ROMMEL PERILLO LU (NPI# 1558575738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558575738 |
| Entity Type | Individual |
| Full Name | ROMMEL PERILLO LU |
| Credential | MD |
| Practice Address |
401 E Cheves St Suite 201 Florence SC 29506-2615 |
| Mailing Address |
Po Box 3239 Florence SC 29502-3239 |
| Practice Telephone | 8437777951 |
| Practice Fax Number | 8437777981 |
| Mailing Telephone | 8437777042 |
| Mailing Fax Number | 8437777102 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2014-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
35337 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PTAN | SC04328552 | 01 |
| SC | 353370 | 05 | |
| NC | 5916231 | 05 |
| Street Address |
401 E CHEVES ST SUITE 201 |
| City | FLORENCE |
| State | SC |
| Zip Code | 29506-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740257641 | John Leland Wolford Jr. | Internal Medicine | 401 E Cheves St, Suite 301, Florence, SC 29506-2615 | 2006-03-01 |
| 1104399120 | Mcleod Physician Associates II | Radiology | 401 E Cheves St, Florence, SC 29506-2615 | 2019-01-03 |
| 1962995092 | T Rhett Spencer Jr Md Services | Radiology | 401 E Cheves St, Florence, SC 29506-2615 | 2018-06-13 |
| 1417308040 | Hope Mclendon | Nurse Practitioner | 401 E Cheves St, Suite 201, Florence, SC 29506-2615 | 2016-06-24 |
| 1396110599 | Ashley A. Harrell | Nurse Practitioner | 401 E Cheves St, Suite 300, Florence, SC 29506-2615 | 2015-12-14 |
| 1548644560 | Maureen C. Byrd | Nurse Practitioner | 401 E Cheves St, Suite 201, Florence, SC 29506-2615 | 2015-07-20 |
| 1881088789 | Teresa A. Yarborough | Nurse Practitioner | 401 E Cheves St, Suite 202, Florence, SC 29506-2615 | 2015-03-27 |
| 1396144192 | Mcleod Physician Associates II | Internal Medicine | 401 E Cheves St, Suite 300, Florence, SC 29506-2615 | 2014-08-18 |
| 1184053779 | Morgan Michelle Evans | Nurse Practitioner | 401 E Cheves St, Suite 202, Florence, SC 29506-2615 | 2013-11-05 |
| 1083962971 | Hailu M Kebede | Physician Assistant | 401 E Cheves St, Suite 300, Florence, SC 29506-2615 | 2012-08-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871001693 | Med Way Ambulance Service, LLC | Ambulance | 1627 E Palmetto St, Florence, SC 29506 | 2018-01-15 |
| 1851810261 | Daijavon Jaquita Mccall | Specialist/Technologist | 1207 Malloy Street, Florence, SC 29506 | 2017-09-18 |
| 1629453873 | Rebecca Diboni | Pharmacist | 501 E Cheves St, Suite D, Florence, SC 29506 | 2015-07-29 |
| 1710365846 | Tiffany Joann Williams | Counselor | 205 Pearl Cir Florence, Sc, SC 29506 | 2015-05-08 |
| 1275925091 | Joe Brice Williamson Jr. | Pharmacist | 501 E. Cheves St., Suite D, Florence, SC 29506 | 2015-03-03 |
| 1528474632 | La'keisha Coker | Dietitian, Registered | 145 E. Cheves St., Florence County Health Department, Florence, SC 29506 | 2014-07-09 |
| 1275948085 | Patrick Kevin Mccarthy | Dietitian, Registered | 145 East Cheves Street, Florence County Health Dept., Florence, SC 29506 | 2014-07-01 |
| 1073931655 | Gwen A Davis | Registered Nurse | 145 E Cheves Street, Sc Dhec Pee Dee Region, Florence, SC 29506 | 2014-04-01 |
| 1205267879 | Jessica Turner | Physical Therapist | 555 E Cheves St., Inpatient Rehab Department, Florence, SC 29506 | 2013-12-09 |
| 1700213923 | Pamela Orange | Nurse's Aide | 2501 Sparklberry Lane, Florence, SC 29506 | 2013-10-02 |
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| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275525784 | Orachun Sittisuntorn | Internal Medicine | 1594 Freedom Blvd Ste 205, Florence, SC 29505-6046 | 2005-08-19 |
| 1891136644 | Jennifer Marquita Carter | Internal Medicine | 302 W Dr Hicks Blvd, Florence, AL 35630 | 2013-07-09 |
| 1376846998 | Mcleod Physician Associates II | Internal Medicine | 401 East Cheves Street, Suite 201, Florence, SC 29506-2615 | 2010-12-21 |
| 1295991727 | Oncology Hematology Care, Inc. | Internal Medicine | 7380 Turfway Rd, Florence, KY 41042-1355 | 2008-08-04 |
| 1417162108 | Karim Tazi | Internal Medicine | 401 E Cheves St, Suite 201, Florence, SC 29506-2615 | 2007-05-14 |
| 1902989189 | Anthony Jacob Kalliath | Internal Medicine | 202 E Dr Hicks Blvd, Florence, AL 35630-5768 | 2006-10-23 |
| 1568405371 | Michael Dupre Pavy | Internal Medicine | 401 E Cheves St, Suite 201, Florence, SC 29506-2615 | 2006-06-13 |
| 1235179854 | Harry Stuart Markwell | Internal Medicine | 506 E Cheves St, Suite 202, Florence, SC 29506-2616 | 2006-06-08 |
| 1972543643 | Rajesh Bajaj | Internal Medicine | 401 E Cheves St, Suite 201, Florence, SC 29506-2615 | 2006-06-08 |
| 1972543114 | James C.h. Smith | Internal Medicine | 401 E Cheves St, Suite 201, Florence, SC 29506-2615 | 2006-06-07 |
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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.