SUNGATE PRIMARY CARE (NPI# 1366786485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366786485 |
| Entity Type | Organization |
| Organization Name | SUNGATE PRIMARY CARE |
| Practice Address |
10 William Pope Drive Sungate Medical Center Bluffton SC 29909 |
| Practice Telephone | 8437051510 |
| Practice Fax Number | 8437051511 |
| Mailing Telephone | 8437051510 |
| Mailing Fax Number | 8437051511 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Authorized Official Name | DR. KENNETH DANIEL FARR (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8438422020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PALMETTO EYE SPECIALISTS PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO 985 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CH3121 | 01 | |
| SC | GP2666 | 05 |
| Street Address |
10 WILLIAM POPE DRIVE SUNGATE MEDICAL CENTER |
| City | BLUFFTON |
| State | SC |
| Zip Code | 29909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357436 | Bart V Depascale | Optometrist | 10 William Pope Drive, Bluffton, SC 29909-7459 | 2005-06-23 |
| 1093063281 | Drayer Physical Therapy Institute, LLC | Physical Therapist | 10 William Pope Drive, Suite 3, Bluffton, SC 29909 | 2012-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915027 | Vdp Okatie LLC | Dentist | 10 William Pope Drive, Suite #2, Okatie, SC 29909 | 2020-09-04 |
| 1598379729 | Wellness Institute | Nurse Practitioner | 100 Okatie Center Boulevard North, Okatie, SC 29909 | 2020-09-04 |
| 1649764119 | Sprenger Healthcare of Bluffton, Inc | Skilled Nursing Facility | 60 Okatie Village Drive, Okatie, SC 29909 | 2018-06-19 |
| 1396144291 | Joel Bond | Physical Therapist | 100 Okatie Center Blvd. North, Bluffton, SC 29909 | 2014-08-15 |
| 1528484615 | Barnwell Counseling, LLC | Counselor | 1321 Calhoun Promenade Street, Bluffton, SC 29909 | 2014-03-13 |
| 1508299561 | Katherine Elizabeth Abell | Dentist | 40 Okatie Center Blvd S Ste 302, Okatie, SC 29909 | 2013-08-14 |
| 1578816716 | Costrini Sleep Services, Inc. | Internal Medicine | 8 Okatie Center Blvd., South, Suite 101, Bluffton, SC 29909 | 2012-10-25 |
| 1477845659 | Heart Associate of Hilton Head PC | Internal Medicine | 40 Okatie Boulevard, Suite 100-1, Okatie, SC 29909 | 2011-05-06 |
| 1366740326 | Edward Leonard Meyerink IIi | Pharmacist | 138 Okatie Center Blvd South, (walgreens), Okatie, SC 29909 | 2011-03-01 |
| 1407162944 | Stacey Mae Michaels | Behavioral Analyst | 418 Pinckney Colony Rd, Okate, SC 29909 | 2010-08-22 |
| Find all providers in zip 29909 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674043 | Ralinson Alcius | Family Medicine | 2180 Blakers Blvd, Bluffton, SC 29909-7804 | 2020-06-19 |
| 1154824530 | Marie Jarmulowicz | Family Medicine | 14 Oak Forest Rd Ste D, Bluffton, SC 29910-4988 | 2018-03-13 |
| 1477940450 | Melinda Harper | Family Medicine | 45 Point West Dr, Bluffton, SC 29910-6255 | 2015-04-17 |
| 1710115605 | Mary Ann Hanna Horn | Family Medicine | 400 Buckwalter Place Blvd., Bluffton, SC 29910 | 2009-06-30 |
| 1477715712 | Peter Craig Rippey | Family Medicine | 10 Oak Forest Drive, Suite C, Bluffton, SC 29910-4974 | 2008-06-27 |
| 1740441757 | Nikki A Keisler | Family Medicine | Beaufort Memorial May River Primary Care, 1 Burnt Church Rd, Ste B, Bluffton, SC 29910 | 2008-06-23 |
| 1548464084 | Soldrea L Thompson | Family Medicine | 7 Arley Way Ste 101, Bluffton, SC 29910-4301 | 2007-06-11 |
| 1023238771 | Bluffton Physicians | Family Medicine | 132 Garau St, Bluffton, OH 45817-1028 | 2007-04-26 |
| 1134271000 | Todd Eric Johnson | Family Medicine | 6 Haddington Ct, Bluffton, SC 29910-6199 | 2007-01-18 |
| 1558429746 | Marion I Shelly | Family Medicine | 132 Garau Street, Bluffton Physicians Inc, Bluffton, OH 45817-0069 | 2006-12-04 |
| Find all providers in BLUFFTON | ||||
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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.