JOSE EMMANUEL PALO (NPI# 1871021790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871021790 |
| Entity Type | Individual |
| Full Name | JOSE EMMANUEL PALO |
| Practice Address |
2095 Henry Tecklenburg Dr Charleston SC 29414-5733 |
| Mailing Address |
10299 Southern Blvd Unit 212773 Royal Palm Beach FL 33421-5112 |
| Practice Telephone | 9103042066 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
ME144448 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036111507 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2095 HENRY TECKLENBURG DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077052 | Adam Mandel | Emergency Medicine | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2005-07-19 |
| 1083225296 | Christopher John Kopeck | Nurse Anesthetist, Certified Registered | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2020-08-11 |
| 1508483298 | Celia Wright | Registered Nurse | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2020-06-29 |
| 1518581925 | Kevin Mccarthy | Nurse Anesthetist, Certified Registered | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2020-06-01 |
| 1619521036 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2019-07-25 |
| 1467917724 | East Carolina Anesthesia Associates, Pllc | Registered Nurse | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2019-01-31 |
| 1902398431 | Olivia Gettys | Speech-Language Pathologist | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2018-05-31 |
| 1619405172 | Megan K. Huff | Nurse Practitioner | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2017-05-30 |
| 1871035956 | Bon Secours St. Francis Xavier Hospital, Inc. | Nurse Anesthetist, Certified Registered | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2016-11-07 |
| 1124472675 | Bon Secours St. Francis Hospital | Clinical Medical Laboratory | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2016-04-21 |
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| 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 | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1386760080 | Jason Gunn | Internal Medicine | 125 Doughty St Ste 200, Charleston, SC 29403-5727 | 2007-03-22 |
| 1285607382 | Mahendrakumar M. Patel | Internal Medicine | 6 Hunters Point Rd, Charleston, WV 25314-1631 | 2006-02-09 |
| 1285623108 | David A Adkins | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2005-10-14 |
| 1942203922 | Nicholas J Pastis Jr. | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-8900 | 2005-05-24 |
| 1134122112 | Michael Alan Spandorfer | Internal Medicine | 2097 Henry Tecklenburg Dr, Ste 305, Charleston, SC 29414-5744 | 2005-05-24 |
| 1063958114 | Majdi S. Al Nabulsi | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2017-01-12 |
| 1063829349 | Vikhyath Terla | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2014-07-17 |
| 1912278466 | Manasi Solanki Singh | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425 | 2012-01-14 |
| 1780973792 | Ma Theresa Concepcion Bautista | Internal Medicine | 501 Morris St, 3 West Administration, Charleston, WV 25301-1326 | 2011-03-30 |
| 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.