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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
14170 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP4468 | 05 |
Street Address |
2093 HENRY TECKLENBURG DRIVE SUITE 307 |
City | CHARLESTON |
State | SC |
Zip Code | 29414-5741 |
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 |
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 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 |
---|---|---|---|---|
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 |
City | CHARLESTON |
Zip Code | 29414 |
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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.