DR. PRINCE KESIDE AMAECHI (NPI# 1750493250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750493250 |
| Entity Type | Individual |
| Full Name | DR. PRINCE KESIDE AMAECHI |
| Credential | M.D. |
| Practice Address |
322 N Pine St Spartanburg SC 29302-1631 |
| Practice Telephone | 8645825099 |
| Practice Fax Number | 8643271098 |
| Mailing Telephone | 8645825099 |
| Mailing Fax Number | 8645971260 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 32684 | SC | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 0101240360 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
32684 | SC | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 32684 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5916344 | 05 | |
| SC | RAILROAD MEDICARE | P00899815 | 01 |
| SC | GP4718 | 05 | |
| SC | RAILROAD MEDICARE | P01079099 | 01 |
| SC | 326846 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 E Wood St, Suite 401, Spartanburg, SC 293033040 | 8645606654 | 8645606017 |
| Street Address |
322 N PINE ST |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184604605 | Stephen L Garrell | Internal Medicine | 322 N Pine St, Spartanburg, SC 29302-1631 | 2006-01-19 |
| 1033738323 | Emily Randall Caldwell | Nurse Practitioner | 322 N Pine St, Spartanburg, SC 29302-1631 | 2020-04-16 |
| 1003346800 | Heidi Elizabeth Walsh | Nurse Practitioner | 322 N Pine St, Spartanburg, SC 29302-1631 | 2017-06-14 |
| 1477091106 | Sukhdeep Kaur Mander | Nurse Practitioner | 322 N Pine St, Spartanburg, SC 29302-1631 | 2017-02-01 |
| 1891139713 | Terri Michelle Bright | Nurse Practitioner | 322 N Pine St, Spartanburg, SC 29302-1631 | 2013-04-22 |
| 1467705830 | Megan Lanpher | Nurse Practitioner | 322 N Pine St, Spartanburg, SC 29302-1631 | 2012-10-22 |
| 1679820310 | Patricia S Campbell | Nurse Practitioner | 322 N Pine St, Spartanburg, SC 29302-1631 | 2012-08-13 |
| 1437108461 | Nephrology Associates of Spartanburg, LLC | Nurse Practitioner | 322 N Pine St, Spartanburg, SC 29302-1631 | 2006-05-08 |
| 1871557553 | Paula Robin Mcabee | Nurse Practitioner | 322 N Pine St, Spartanburg, SC 29302-1631 | 2006-04-12 |
| 1780645101 | Subhashini C Subramaniam | Internal Medicine | 322 N Pine St, Spartanburg Nephrology Associates, Spartanburg, SC 29302-1631 | 2006-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| Find all providers in zip 29302 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1366602229 | Jasjot K. Bhullar | Internal Medicine | 1410-b John B. White Sr. Boulevard, Spartanburg, SC 29306 | 2008-06-13 |
| 1528025137 | Foothills Nephrology PC | Internal Medicine | 126 Dillon Drive, Spartanburg, SC 29307-1018 | 2006-04-27 |
| 1184604605 | Stephen L Garrell | Internal Medicine | 322 N Pine St, Spartanburg, SC 29302-1631 | 2006-01-19 |
| 1992840805 | Matthew C. Lambert | Internal Medicine | 126 Dillon Dr, Spartanburg, SC 29307-1018 | 2007-02-20 |
| 1346200961 | Kofi Asante Appiah | Internal Medicine | 322 N Pine St, Spartanburg, SC 29302-1631 | 2006-03-27 |
| 1689654071 | Muhammad Y Ebrahim | Internal Medicine | 322 N Pine St, Spartanburg, SC 29302-1631 | 2006-01-20 |
| 1578543955 | Frederick F Adams IIi | Internal Medicine | 322 N Pine St, Spartanburg, SC 29302-1631 | 2006-01-20 |
| 1124008644 | Lawrence S. Mcgee IIi | Internal Medicine | 322 N Pine St, Spartanburg, SC 29302-1631 | 2006-01-19 |
| 1427036144 | David Ellsworth Mullins | Internal Medicine | 126 Dillon Drive, Foothills Nephrology PC, Spartanburg, SC 29307-1018 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512353 | Maria Creciun Browne | Internal Medicine | Musc 96 Jonathan Lucas Str Room 822, Msc 629, Charleston, SC 29425-0001 | 2020-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1245719939 | Keisuke Okamoto | Internal Medicine | 96 Jonathan Lucas Street, Suite 822, Msc 629, Charleston, SC 29425 | 2018-08-13 |
| 1104332774 | Darius Lucian Lazarus | Internal Medicine | 96 Jonathan Lucas Street Musc - Csb 822 / Msc 629, Charleston, SC 29425-0001 | 2017-12-19 |
| 1689122749 | Sudarshan Bhimbra | Internal Medicine | 16 Main St # 635, Hardeeville, SC 29927-5926 | 2016-09-19 |
| 1396198800 | Karim Soliman | Internal Medicine | 171 Ashley Ave # Msc629, Charleston, SC 29425 | 2016-07-20 |
| 1427455393 | Jennifer Kinnard | Internal Medicine | 8 Orange St, Charleston, SC 29401-2408 | 2014-11-20 |
| 1073854527 | William Muirhead Turner | Internal Medicine | 131 Addis Cir, Anderson, SC 29626-5700 | 2013-03-08 |
| 1528313525 | Charis Lloyd Ellington | Internal Medicine | 727 Se Main St Ste 180, Simpsonville, SC 29681-3248 | 2012-07-17 |
| 1013291079 | Hamlet Hma Ppm LLC | Internal Medicine | 913 Oakwood St, Bennettsville, SC 29512-2459 | 2011-10-07 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
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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.