BROAD RIVER PRIMARY CARE LLC (NPI# 1518368307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518368307 |
| Entity Type | Organization |
| Organization Name | BROAD RIVER PRIMARY CARE LLC |
| Other Organization Name | INFECTIOUS DISEASE ASSOCIATES OF THE LOW COUNTRY |
| Practice Address |
25 Hospital Center Blvd Suite 303a Hilton Head SC 29926-2738 |
| Mailing Address |
Po Box 741720 Atlanta GA 30384-1720 |
| Practice Telephone | 8436821064 |
| Practice Fax Number | 8436821063 |
| Mailing Telephone | 8436821064 |
| Mailing Fax Number | 8436821063 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2016-05-26 |
| Authorized Official Name | MR. WESLEY O. JAMES (REGIONAL CFO, TENET) |
| Authorized Official Telephone | 4042655009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Infectious Disease Associates of the Low Country | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962795989 | Broad River Primary Care LLC | Family Medicine | 35 Bill Fries Dr, Island Medical Plaza Building A, Hilton Head Island, SC 29926-2730 | 2011-05-24 |
| Street Address |
25 HOSPITAL CENTER BLVD SUITE 303A |
| City | HILTON HEAD |
| State | SC |
| Zip Code | 29926-2738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245610526 | Tyah J Haro | Nurse Practitioner | 25 Hospital Center Blvd, Hilton Head, SC 29926-2738 | 2015-06-02 |
| 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 |
| 1902088115 | Hilton Head Regional Ob/gyn Partners LLC | Obstetrics & Gynecology | 25 Hospital Center Blvd, Ste 305, Hilton Head, SC 29926-2738 | 2007-11-29 |
| 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1518377829 | Stella Ifeoma Okoye | Internal Medicine | 6439 Garners Ferry Rd Rm 5c129, Columbia, SC 29209-1638 | 2014-05-08 |
| 1912293085 | Gary L Lattimer | Internal Medicine | 17 Durban Pl, Hilton Head Island, SC 29926-2217 | 2011-06-27 |
| 1336435205 | William D Largen | Internal Medicine | 1520 Old Trolley Rd, Ste 101, Summerville, SC 29485-5292 | 2011-06-20 |
| 1700105376 | James Crawford Allen | Internal Medicine | 3237 Middle Dam Ct, Johns Island, SC 29455-6044 | 2010-05-21 |
| 1124356498 | Eric Brener | Internal Medicine | 724 Holly St, Columbia, SC 29205-1852 | 2009-11-25 |
| 1841499217 | Nitesh Upadhyay | Internal Medicine | 200 S Herlong Ave Ste E, Rock Hill, SC 29732-1182 | 2007-07-16 |
| 1912095738 | Jehad S Abdalla | Internal Medicine | 1511 Carolina Ave, Orangeburg, SC 29115-4940 | 2006-10-10 |
| 1538192190 | Anmed Health | Internal Medicine | 703 N Fant St, Anderson, SC 29621-5705 | 2006-07-08 |
| 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.