PHYSICIAN AT HOME, PC (NPI# 1851717623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851717623 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN AT HOME, PC |
| Practice Address |
300 Singleton Ridge Rd Conway SC 29526-9142 |
| Mailing Address |
820 67th Ave N P.o. Box 70157 Myrtle Beach SC 29572-0200 |
| Practice Telephone | 4135637534 |
| Mailing Telephone | 4135637534 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |
| Authorized Official Name | DR. KENNETH A. SANTIAGO (PRESIDENT) |
| Authorized Official Telephone | 4135637534 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 34596 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
300 SINGLETON RIDGE RD |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-9142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450643 | Kathleen M Chance | Nurse Anesthetist, Certified Registered | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2005-07-12 |
| 1588275101 | Christina Lauren St Clair | Registered Nurse | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-08-17 |
| 1184248569 | Evan Samuel Culp | Nurse Anesthetist, Certified Registered | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-06-02 |
| 1023637352 | Tawsif Nadir | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-16 |
| 1427677053 | Bennett Leanna Haskin | Family Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1174142731 | Jae Hyun Shim | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1891314449 | Eric Yunkwen Choi | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1487273017 | Tooba Anum | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1083242960 | Noman Ghiasi | Family Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-03-27 |
| 1336775154 | Kaila Marnan Robbins | Registered Nurse | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740411511 | Chandra S Lingisetty | Hospitalist | College Avenue, 2302 Conway Regional Medical Center, Conway, AR 72034 | 2009-07-28 |
| 1770014490 | Kuna Tiga Fombutu Epse Okong | Hospitalist | 1700 Altus St, Conway, AR 72032-4289 | 2017-03-23 |
| 1396913976 | Conway Regional Medical Center, Inc. | Hospitalist | 1700 Altus St, Conway, AR 72032-4289 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750708046 | Kirsten Karoline Graff | Hospitalist | 591 Tribeca Ct, Charleston, SC 29414-9024 | 2014-03-25 |
| 1396028205 | Anmed Health | Hospitalist | 2000 E Greenville Street, Anderson, SC 29621-5702 | 2011-09-27 |
| 1518039189 | Sandra Jo Hoffmann | Hospitalist | 6 Braddock Bluff Dr Unit 1672, Hilton Head Island, SC 29928-8015 | 2006-11-15 |
| 1376141317 | Ovsanna Gallo | Hospitalist | 4000 Highway 9 E, Little River, SC 29566-7833 | 2020-10-13 |
| 1144877655 | 24 On Physicians of Sc LLC | Hospitalist | 316 Calhoun St, Charleston, SC 29401-1113 | 2019-08-20 |
| 1184285496 | Jatha John Mathew | Hospitalist | 701 Grove Rd Fl 5, Greenville, SC 29605-4295 | 2019-06-26 |
| 1114406600 | Valerie D Dendy | Hospitalist | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2018-08-07 |
| 1871080283 | Prisma Health Medical Group-midlands | Hospitalist | 115 N Sumter St Ste 400, Sumter, SC 29150-4971 | 2018-04-20 |
| 1154848786 | App of South Carolina Hm Pllc | Hospitalist | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2017-08-24 |
| 1093244824 | South Carolina Post Acute Medical Services 1 PC | Hospitalist | 1114 E Georgia Rd, Woodruff, SC 29388-9350 | 2017-06-06 |
| 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.