BRETT C STOLL (NPI# 1093791071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093791071 |
| Entity Type | Individual |
| Full Name | BRETT C STOLL |
| Credential | MD |
| Practice Address |
100 Healthy Way Suite 1250 Anderson SC 29621-7915 |
| Mailing Address |
Po Box 100174 Columbia SC 29202-3174 |
| Practice Telephone | 8642242465 |
| Practice Fax Number | 8642241146 |
| Mailing Telephone | 8642242465 |
| Mailing Fax Number | 8642241146 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2016-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
21708 | SC | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
21708 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RR MEDICARE | P00970781 | 01 |
| SC | 217081 | 05 |
| Street Address |
100 HEALTHY WAY SUITE 1250 |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-7915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952394306 | Holly Deann Gerkin | Specialist/Technologist | 100 Healthy Way, Suite 1110, Anderson, SC 29621-2067 | 2005-08-31 |
| 1285154914 | Anmed Health | Internal Medicine | 100 Healthy Way, Anderson, SC 29621-7915 | 2017-06-23 |
| 1780046102 | Erika Mccarty | Nurse Practitioner | 100 Healthy Way, Suite 1120, Anderson, SC 29621-7915 | 2016-03-24 |
| 1972963296 | Elizabeth Dawson | Dietitian, Registered | 100 Healthy Way, Suite 1100, Anderson, SC 29621-7915 | 2016-02-29 |
| 1225400997 | Raechele Simpson | Nurse Practitioner | 100 Healthy Way, Anderson, SC 29621-7915 | 2015-10-21 |
| 1477957751 | Joseph Davidson | Physical Therapist | 100 Healthy Way, 1110, Anderson, SC 29621-7915 | 2014-10-15 |
| 1740697002 | Christopher K Broome | Nurse Practitioner | 100 Healthy Way, Suite 1260, Anderson, SC 29621-7915 | 2014-07-18 |
| 1093146375 | Jamin Allen Parnell | Physician Assistant | 100 Healthy Way, Suite 1200, Anderson, SC 29621-7915 | 2013-12-11 |
| 1245671049 | Neuroscience Associates of The Upstate Pa | Psychiatry & Neurology | 100 Healthy Way, Suite 1240, Anderson, SC 29621-7915 | 2013-07-10 |
| 1114360427 | Piedmont Neurology of The Upstate, Pa | Psychiatry & Neurology | 100 Healthy Way, Suite 1240, Anderson, SC 29621-7915 | 2013-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003318080 | Cardiac Cin of South Carolina LLC | Internal Medicine | 6650 Rivers Ave Ste 405, North Charleston, SC 29406-4809 | 2018-03-06 |
| 1376834606 | Heart Associate of Hilton Head PC | Internal Medicine | 14 Westbury Park, Suite 103, Bluffton, SC 29910-7461 | 2011-04-20 |
| 1861485088 | Donald E Saunders IIi | Internal Medicine | 4969 Centre Pointe Dr, Suite 100, North Charleston, SC 29418-6952 | 2005-08-23 |
| 1568455723 | Scott L Woodfield | Internal Medicine | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 | 2005-08-23 |
| 1912400300 | Carolina Cardiology and Vascular Associates LLC | Internal Medicine | 3020 Sunset Blvd Ste 105, West Columbia, SC 29169-3494 | 2018-03-13 |
| 1851656482 | Vinod K Chaubey | Internal Medicine | 2376 Cypress Circle, Suite 102, Conway, SC 29526-8964 | 2012-07-10 |
| 1740569227 | Mohamed Faher Almahmoud | Internal Medicine | 169 Ashley Ave Rm 202, Charleston, SC 29425-0553 | 2011-08-15 |
| 1336439074 | Sebastiano Antonio Virgadamo | Internal Medicine | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2248 | 2011-04-14 |
| 1104123835 | Heart Associate of Hilton Head LLC | Internal Medicine | 35 Hospital Center Cmns, Ste 101, Hilton Head, SC 29926-2845 | 2011-02-15 |
| 1740502822 | Bon Secours St Francis Xavier Hospital, Inc. | Internal Medicine | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2010-02-17 |
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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.