PALMETTO KIDNEY AND HYPERTENSION LLC


Address: 2093 Henry Tecklenburg Drive, Suite 307, Charleston, SC 29414-5741
Phone: 8435730858

PALMETTO KIDNEY AND HYPERTENSION LLC (NPI# 1811087539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811087539
Entity Type Organization
Organization Name PALMETTO KIDNEY AND HYPERTENSION LLC
Practice Address 2093 Henry Tecklenburg Drive
Suite 307
Charleston
SC 29414-5741
Mailing Address 2093 Henry Tecklenburg Drive
Ste 307
Charleston
SC 29414-5743
Practice Telephone 8435730858
Practice Fax Number 8435730859
Mailing Telephone 8437669105
Mailing Fax Number 8434029925
Enumeration Date 2006-10-13
Last Update Date 2007-11-21
Authorized Official Name DEANNA ELLINGTON CHEEK (OWNER)
Authorized Official Telephone 8435730858
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
14170 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC GP4468 05

Office Location

Street Address 2093 HENRY TECKLENBURG DRIVE
SUITE 307
City CHARLESTON
State SC
Zip Code 29414-5741

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912940735 Budev Eyecare & Surgery, Pa Ophthalmology 2093 Henry Tecklenburg Drive, Ste 313, Charleston, SC 29414 2006-06-13
1770977084 Lindsey Paige Leech Nurse Practitioner 2093 Henry Tecklenburg Drive, Ste 202e, Charleston, SC 29414-5741 2015-03-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902444508 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 3865 West Ashley Circle, Charleston, SC 29414 2019-12-13
1215440169 Christine Michelle Delcioppo Nurse Practitioner 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 2017-11-14
1871013508 Carolyn Sorenson Assistant Behavior Analyst 2218 Hunter Creek Dr, Charleston, SC 29414 2017-06-23
1205387354 Rachel Klatt Physical Therapist 2230 Ashley Crossing Dr., Charleston, SC 29414 2016-10-24
1295286912 Mary M Butler Physical Therapy Assistant 2230 Ashley Crossing Drive, Charleston, SC 29414 2016-10-18
1295104982 Charlene Barbot Registered Nurse 3741 Clover St, Charleston, SC 29414 2015-09-23
1720467525 Sasha M. Perez Family Medicine 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 2015-05-26
1104226240 Angela Mcinvale Counselor 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 2014-08-26
1659790087 Catherine Jefferson Vanderwerker Physical Therapist 3019 Saintsbury Cove Dr, Charleston, SC 29414 2014-04-14
1104266741 Elizabeth A Burguieres Psychiatry & Neurology Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 2013-06-27
Find all providers in zip 29414

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
1396198800 Karim Soliman Internal Medicine 171 Ashley Ave # Msc629, Charleston, SC 29425 2016-07-20
1639552615 Manzar Hussain Internal Medicine 2345 Chesterfield Ave Ste 301, Charleston, WV 25304-1064 2015-07-08
1427455393 Jennifer Kinnard Internal Medicine 8 Orange St, Charleston, SC 29401-2408 2014-11-20
1700070943 Dialysis Clinic Inc. Internal Medicine 1427 King Street, Charleston, SC 29403 2007-08-30
1265447031 Howard Garfinkel Internal Medicine 237 Confederate Cir, Charleston, SC 29407-7428 2006-07-30
1972548618 Jeffery F Addison Internal Medicine 331 Laidley St Ste 307, Charleston, WV 25301-1605 2006-06-17
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 29414

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Dataset Information

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.

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