CARDIOLOGY CARE OF SC, LLC (NPI# 1528091584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528091584 |
| Entity Type | Organization |
| Organization Name | CARDIOLOGY CARE OF SC, LLC |
| Practice Address |
109 Burton Ave Suite E Summerville SC 29485-8117 |
| Practice Telephone | 8438326875 |
| Practice Fax Number | 8438326878 |
| Mailing Telephone | 8438326875 |
| Mailing Fax Number | 8438326878 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | MICHAEL LAM (OWNER) |
| Authorized Official Telephone | 8439326875 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
11269 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 112693 | 05 | |
| SC | GP4326 | 05 |
| Street Address |
109 BURTON AVE SUITE E |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-8117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649242447 | Neil Shaw Mcdevitt | Surgery | 109 Burton Ave, Suite E, Summerville, SC 29485-8117 | 2006-02-06 |
| 1841515566 | Nhc Homecare-south Carolina LLC | Home Health | 109 Burton Ave, Suite D, Summerville, SC 29485-8117 | 2010-04-06 |
| 1538499728 | South Carolina Homecare, LLC | Home Health | 109 Burton Ave, Suite D, Summerville, SC 29485-8117 | 2010-01-11 |
| 1073794806 | Michael Michel | Surgery | 109 Burton Ave, Suite E, Summerville, SC 29485-8117 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1518079102 | Coastal Carolina Multispecialty Associates, LLC | Internal Medicine | 295a Midland Pkwy Ste 120, Summerville, SC 29485-5901 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366070237 | Richard Ying Lim | Internal Medicine | 1752 Greenspoint Ct, Mt Pleasant, SC 29466-8132 | 2020-03-27 |
| 1205499217 | Spartanburg Medical Center | Internal Medicine | 104 Professional Park Ste C, Gaffney, SC 29340-2319 | 2019-04-16 |
| 1316416688 | Spartanburg Medical Center | Internal Medicine | 104 Professional Park Ste B, Gaffney, SC 29340-2319 | 2018-11-16 |
| 1376050534 | Khoury Cardiology, Pa | Internal Medicine | 151 Saluda Ave, Columbia, SC 29205-3080 | 2018-01-09 |
| 1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
| 1669919247 | Hari Gnanasekeram, PC | Internal Medicine | 207 Zeigler St, Columbia, SC 29217-0001 | 2017-01-20 |
| 1649636390 | Jeffrey Clyde Sloan | Internal Medicine | 1565 Blanchard Bnd, Rock Hill, SC 29732-9658 | 2016-01-11 |
| 1033514120 | Palmetto Health | Internal Medicine | 6 Richland Medical Park Dr, Suite 2100, Columbia, SC 29203-6864 | 2014-10-31 |
| 1164821104 | Hilton Head Cardiology, Consultants, LLC | Internal Medicine | 25 Hospital Center Blvd Ste 309, Hilton Head, SC 29926-2739 | 2014-08-15 |
| 1033522610 | Ashley Arana Waring | Internal Medicine | 30 Courtney Drive Msc 592, Charleston, SC 29425-8905 | 2014-06-11 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
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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.