OCONEE KIDNEY CENTER, LLC (NPI# 1407242050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407242050 |
| Entity Type | Organization |
| Organization Name | OCONEE KIDNEY CENTER, LLC |
| Practice Address |
109 Omni Dr Suite B Seneca SC 29672-9448 |
| Practice Telephone | 8648857881 |
| Practice Fax Number | 8648857885 |
| Mailing Telephone | 8648857881 |
| Mailing Fax Number | 8648857885 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |
| Authorized Official Name | KEVIN ROSS O'BRIEN (OWNER) |
| Authorized Official Telephone | 8648857881 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
109 OMNI DR SUITE B |
| City | SENECA |
| State | SC |
| Zip Code | 29672-9448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316919467 | Carolina Surgery, Pa | Surgery | 109 Omni Dr, Suite A, Seneca, SC 29672-9448 | 2006-02-03 |
| 1437605524 | Prisma Health-upstate | Clinic/Center | 109 Omni Dr, Suite B, Seneca, SC 29672-9448 | 2016-08-29 |
| 1962854125 | Ghs Partners In Health, Inc. | Pediatrics | 109 Omni Dr, Suite B, Seneca, SC 29672-9448 | 2016-07-12 |
| 1811238116 | Megan Mcnulty Bowers | Nurse Practitioner | 109 Omni Dr, Suite B, Seneca, SC 29672-9448 | 2013-03-12 |
| 1831375856 | Oconee Physician Practices | Clinic/Center | 109 Omni Dr, Seneca, SC 29672-9448 | 2008-01-22 |
| 1154507473 | Oconee Physician Practices | Nurse Practitioner | 109 Omni Dr, Suite B, Seneca, SC 29672-9448 | 2008-01-16 |
| 1174668792 | Cynthia D Floyd | Nurse Practitioner | 109 Omni Dr, Suite B, Seneca, SC 29672-9448 | 2007-02-21 |
| 1831288059 | Kay Lynn Olmsted | Nurse Practitioner | 109 Omni Dr, Suite B, Seneca, SC 29672-9448 | 2006-10-12 |
| 1831140540 | Upstate Family Medicine Pa | Family Medicine | 109 Omni Dr, Suite B, Seneca, SC 29672-9448 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790308955 | Pooja Kamboj | Student in an Organized Health Care Education/Training Program | 139 Lila Doyle Dr., Seneca, SC 29672 | 2020-05-22 |
| 1578126785 | Johanna Marie Scarino Lemons | Lactation Consultant, Non-RN | 504 Willow Branch Ln, Seneca, SC 29672 | 2019-04-15 |
| 1982067971 | Marthe Melanie Bryant Connah | Family Medicine | 139 Lila Doyle Drive, Family Medicine Residency - Oconee, Seneca, SC 29672 | 2016-03-29 |
| 1558733220 | Alyssa K. Locke | Occupational Therapist | 101 S-37-349, Seneca, SC 29672 | 2015-10-21 |
| 1497857742 | Pulmonary Critical Care & Sleep Associates Pa | Clinic/Center | 107 Omni Drive, Suite A, Seneca, SC 29672 | 2006-09-05 |
| 1659381440 | Timothy Aaron Zeller | Family Medicine | 139 Lila Doyle Dr, Seneca, SC 29672 | 2006-08-08 |
| 1871546978 | Samuel Thomas Drake | Specialist | 103 Omni Dr Ste A, Seneca, SC 29672 | 2006-05-18 |
| 1235123878 | Nancy Matz Thiel | Chiropractor | 355 Katelynn Lane, Seneca, SC 29672 | 2005-09-09 |
| 1265439954 | David E Heape | Emergency Medicine | 298 Memoral Drive, Oconee Memorial Hospital, Seneca, SC 29672 | 2005-07-07 |
| 1407345846 | Prisma Health-upstate | Clinic/Center | 139 Lila Doyle Drive, Seneca, SC 29672 | 2018-05-01 |
| Find all providers in zip 29672 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639172059 | Darryl M Sugar | Internal Medicine | 135 Professional Park Dr, Seneca, SC 29678-2558 | 2005-05-31 |
| 1588679146 | Darryl M Sugar Md | Internal Medicine | 135 Professional Park Dr, Seneca, SC 29678-2558 | 2006-07-30 |
| 1588636138 | Kevin O Brien | Internal Medicine | 107 Omni Dr, Ste B, Seneca, SC 29672-9448 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512353 | Maria Creciun Browne | Internal Medicine | Musc 96 Jonathan Lucas Str Room 822, Msc 629, Charleston, SC 29425-0001 | 2020-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1245719939 | Keisuke Okamoto | Internal Medicine | 96 Jonathan Lucas Street, Suite 822, Msc 629, Charleston, SC 29425 | 2018-08-13 |
| 1104332774 | Darius Lucian Lazarus | Internal Medicine | 96 Jonathan Lucas Street Musc - Csb 822 / Msc 629, Charleston, SC 29425-0001 | 2017-12-19 |
| 1689122749 | Sudarshan Bhimbra | Internal Medicine | 16 Main St # 635, Hardeeville, SC 29927-5926 | 2016-09-19 |
| 1396198800 | Karim Soliman | Internal Medicine | 171 Ashley Ave # Msc629, Charleston, SC 29425 | 2016-07-20 |
| 1427455393 | Jennifer Kinnard | Internal Medicine | 8 Orange St, Charleston, SC 29401-2408 | 2014-11-20 |
| 1073854527 | William Muirhead Turner | Internal Medicine | 131 Addis Cir, Anderson, SC 29626-5700 | 2013-03-08 |
| 1528313525 | Charis Lloyd Ellington | Internal Medicine | 727 Se Main St Ste 180, Simpsonville, SC 29681-3248 | 2012-07-17 |
| 1013291079 | Hamlet Hma Ppm LLC | Internal Medicine | 913 Oakwood St, Bennettsville, SC 29512-2459 | 2011-10-07 |
| Find all providers with the same taxonomy | ||||
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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.