PPCP SPECIALTY PHYSICIANS , LLC (NPI# 1922612423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922612423 |
| Entity Type | Organization |
| Organization Name | PPCP SPECIALTY PHYSICIANS , LLC |
| Practice Address |
7430 College St Irmo SC 29063-2903 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7722 |
| Practice Telephone | 8037324001 |
| Mailing Telephone | 8436956071 |
| Mailing Fax Number | 8435695879 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | BRENDA REEVE (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 8438203403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427608819 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 9221 University Blvd Ste 2d, North Charleston, SC 29406-9148 | 2019-09-17 |
| 1285248781 | Ppcp Specialty Physicians, LLC | Internal Medicine | 3700 Forest Dr Ste 200, Columbia, SC 29204-4010 | 2020-09-02 |
| 1407477797 | Ppcp Specialty Physicians, LLC | Internal Medicine | 7 S Alliance Dr Ste 211b, Goose Creek, SC 29445-7297 | 2020-04-28 |
| Street Address |
7430 COLLEGE ST |
| City | IRMO |
| State | SC |
| Zip Code | 29063-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265434013 | Louis Carey Hite | Internal Medicine | 7430 College St, Irmo, SC 29063-2903 | 2005-08-11 |
| 1609410794 | Palmetto Primary Care Physicians, LLC | Clinical Medical Laboratory | 7430 College St, Irmo, SC 29063-2903 | 2019-10-31 |
| 1568925071 | Palmetto Primary Care Physicians | Family Medicine | 7430 College St, Irmo, SC 29063-2903 | 2019-04-11 |
| 1760445597 | Three Rivers Medical Associates, Pa | Internal Medicine | 7430 College St, Irmo, SC 29063-2903 | 2006-04-11 |
| 1023087277 | James T Fields | Internal Medicine | 7430 College St, Irmo, SC 29063-2903 | 2006-03-17 |
| 1316916273 | Sarah Marie Schumacher | Family Medicine | 7430 College St, Irmo, SC 29063-2903 | 2006-03-14 |
| 1790755353 | Kaoru Joan Pridgen | Family Medicine | 7430 College St, Irmo, SC 29063-2903 | 2006-01-25 |
| 1104811355 | Louise C. Holmes | Nurse Practitioner | 7430 College St, Irmo, SC 29063-2903 | 2005-09-14 |
| 1194718841 | Amjad Abdulrahman | Internal Medicine | 7430 College St, Irmo, SC 29063-2903 | 2005-08-29 |
| 1982696829 | David Keith Bridgers | Internal Medicine | 7430 College St, Irmo, SC 29063-2903 | 2005-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603640 | Daniel Witcher | Counselor | 1180 Columbia Avenue, Suite 203, Irmo, SC 29063 | 2020-06-16 |
| 1710512140 | Arie Anew Services Incorporated | Psychologist | 7803 St. Andrews Road, C5, Irmo, SC 29063 | 2020-03-05 |
| 1366922296 | Jennie C Beym | Speech-Language Pathologist | 7 Tip Top Court, Irmo, SC 29063 | 2018-08-20 |
| 1295214088 | The Well LLC | Massage Therapist | 1720 Dutch Fork Rd., Irmo, SC 29063 | 2018-08-13 |
| 1699268821 | Shannon Marie Kelly | Dentist | 200 N Royal Tower Dr, Irmo, SC 29063 | 2018-06-12 |
| 1497243174 | Anthony Batiste Thompson Jr. | Behavior Technician | 137 Chapelwhite Road, Irmo, SC 29063 | 2018-04-27 |
| 1578076022 | Demario Sawyer Sr | Ambulance | 107 N Royal Tower Dr Ste C, Irmo, SC 29063 | 2017-11-07 |
| 1306365713 | Dreher Shuler | Student in an Organized Health Care Education/Training Program | 205 River Creek Drive, Irmo, SC 29063 | 2017-09-18 |
| 1053833442 | Tania Rodriguez | Social Worker | 30 Ash Court, Irmo, SC 29063 | 2017-07-07 |
| 1598294944 | Ashley Elaine Bradley | Home Health | 120 Stockland Rd, Irmo, SC 29063 | 2017-06-08 |
| Find all providers in zip 29063 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033158779 | Balbir S Minhas | Internal Medicine | One Wellness Blvd, Suite 110, Irmo, SC 29063-2872 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007163 | Ppcp Specialty Physicians, LLC | Internal Medicine | 5500 Front St Ste 260, Summerville, SC 29486-7735 | 2020-09-14 |
| 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 |
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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.