DR. TARUNENDU SHEKHAR DWIVEDI (NPI# 1063481844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063481844 |
Entity Type | Individual |
Full Name | DR. TARUNENDU SHEKHAR DWIVEDI |
Credential | M.D. |
Practice Address |
1721 Ebenezer Rd Suite 265 Rock Hill SC 29732-4103 |
Practice Telephone | 8033297778 |
Practice Fax Number | 8033297843 |
Mailing Telephone | 8033297778 |
Mailing Fax Number | 8033297843 |
Enumeration Date | 2006-03-15 |
Last Update Date | 2013-02-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
26861 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | DEA | BD8130914 | 01 |
SC | 268613 | 05 |
Street Address |
1721 EBENEZER RD SUITE 265 |
City | ROCK HILL |
State | SC |
Zip Code | 29732-4103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265435374 | Christina M Zimmerman | Marriage & Family Therapist | 1721 Ebenezer Rd, Suite 215, Rock Hill, SC 29732-4103 | 2005-05-23 |
1083037162 | Stover Support Services LLC | Social Worker | 1721 Ebenezer Rd, Suite 265, Rock Hill, SC 29732-4103 | 2014-01-27 |
1790029015 | Piedmont Carolina Vascular Surgery, LLC | Surgery | 1721 Ebenezer Rd, Suite 115, Rock Hill, SC 29732-4103 | 2012-11-27 |
1831477728 | Jennifer Lynne Mokris | Dentist | 1721 Ebenezer Rd, Suite 135, Rock Hill, SC 29732-4103 | 2011-07-27 |
1568750735 | Mary Elizabeth Cranford | Dentist | 1721 Ebenezer Rd, Rock Hill, SC 29732-4103 | 2011-07-21 |
1699001461 | Julius F Meyer | Marriage & Family Therapist | 1721 Ebenezer Rd, Suite 215, Rock Hill, SC 29732-4103 | 2009-10-28 |
1558590877 | Hilary Roe Stover | Social Worker | 1721 Ebenezer Rd, Suite 265, Rock Hill, SC 29732-4103 | 2009-07-08 |
1104052133 | Krystal Myers Teague | Dentist | 1721 Ebenezer Rd, Suite 135, Rock Hill, SC 29732-4103 | 2009-06-04 |
1316187222 | Monica Revels Counseling LLC | Counselor | 1721 Ebenezer Rd, Suite 265, Rock Hill, SC 29732-4103 | 2009-03-05 |
1518107002 | Neesha W Gourley | Speech-Language Pathologist | 1721 Ebenezer Rd, Suite 225, Rock Hill, SC 29732-4103 | 2009-02-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
Find all providers in zip 29732 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083704837 | Kimberly Monique Bush | Psychiatry & Neurology | 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730-4264 | 2006-10-13 |
1679622013 | Tarunendu S Dwivedi Md PC | Psychiatry & Neurology | 1721 Ebenezer Rd, Suite 265, Rock Hill, SC 29732-4103 | 2007-01-08 |
1750496311 | Gina R Padula | Psychiatry & Neurology | 101 Sedgewood Dr, Rock Hill, SC 29732-2315 | 2006-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043832157 | Envision Wellness Medical Group LLC | Psychiatry & Neurology | 4100 N Main St Ste 101, Columbia, SC 29203-5800 | 2020-05-12 |
1568736247 | David Downie Iv, M.d.,p.a. | Psychiatry & Neurology | 1327 Richland Street, Columbia, SC 29201 | 2012-02-28 |
1447522800 | Life Strategies LLC | Psychiatry & Neurology | 2855 Pruitt Dr, Columbia, SC 29204-3645 | 2012-02-01 |
1881803641 | Ajay Sood | Psychiatry & Neurology | 255 King St, Charleston, SC 29401-1435 | 2007-05-21 |
1619023876 | Marietta M. Chua | Psychiatry & Neurology | 4 Sweet Gum Ln, Hilton Head Island, SC 29928-4207 | 2007-01-28 |
1043308356 | Herbert Randolph Spencer | Psychiatry & Neurology | 1800 Colonial Drive, Columbia, SC 29201 | 2006-10-11 |
1891883005 | Elizabeth Hubbard Jeffords | Psychiatry & Neurology | 3612 Landmark Dr Ste B, Columbia, SC 29204-4039 | 2006-10-11 |
1053359851 | Ayanna Swinton Jamison | Psychiatry & Neurology | 2601 Read St Ste I-10, Columbia, SC 29204-7861 | 2006-06-03 |
1144271867 | Laureen Judy Noll | Psychiatry & Neurology | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 | 2006-05-15 |
1871579573 | Thornton Sterling Mckinney Jr. | Psychiatry & Neurology | 1919 Gadsden St, Columbia, SC 29201-2346 | 2005-12-15 |
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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.