PAVILLION IMAGING CENTER LLC (NPI# 1144420027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144420027 |
Entity Type | Organization |
Organization Name | PAVILLION IMAGING CENTER LLC |
Practice Address |
25 Hospital Center Blvd Suite 302 Hilton Head SC 29926 |
Practice Telephone | 8436818203 |
Practice Fax Number | 8436896283 |
Mailing Telephone | 8436818203 |
Mailing Fax Number | 8436896283 |
Enumeration Date | 2007-07-19 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. MANUEL PEREZ (PARTNER) |
Authorized Official Telephone | 8436818203 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
Street Address |
25 HOSPITAL CENTER BLVD SUITE 302 |
City | HILTON HEAD |
State | SC |
Zip Code | 29926 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245610526 | Tyah J Haro | Nurse Practitioner | 25 Hospital Center Blvd, Hilton Head, SC 29926-2738 | 2015-06-02 |
1518368307 | Broad River Primary Care LLC | Internal Medicine | 25 Hospital Center Blvd, Suite 303a, Hilton Head, SC 29926-2738 | 2014-09-11 |
1912337981 | Jessica Draper Sarver | Nurse Anesthetist, Certified Registered | 25 Hospital Center Blvd, Hilton Head, SC 29926-2738 | 2013-11-12 |
1881939031 | Kelly Arashin Bouthillet | Nurse Practitioner | 25 Hospital Center Blvd, Hilton Head, SC 29926-2738 | 2012-11-29 |
1487927703 | Tenet Hilton Head Heart, LLC | Internal Medicine | 25 Hospital Center Blvd, Suite 105, Hilton Head, SC 29926-2735 | 2012-02-16 |
1376812651 | Hy Sussman Md | Internal Medicine | 25 Hospital Center Blvd, 104 Medical Pavilion Bldg, Hilton Head, SC 29926-2738 | 2011-12-15 |
1063799203 | Total Renal Care Inc | Clinic/Center | 25 Hospital Center Blvd, Suite 104a, Hilton Head, SC 29926-2735 | 2011-11-15 |
1538484803 | Atlantic Radiology Associates LLC | Radiology | 25 Hospital Center Blvd, Hilton Head, SC 29926-2738 | 2010-03-30 |
1730333246 | Pavillion Imaging | Clinic/Center | 25 Hospital Center Blvd, Suite 302, Hilton Head, SC 29926-2738 | 2008-11-11 |
1598915381 | Feerozeh Dawn Jahanshahi | Internal Medicine | 25 Hospital Center Blvd, Hilton Head, SC 29926 | 2008-09-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447728795 | Island Imaging, LLC | Radiology | 40 Palmetto Parkway, Hilton Head Island, SC 29926 | 2018-11-05 |
1134608805 | Optim Orthopedics, LLC | Orthopaedic Surgery | 25 Hospital Center Blvd Ste 100, Hilton Head, SC 29926 | 2018-08-13 |
1114443728 | Rehabcare Group East, LLC | Clinic/Center | 421 Squire Pope Rd, Hilton Head Island, SC 29926 | 2017-08-15 |
1043734429 | Laura Ann Elizabeth Mccall | Nurse Practitioner | Dba Ltc Health Solutions, 110 Gardner Dr, Hilton Head Island, SC 29926 | 2017-07-27 |
1508286014 | Johan Schutz | Pharmacist | 20 Hanahan Ln, Hilton Head Island, SC 29926 | 2014-04-23 |
1740614460 | Tcg Medical Specialists LLC | Emergency Medicine | 19 Moss Creek Village Ste. B4, St. Joseph's/candler Hyperbarics and Wound Care, Hilton Head Island, SC 29926 | 2013-08-29 |
1215288790 | Collin George | Physical Therapist | 250 Ladyslipper Lane, Hilton Head, SC 29926 | 2012-09-25 |
1508136698 | Podiatry Associates of Hilton Head Pa | Podiatrist | 88 D Main Street, Hilton Head Island, SC 29926 | 2012-01-05 |
1467689646 | Moss Creek Sport & Spine Institute Promp Care, LLC | Clinic/Center | 15 Moss Creek Village, Hilton Head, SC 29926 | 2009-06-16 |
1245487545 | Kathleen M Shea | Audiologist | 1401 F Main St, Hilton Head Island, SC 29926 | 2008-08-19 |
Find all providers in zip 29926 |
Taxonomy Code | 2085B0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Body Imaging |
A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619172400 | Martin Joseph Ruocco | Radiology | 139 Applewood Dr, Greenville, SC 29615-2861 | 2007-06-20 |
1871798660 | Jennings G Pressly | Radiology | 110 Hospital Dr # B, Simpsonville, SC 29681-3226 | 2007-06-20 |
1831284330 | Suzanne M Thigpen | Radiology | 42 Overlook Ct, North Augusta, SC 29841-6067 | 2006-10-03 |
1073624474 | Michael B Seshul Sr. | Radiology | 604 Bimini Twist Cir, Lexington, SC 29072-6724 | 2006-08-31 |
1962411777 | Ronald Alan Piaskowski | Radiology | 1520 Strathmore Ln, Mount Pleasant, SC 29464-8164 | 2006-08-08 |
1396754198 | Raj Ahluwalia | Radiology | 1926 Chatelain Way, Mount Pleasant, SC 29464-3272 | 2006-08-08 |
1073528360 | Mark R Langdon | Radiology | 800 West Meeting Street, Lancaster, SC 29720-2202 | 2006-07-29 |
1689611808 | Robert Ford Searles | Radiology | 302 University Prkwy., Aiken, SC 29802 | 2006-05-31 |
1497700496 | Southern Mri LLC | Radiology | 49 Pennington Dr, Bluffton, SC 29910-6036 | 2006-05-24 |
1407801863 | Southern Mri Hilton Head | Radiology | 460 William Hilton Pkwy, Suite F1, Hilton Head Island, SC 29926-2497 | 2006-05-24 |
Find all providers with the same taxonomy |
City | HILTON HEAD |
Zip Code | 29926 |
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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.