PALADINA HEALTH, LLC (NPI# 1366816977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366816977 |
| Entity Type | Organization |
| Organization Name | PALADINA HEALTH, LLC |
| Other Organization Name | PALADINA HEALTH NORTH CHARLESTON |
| Practice Address |
5401 Netherby Rd Ste 101 North Charleston SC 29420-7363 |
| Mailing Address |
1551 Wewatta St Denver CO 80202-6173 |
| Practice Telephone | 8484080092 |
| Mailing Telephone | 3034052388 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |
| Authorized Official Name | JAMI DOUCETTE (LEADER) |
| Authorized Official Telephone | 8477361175 |
| Is Organization Subpart | Y |
| Parent Organization Name | DAVITA DPC, HOLDING, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Paladina Health North Charleston | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030829 | Paladina Health, LLC | Family Medicine | 11990 Grant St Ste 100, Northglenn, CO 80233-5156 | 2020-10-15 |
| 1073111381 | Paladina Health, LLC | Family Medicine | 3400 W 16th St Ste Y, Greeley, CO 80634-6862 | 2020-10-09 |
| 1275191629 | Paladina Health, LLC | Family Medicine | 631 Grand St Ste 2-500, Jersey City, NJ 07304-3451 | 2019-05-31 |
| 1841757192 | Paladina Health, LLC | Family Medicine | Paladina Health Smith Drug, 9098 Fairforest Road, Spartanburg, SC 29301 | 2019-02-22 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1376000620 | Paladina Health, LLC | Family Medicine | Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 | 2019-02-22 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1487111738 | Paladina Health, LLC | Family Medicine | Paladina Health Spartanburg Palmetto Bank, 101 West Saint John Street Suite 107, Spartanburg, SC 29306 | 2019-02-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Paladina Health, LLC | 1551 Wewatta Street, Denver, CO 80202 |
| Street Address |
5401 NETHERBY RD STE 101 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29420-7363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467994343 | Sherrel Aiken Brown | Psychologist | 8202 Pleasant Ridge Dr, North Charleston, SC 29420 | 2016-11-09 |
| 1609209014 | Melanie K Wise | Licensed Practical Nurse | 7763 Northside Drive, North Charleston, SC 29420 | 2013-08-21 |
| 1477883767 | Gina H Jones | Counselor | 5421 Riverbluff Pkwy, North Charleston, SC 29420 | 2010-01-08 |
| 1881825933 | Thomas Nelson Pare IIi IIi | Dentist | 8626 Dorchester Road, Ste 102, Coosaw Dental, North Charleston, SC 29420 | 2009-08-06 |
| 1992953012 | Research & Education In Sleep Technologies, LLC | Clinic/Center | 8352 Whitehave Drive, North Charleston, SC 29420 | 2008-09-03 |
| 1194838532 | Raymond S Vicente | Dentist | 7481 Northside Dr, Suite A, North Charleston, SC 29420 | 2006-08-17 |
| 1083628697 | Eunice D Freeman | Counselor | 403 Willow Court, N.charleston, SC 29420 | 2006-07-28 |
| 1750300406 | Alan Boyer Mcdaniel | Specialist | 7510 Northforest Drive, North Charleston, SC 29420 | 2006-07-19 |
| 1548240559 | John Joseph Forney | Family Medicine | 8761 Dorchester Rd Suite 230, Charleston, SC 29420 | 2006-01-18 |
| 1609320217 | Charleston Dermatology, PC | Dermatology | 5401 Netherby Lane, Ste 1202, North Charleston, SC 29420 | 2016-08-11 |
| Find all providers in zip 29420 | ||||
| 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 |
|---|---|---|---|---|
| 1578115911 | Whole Heart Family Medicine | Family Medicine | 2891 Tricom St Ste C, North Charleston, SC 29406-7110 | 2019-07-16 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1235434713 | Julie All Med Services Inc | Family Medicine | 1455 Remount Rd Ste I, North Charleston, SC 29406-3355 | 2011-01-14 |
| 1760642821 | Laura Lee Smith | Family Medicine | 1670 Dry Dock Ave, Building 10: Harvest Free Medical Clinic, North Charleston, SC 29405-2114 | 2008-06-12 |
| 1306033634 | Katherine Jaudon Richardson | Family Medicine | 4050 Bridge View Dr Ste 600, North Charleston, SC 29405 | 2007-10-01 |
| 1033316641 | Julie Fritz Casasco | Family Medicine | 3337 Business Cir, North Charleston, SC 29418-7415 | 2007-06-27 |
| 1528288560 | Stela Susac-pavic | Family Medicine | 8983 University Blvd # 104-334, North Charleston, SC 29406-7102 | 2007-05-01 |
| 1013087949 | Christopher James Raispis | Family Medicine | 1670 Drydock Ave, Bldg 10a Detyens Medical Center, North Charleston, SC 29405 | 2006-11-08 |
| 1548344096 | Kenneth Phylex Jones | Family Medicine | 3870 Leeds Avenue, Suite 114, North Charleston, SC 29405-7493 | 2006-10-24 |
| 1487687448 | Health First Rapid Care, Inc. | Family Medicine | 8740 Rivers Avenue, North Charleston, SC 29406-9211 | 2006-07-09 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29420 |
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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.