CORE I MED LLC (NPI# 1912556598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912556598 |
| Entity Type | Organization |
| Organization Name | CORE I MED LLC |
| Practice Address |
105 Stone Village Dr Fort Mill SC 29708-6489 |
| Mailing Address |
2764 Pleasant Rd # 11605 Fort Mill SC 29708-7213 |
| Practice Telephone | 8035482610 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Authorized Official Name | MR. FARSHAD HOSSEINI (MANAGING MEMBER) |
| Authorized Official Telephone | 9802291449 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204R00000X | Electrodiagnostic Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
105 STONE VILLAGE DR |
| City | FORT MILL |
| State | SC |
| Zip Code | 29708-6489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053800821 | I Med Carolinas LLC | Internal Medicine | 105 Stone Village Dr, Fort Mill, SC 29708-6489 | 2018-05-07 |
| 1639729551 | Benjamin Obiaks Nwoke | Specialist/Technologist, Other | 105 Stone Village Dr, Fort Mill, SC 29708-6489 | 2019-09-12 |
| 1770040073 | Farshad Hosseini | Counselor | 105 Stone Village Dr, Fort Mill, SC 29708-6489 | 2019-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265089098 | Jennifer Priory O'keefe | Nurse Practitioner | 117 Stone Village Dr., Fort Mill, SC 29708 | 2019-08-26 |
| 1144790577 | Mary Kathleen Gerber | Speech-Language Pathologist | 1874 Second Baxter Crossing, Fort Mill, SC 29708 | 2018-11-28 |
| 1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
| 1861985384 | Hf Care Services LLC | Counselor | 150 B.w. Thomas Dr., 108, Fort Mills, SC 29708 | 2018-06-09 |
| 1134619802 | Myeyedr Optometry of South Carolina, LLC | Optometrist | 1826 Highway 160 W Ste 101, Fort Mill, SC 29708 | 2018-05-17 |
| 1255832549 | Lakeshore Dental Inc. | Dentist | 1200 Gold Hill Road, Fort Mill, SC 29708 | 2018-02-22 |
| 1407362338 | Smith Physical Therapy and Wellness | Physical Therapist | 2435 Highway 160 West, Suite 108, Tega Cay, SC 29708 | 2017-12-14 |
| 1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
| 1942729355 | Alexis Rose Muttillo | Specialist/Technologist | 1054 Cameron Creek Pkwy, Tega Cay, SC 29708 | 2017-09-18 |
| 1407308208 | Brenda Terry | Acupuncturist | 1171 Market Street, Ste # 112, Fort Mill, SC 29708 | 2016-10-27 |
| Find all providers in zip 29708 | ||||
| Taxonomy Code | 204R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Electrodiagnostic Medicine |
| Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics. |
| Notes: Source: American Association of Neuromuscular & Electrodiagnostic Medicine, 2011. www.aanem.org [1/1/2011: new] Additional Resources: American Board of Electrodiagnostic Medicine, 2011. www.abemexam.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518406784 | Palmetto Axon Neuromonitoring, LLC | Electrodiagnostic Medicine | 1643 B Savannah Hwy, #304, Charleston, SC 29407-2202 | 2017-02-21 |
| 1033547849 | Arcis Healthcare, LLC | Electrodiagnostic Medicine | 93 Springview Ln, Unit B, Summerville, SC 29485-8143 | 2013-10-15 |
| 1932547700 | Lowcountry Orthopaedic Associates, Pa | Electrodiagnostic Medicine | 2881 Tricom St Ste B, North Charleston, SC 29406-9823 | 2013-06-13 |
| 1497117378 | Arcis Healthcare, LLC | Electrodiagnostic Medicine | 899 Island Park Dr, Suite 200, Daniel Island, SC 29492-8112 | 2016-03-22 |
| 1205264017 | Arcis Healthcare | Electrodiagnostic Medicine | 2881 Tricom St, Suite B, North Charleston, SC 29406-9823 | 2013-10-15 |
| 1124456934 | Arcis Healthcare, LLC | Electrodiagnostic Medicine | 2880 Tricom St, North Charleston, SC 29406-9171 | 2013-10-15 |
| 1669810883 | Lowcountry Orthopaedic Associates, Pa | Electrodiagnostic Medicine | 93 Springview Ln Unit B, Summerville, SC 29485-8143 | 2013-06-10 |
| 1528406758 | Lowcountry Orthopaedic Associates, Pa | Electrodiagnostic Medicine | 130 E 3rd North St, Summerville, SC 29483-6810 | 2013-06-10 |
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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.