PPCP SPECIALTY PHYSICIANS, LLC


Address: 5500 Front St Ste 260, Summerville, SC 29486-7735
Phone: 8433760670

PPCP SPECIALTY PHYSICIANS, LLC (NPI# 1861007163) 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) 1861007163
Entity Type Organization
Organization Name PPCP SPECIALTY PHYSICIANS, LLC
Practice Address 5500 Front St Ste 260
Summerville
SC 29486-7735
Mailing Address 201 Sigma Dr Ste 100
Summerville
SC 29486-7722
Practice Telephone 8433760670
Practice Fax Number 8433760669
Mailing Telephone 8436956071
Mailing Fax Number 8435695879
Enumeration Date 2020-09-14
Last Update Date 2020-09-14
Authorized Official Name BRENDA REEVE (CREDENTIALING COORDINATOR)
Authorized Official Telephone 8438203403
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1720693039 Ppcp Specialty Physicians, LLC Psychiatry & Neurology 5500 Front St Ste 230, Summerville, SC 29486-7735 2020-09-14
1164961249 Ppcp Specialty Physicians, LLC Psychiatry & Neurology 110b Springhall Dr, Goose Creek, SC 29445-5335 2017-02-22
1154886471 Ppcp Specialty Physicians, LLC Internal Medicine 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414-5678 2019-02-01
1063914992 Ppcp Specialty Physicians, LLC Psychiatry & Neurology 899 Island Park Dr Ste 200, Daniel Island, SC 29492-8114 2018-03-07
1861931982 Ppcp Specialty Physicians, LLC Internal Medicine 730 Stony Landing Rd, Ste 200, Moncks Corner, SC 29461-2904 2017-02-22
1841739968 Ppcp Specialty Physicians, LLC Internal Medicine 1101 Old Trolley Rd, Ste 300, Summerville, SC 29485-5293 2017-02-22
1780123984 Ppcp Specialty Physicians, LLC Internal Medicine 7 S Alliance Dr, Ste 202-a, Goose Creek, SC 29445-7269 2017-02-21
1871032086 Ppcp Specialty Physicians, LLC Psychiatry & Neurology 9313 Medical Plaza Dr, Ste 310, Charleston, SC 29406-9155 2017-02-21

Office Location

Street Address 5500 FRONT ST STE 260
City SUMMERVILLE
State SC
Zip Code 29486-7735

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952921454 Cooper River Pediatric Therapy LLC Speech-Language Pathologist 119 Callibluff Dr, Summerville, SC 29486 2020-04-24
1750928164 Tidewater Eyecare, LLC Optometrist 301 Front St., Summerville, SC 29486 2019-12-04
1366086621 Tgd-summerville LLC Dentist 604-a Nexton Square Dr, Summerville, SC 29486 2019-10-30
1336783604 Tdsp-summerville LLC Dentist 604-b Nexton Square Dr, Summerville, SC 29486 2019-10-30
1699256081 Denise Michelle Richardson Speech-Language Pathologist 201 School House Ln, Summerville, SC 29486 2018-08-24
1497243588 Charleston Ent Associates, LLC Non-Pharmacy Dispensing Site 2205 2nd Avenue, Summerville, SC 29486 2018-04-25
1043707557 Seaside Family Medicine, LLC Nurse Practitioner 1341 College Park Rd # A, Summerville, SC 29486 2018-04-19
1023511144 Grace Physical Therapy and Sports Rehab At Nexton Clinic/Center 5500 Front St, Suite 201, Summerville, SC 29486 2018-03-15
1295253086 Dillon Robert Gregory Specialist/Technologist 313 Springdale Ct., Summerville, SC 29486 2017-09-01
1013456987 Sfd Kids LLC Dentist 108 Parish Farms Drive, Summerville, SC 29486 2017-02-13
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164520847 William Robert Anderson Internal Medicine 105b Harth Pl, Summerville, SC 29485-8107 2006-09-20
1467645655 Gastroenterology Specialists Internal Medicine 105b Harth Pl, Summerville, SC 29485-8107 2007-08-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497398721 Brooke Alexa Brooks Internal Medicine 25 Courtenay Dr # 7018, Charleston, SC 29425-8911 2019-10-18
1437566510 Tides Gastroenterology, LLC Internal Medicine 159 E Shipyard Rd, Mt Pleasant, SC 29464-2677 2014-07-21
1912326893 Gastroenterology Consultants of Savannah, PC Internal Medicine 10 Oak Forest Rd Ste B, Bluffton, SC 29910-4974 2014-04-08
1457616401 Christopher Robert Brown Internal Medicine 4040 Highway 17 Unit 302, Murrells Inlet, SC 29576 2012-07-05
1326304478 Madeline Rhea Russell Internal Medicine 1010 Medical Center Dr Ste 100, Hardeeville, SC 29927-3452 2012-04-03
1083909402 Andrew Jonathan Motlis Internal Medicine 853 N Church St Ste 620, Spartanburg, SC 29303-3070 2011-06-14
1518250414 Georgia Gastroenterology,llc. Internal Medicine 35 Varden Dr, Suite C, Aiken, SC 29803 2011-05-25
1811296239 South Coast Gastroenterology Internal Medicine 2891 Tricom St Ste B, N Charleston, SC 29406-7110 2011-03-24
1235430745 Beaufort County Memorial Hospital Internal Medicine 1716 Ribaut Rd, Port Royal, SC 29935-1927 2010-11-15
1710121843 Gastroenterology Associates Pa Internal Medicine 552 Memorial Drive Ext Ste D, Greer, SC 29651-1135 2009-04-20
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Competitor

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City SUMMERVILLE
Zip Code 29486

Improve Information

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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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