Mount Pleasant, SC 29464-5604 | 2012-09-04 |
| 1902118268 | St. Francis Physician Services | Internal Medicine | 2 Innovation Dr Ste 300-b, Greenville, SC 29607-5261 | 2010-07-02 |
| 1750619144 | James Bernard Field | Internal Medicine | 50 Stoney Creek Road, Hilton Head, SC 29928-2909 | 2009-11-24 |
| 1497906432 | Marion E Betancourt Albrecht | Internal Medicine | 901 West Meeting St Suite 205, Lancaster, SC 29720-6209 | 2008-10-08 |
| 1821257676 | Coastal Carolina Primary Care, LLC | Internal Medicine | 9221 University Blvd Ste 102, North Charleston, SC 29406-9148 | 2008-06-06 |
| 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.