PALMETTO NEPHROLOGY PA (NPI# 1962433565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962433565 |
Entity Type | Organization |
Organization Name | PALMETTO NEPHROLOGY PA |
Practice Address |
1175 Cook Rd Ste 1115 Orangeburg SC 29118-8201 |
Practice Telephone | 8035312677 |
Practice Fax Number | 8035318561 |
Mailing Telephone | 8035312677 |
Mailing Fax Number | 8035318561 |
Enumeration Date | 2006-07-05 |
Last Update Date | 2010-06-29 |
Authorized Official Name | DR. MOHAMMAD S NASSRI (PRESIDENT) |
Authorized Official Telephone | 8035312677 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP3407 | 05 |
Street Address |
1175 COOK RD STE 1115 |
City | ORANGEBURG |
State | SC |
Zip Code | 29118-8201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
Find all providers in zip 29118 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821238411 | Bella C Clutario | Specialist | 133 Constitution Dr, Orangeburg, NY 10962-2730 | 2009-02-23 |
1689829350 | Amy Lynn Hagopian | Specialist | 120 Parkway Dr S, Orangeburg, NY 10962-1707 | 2008-11-23 |
1417133646 | Sterling Ent Pa | Specialist | 2221 Saint Matthews Rd, Orangeburg, SC 29118-2040 | 2008-01-17 |
1063567436 | John R. Ross, M.d.,p.a. | Specialist | 795 Cook Rd, Orangeburg, SC 29118-2127 | 2007-01-24 |
1720176241 | Duckett Physical Therapy & Sports Rehab Center | Specialist | 1620 Broughton St., Orangeburg, SC 29115 | 2006-10-10 |
1720195993 | Gregg Colle | Specialist | 1719 Village Park Dr, Orangeburg, SC 29118-2475 | 2006-08-24 |
1275564965 | Mohammad Said Nassri | Specialist | 1175 Cook Rd Ste 115, Orangeburg, SC 29118-8201 | 2006-07-05 |
1790733590 | John Fitzgerald Ansley | Specialist | 832 Cook Rd, Orangeburg, SC 29118-2126 | 2006-05-04 |
1497711246 | Charles E Pinta Jr. | Specialist | 119 Office Park Dr, Orangeburg, SC 29118-2407 | 2006-04-21 |
1053386706 | Amelia K Selph | Specialist | 3045 St Matthews Rd, Orangeburg, SC 29118-8201 | 2006-02-17 |
Find all providers in ORANGEBURG |
City | ORANGEBURG |
Zip Code | 29118 |
Please comment or provide details below to improve the information on PALMETTO NEPHROLOGY PA.
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.