LAUREL ENDOCRINE THYROID SPECIALIST INC (NPI# 1922051879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922051879 |
| Entity Type | Organization |
| Organization Name | LAUREL ENDOCRINE THYROID SPECIALIST INC |
| Practice Address |
1740 Saint Julian Pl Columbia SC 29204-2410 |
| Mailing Address |
Po Box 5307 Columbia SC 29250-5307 |
| Practice Telephone | 8032563534 |
| Practice Fax Number | 8032547032 |
| Mailing Telephone | 8032563534 |
| Mailing Fax Number | 8032547031 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2016-04-13 |
| Authorized Official Name | JAMES R BRENNAN (PHYSICIAN) |
| Authorized Official Telephone | 8032563534 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
12610 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DR. BRENNAN NPI # | 1477533933 | 01 |
| SC | DR. HORST'S NPI # | 1922088483 | 01 |
| SC | GP0426 | 05 | |
| SC | DR. JAIN'S NPI # | 1275513731 | 01 |
| SC | DR. KEMICK'S NPI # | 1235119793 | 01 |
| Street Address |
1740 SAINT JULIAN PL |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922088483 | Eric Horst | Specialist | 1740 Saint Julian Pl, Columbia, SC 29204-2410 | 2006-01-20 |
| 1598115511 | Meredith Watson Everett | Nurse Practitioner | 1740 Saint Julian Pl, Columbia, SC 29204-2410 | 2016-06-21 |
| 1710379615 | Laurel Endocrine Assoc | Nurse Practitioner | 1740 Saint Julian Pl, Columbia, SC 29204-2410 | 2015-03-02 |
| 1588973416 | Gina Addy Mckelvey | Nurse Practitioner | 1740 Saint Julian Pl, Columbia, SC 29204-2410 | 2010-09-27 |
| 1932364767 | Laura Mesa Laboone | Internal Medicine | 1740 Saint Julian Pl, Columbia, SC 29204-2410 | 2008-07-21 |
| 1477533933 | James R Brennan | Specialist | 1740 Saint Julian Pl, Columbia, SC 29204-2410 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1811467053 | Missouri Obesity Center,llc | Internal Medicine | 1601 E Broadway Ste 160, Columbia, MO 65201-5821 | 2018-11-30 |
| 1306183264 | Leonard Peter Kapcala | Internal Medicine | 7158 Rivers Edge Rd, Columbia, MD 21044-4235 | 2013-01-12 |
| 1356575229 | Javzandulam Natsag | Internal Medicine | 10710 Charter Dr Ste 410, Suite 410, Columbia, MD 21044-3276 | 2009-05-07 |
| 1558575043 | Leo Lauhon Walker | Internal Medicine | 2417 Bermuda Hills Rd, Columbia, SC 29223-6807 | 2007-05-10 |
| 1962480590 | Ambika Rao | Internal Medicine | 6439 Garners Ferry Road, Bldg 100, Rm5c100b, Columbia, SC 29209-1613 | 2006-01-04 |
| 1487655213 | Anastacio G Herrera Jr. | Internal Medicine | 40 Grant Ln, Columbia, KY 42728-2233 | 2005-08-02 |
| 1902203326 | Ronald L. Johnson, M.d., LLC | Internal Medicine | 4100 N Main St, Suite 201, Columbia, SC 29203-5800 | 2014-12-01 |
| 1033559604 | Venkata Sai B Chinnakotla | Internal Medicine | 3315 Berrywood Dr, Columbia, MO 65201-6571 | 2013-06-27 |
| 1497020564 | David Levitt | Internal Medicine | 10710 Charter Dr Ste 410, Columbia, MD 21044 | 2012-03-21 |
| 1881826832 | Ribal Al Aridi | Internal Medicine | 2 Medical Park Rd Ste 506, Columbia, SC 29203-6876 | 2009-08-10 |
| Find all providers in COLUMBIA | ||||
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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.