DR. VICTOR SIDHOM (NPI# 1891989075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891989075 |
| Entity Type | Individual |
| Full Name | DR. VICTOR SIDHOM |
| Credential | M.D. |
| Practice Address |
298 Memorial Dr Seneca SC 29672-9443 |
| Mailing Address |
Po Box 601082 Charlotte NC 28260-1082 |
| Practice Telephone | 8648857758 |
| Practice Fax Number | 8648857749 |
| Mailing Telephone | 8648857989 |
| Mailing Fax Number | 8648857867 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2010-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 31567 | SC | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD432624 | PA | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 31567 | SC | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD432624 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICAID GROUP | GP4697 | 01 |
| SC | MEDICARE GROUP | 8768 | 01 |
| SC | GP5247 | 05 |
| Street Address |
298 MEMORIAL DR |
| City | SENECA |
| State | SC |
| Zip Code | 29672-9443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821097825 | Keowee Radiology P A | Radiology | 298 Memorial Dr, Seneca, SC 29672-9443 | 2005-07-20 |
| 1912420795 | Hayli Grace Evans | Physician Assistant | 298 Memorial Dr, Seneca, SC 29672-9443 | 2017-07-24 |
| 1235666371 | Joshua Padgett | Physician Assistant | 298 Memorial Dr, Seneca, SC 29672-9443 | 2017-05-19 |
| 1063968196 | Prisma Health-upstate | General Acute Care Hospital | 298 Memorial Dr, Seneca, SC 29672-9443 | 2016-08-29 |
| 1689120784 | Upstate Affiliate Organization | Home Health | 298 Memorial Dr, Seneca, SC 29672-9443 | 2016-08-29 |
| 1295188704 | Prisma Health-upstate | Ambulance | 298 Memorial Dr, Seneca, SC 29672-9443 | 2016-07-20 |
| 1033580444 | Greenville Health System | Emergency Medicine | 298 Memorial Dr, Seneca, SC 29672-9443 | 2015-10-12 |
| 1578964649 | Greenville Health System | Home Health | 298 Memorial Dr, Seneca, SC 29672-9443 | 2014-09-09 |
| 1164821831 | Greenville Health System | General Acute Care Hospital | 298 Memorial Dr, Seneca, SC 29672-9443 | 2014-08-19 |
| 1720487481 | Greenville Health System | Pharmacy | 298 Memorial Dr, Seneca, SC 29672-9443 | 2014-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790308955 | Pooja Kamboj | Student in an Organized Health Care Education/Training Program | 139 Lila Doyle Dr., Seneca, SC 29672 | 2020-05-22 |
| 1578126785 | Johanna Marie Scarino Lemons | Lactation Consultant, Non-RN | 504 Willow Branch Ln, Seneca, SC 29672 | 2019-04-15 |
| 1982067971 | Marthe Melanie Bryant Connah | Family Medicine | 139 Lila Doyle Drive, Family Medicine Residency - Oconee, Seneca, SC 29672 | 2016-03-29 |
| 1558733220 | Alyssa K. Locke | Occupational Therapist | 101 S-37-349, Seneca, SC 29672 | 2015-10-21 |
| 1497857742 | Pulmonary Critical Care & Sleep Associates Pa | Clinic/Center | 107 Omni Drive, Suite A, Seneca, SC 29672 | 2006-09-05 |
| 1659381440 | Timothy Aaron Zeller | Family Medicine | 139 Lila Doyle Dr, Seneca, SC 29672 | 2006-08-08 |
| 1871546978 | Samuel Thomas Drake | Specialist | 103 Omni Dr Ste A, Seneca, SC 29672 | 2006-05-18 |
| 1235123878 | Nancy Matz Thiel | Chiropractor | 355 Katelynn Lane, Seneca, SC 29672 | 2005-09-09 |
| 1265439954 | David E Heape | Emergency Medicine | 298 Memoral Drive, Oconee Memorial Hospital, Seneca, SC 29672 | 2005-07-07 |
| 1407345846 | Prisma Health-upstate | Clinic/Center | 139 Lila Doyle Drive, Seneca, SC 29672 | 2018-05-01 |
| Find all providers in zip 29672 | ||||
| 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 |
|---|---|---|---|---|
| 1891799425 | Scott Richard Mckimm | Hospitalist | 100 Fairfield Dr, Seneca, PA 16346-2130 | 2005-06-10 |
| 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 |
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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.