PORTERESHICE SHUNTA BRABHAM


Address: 345 Amelia St, Fairfax, SC 29827-5967
Phone: 8036827110

PORTERESHICE SHUNTA BRABHAM (NPI# 1528309606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528309606
Entity Type Individual
Full Name PORTERESHICE SHUNTA BRABHAM
Practice Address 345 Amelia St
Fairfax
SC 29827-5967
Practice Telephone 8036827110
Mailing Telephone 8036827110
Enumeration Date 2013-03-14
Last Update Date 2013-03-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302R00000X Health Maintenance Organization Managed Care Organizations

Office Location

Street Address 345 AMELIA ST
City FAIRFAX
State SC
Zip Code 29827-5967

Providers in the same zip code

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1144370503 Allendale County Hospital Board Clinic/Center 1787 Allendale Fairfax Highway, Fairfax, SC 29827 2007-01-10
1336246677 Allendale County Hospital Board Skilled Nursing Facility 185 Revolutionary Trail, Fairfax, SC 29827 2006-09-20
1881646669 Shenika L. Marshall-hill Counselor 1594 Beaufort Ave. S., Fairfax, SC 29827 2006-05-17
1588623540 Rebecca Lynn Wilkes Nurse Practitioner 333 Revolutionary Trail, Fairfax, SC 29827 2006-03-20
1497745012 Robert M Haberkorn Dentist 1987 Allendale-fairfax Hwy, Fairfax, SC 29827 2005-10-25
1588815021 James Robert Mynatt Nurse Practitioner 333 Revolutionary Trail, Fairfax, SC 29827 2008-10-02
1063607646 Mol Ky General Practice 333 Revolutionary Trail, Fairfax, SC 29827 2007-09-07
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Taxonomy Information

Taxonomy Code 302R00000X
Grouping Managed Care Organizations
Classification Health Maintenance Organization

Taxonomy Definition

(1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215058326 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Health Maintenance Organization 12255 Fair Oaks Pkwy, Fairfax, VA 22033-3952 2007-04-03
1760811855 All Pro Dental Care Health Maintenance Organization 8500 Executive Park Ave, Suite 208, Fairfax, VA 22031-2225 2013-11-08
1588785620 Kaiser Foundation Health Plan of The Mid-atlantic States Inc. Health Maintenance Organization 8550 Lee Hwy, Fairfax, VA 22031-1515 2007-04-03
1114048295 Kaiser Foundation Health Plan of The Mid-atlantic States,inc Health Maintenance Organization 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033-3310 2007-04-03
1821118373 Kaiser Foundation Health of The Plan Mid-atlantic States,inc Health Maintenance Organization 8261 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 2007-03-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174021265 Lisa Burbage Health Maintenance Organization 14 Lockwood Dr Apt 12g, Charleston, SC 29401-1138 2018-01-24
1912410549 Wellcare of South Carolina, Inc. Health Maintenance Organization 200 Center Point Cir Ste 180, Columbia, SC 29210-5895 2017-11-06
1629529698 Clarendon Behavioral Health Health Maintenance Organization 14 N. Church Street, Manning, SC 29102 2016-10-14
1174070221 Angela Marie Runion-thorne Health Maintenance Organization 104 Bob White Ln, Anderson, SC 29625-5717 2016-09-07
1710356464 Devoted Care and Transition Services-hospice, LLC Health Maintenance Organization 429 Spring Oak Ln, Columbia, SC 29229-7165 2015-09-23
1609261270 Lovely Doves LLC Health Maintenance Organization 525 Reed St Apt 33, 33, Kingstree, SC 29556-4051 2015-04-01
1023419678 Grandmas Helping Hands Health Maintenance Organization 601 Englewood Dr, Greenville, SC 29605-5051 2014-09-12
1538502356 Touch By An Angle Home Health Care Health Maintenance Organization 1222 Hampton Dr, Summerville, SC 29483-2020 2013-04-11
1700144300 Easley Dental Associates Health Maintenance Organization 1040 S Pendleton St Ste C, Easley, SC 29642-1047 2012-05-02
1316204522 Low Country Massage & Wellness, LLC Health Maintenance Organization 1036 Mount Zion Ave, Georgetown, SC 29440-4823 2012-04-12
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Competitor

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City FAIRFAX
Zip Code 29827

Improve Information

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Dataset Information

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.

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