PIEDMONT INTERNAL MEDICINE AT BAXTER VILLAGE LLC (NPI# 1720092505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720092505 |
| Entity Type | Organization |
| Organization Name | PIEDMONT INTERNAL MEDICINE AT BAXTER VILLAGE LLC |
| Other Organization Name | BAXTER INTERNAL MEDICINE |
| Practice Address |
502 Sixth Baxter Crossing Suite A Fort Mill SC 29708 |
| Mailing Address |
Po Box 741344 Atlanta GA 30384-1344 |
| Practice Telephone | 8038022424 |
| Practice Fax Number | 8038023767 |
| Mailing Telephone | 8038022424 |
| Mailing Fax Number | 8038023767 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2010-09-29 |
| Authorized Official Name | MR. J. SCOTT RICHARDSON (VICE PRESIDENT) |
| Authorized Official Telephone | 4698936960 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4469 | 05 |
| Other Name | Type Code |
|---|---|
| Baxter Internal Medicine | Other Name - Individual/Organization |
| Street Address |
502 SIXTH BAXTER CROSSING SUITE A |
| City | FORT MILL |
| State | SC |
| Zip Code | 29708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972590073 | Piedmont Urgent Care Center At Baxter Village LLC | Clinic/Center | 502 Sixth Baxter Crossing, Fort Mill, SC 29708-6428 | 2005-10-04 |
| 1750348272 | Cynthia D Stacy | Nurse Practitioner | 502 Sixth Baxter Crossing, Fort Mill, SC 29708 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265089098 | Jennifer Priory O'keefe | Nurse Practitioner | 117 Stone Village Dr., Fort Mill, SC 29708 | 2019-08-26 |
| 1144790577 | Mary Kathleen Gerber | Speech-Language Pathologist | 1874 Second Baxter Crossing, Fort Mill, SC 29708 | 2018-11-28 |
| 1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
| 1861985384 | Hf Care Services LLC | Counselor | 150 B.w. Thomas Dr., 108, Fort Mills, SC 29708 | 2018-06-09 |
| 1134619802 | Myeyedr Optometry of South Carolina, LLC | Optometrist | 1826 Highway 160 W Ste 101, Fort Mill, SC 29708 | 2018-05-17 |
| 1255832549 | Lakeshore Dental Inc. | Dentist | 1200 Gold Hill Road, Fort Mill, SC 29708 | 2018-02-22 |
| 1407362338 | Smith Physical Therapy and Wellness | Physical Therapist | 2435 Highway 160 West, Suite 108, Tega Cay, SC 29708 | 2017-12-14 |
| 1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
| 1942729355 | Alexis Rose Muttillo | Specialist/Technologist | 1054 Cameron Creek Pkwy, Tega Cay, SC 29708 | 2017-09-18 |
| 1407308208 | Brenda Terry | Acupuncturist | 1171 Market Street, Ste # 112, Fort Mill, SC 29708 | 2016-10-27 |
| Find all providers in zip 29708 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1700335569 | Melby Transitions Mht LLC | Internal Medicine | 1148 Wessington Manor Ln, Fort Mill, SC 29715 | 2016-09-22 |
| 1962772764 | Infinite Wellness Center | Internal Medicine | 1698 Highway 160 W Ste 200, Fort Mill, SC 29708-8034 | 2012-01-10 |
| 1184878423 | Edgewater Medical Center | Internal Medicine | 1162 Fort Mill Hwy, Suite A, Fort Mill, SC 29707-7511 | 2008-11-13 |
| 1710064233 | Diabetes Endocrinology & Metabolism Associates, Pa | Internal Medicine | 115 Stone Village Dr, Fort Mill, SC 29708-6489 | 2006-11-01 |
| 1669428074 | Shilpesh Shantilal Patel | Internal Medicine | 515 River Crossing Dr, Suite 200, Fort Mill, SC 29715-7900 | 2006-05-26 |
| 1538165741 | David B Stuver | Internal Medicine | 502 Sixth Baxter Xing, Fort Mill, SC 29708-6428 | 2005-06-22 |
| 1083166599 | Melby Medical LLC | Internal Medicine | 1148 Wessington Manor Ln, Fort Mill, SC 29715-7806 | 2016-11-01 |
| 1982054730 | Surbhi Jain | Internal Medicine | 704 Gold Hill Rd, Suite 115, Fort Mill, SC 29715-8906 | 2016-06-13 |
| 1528383577 | Patel Medical Clinic Pa | Internal Medicine | 515 River Crossing Dr, Suite 200, Fort Mill, SC 29715-7900 | 2010-04-01 |
| 1568610889 | Carolinas Physicians Network Inc | Internal Medicine | 704 Gold Hill Rd, Ste 1200, Fort Mill, SC 29715-8906 | 2008-08-28 |
| Find all providers in FORT MILL | ||||
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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.