CAROLINA INTERNAL MEDICINE PA (NPI# 1609986769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609986769 |
| Entity Type | Organization |
| Organization Name | CAROLINA INTERNAL MEDICINE PA |
| Practice Address |
1208 Augusta Street Greenville SC 29611 |
| Mailing Address |
1208 Augusta St Greenville SC 29605-4024 |
| Practice Telephone | 8642713930 |
| Practice Fax Number | 8642322384 |
| Mailing Telephone | 8642713930 |
| Mailing Fax Number | 8642322384 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-03-05 |
| Authorized Official Name | SUDHIRKUMAR PATEL (OWNER) |
| Authorized Official Telephone | 8642713930 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 14686 | SC | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 19946 | SC | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 7609 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PC3830 | 05 |
| Street Address |
1208 AUGUSTA STREET |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760028393 | Kristina Diane Allred | Physician Assistant | 3613 Sc-153, Powdersville, SC 29611 | 2019-11-19 |
| 1790264497 | Prisma Health-upstate | General Acute Care Hospital | 11404 Anderson Rd, Greenville, SC 29611 | 2018-08-13 |
| 1053806380 | Hannah Jones | Registered Nurse | 111 Commons Way, Greenville, SC 29611 | 2018-06-28 |
| 1053813873 | Angelika Estefania Batres Navarro | Dentist | 6134 White Horse Rd Ste C, Greenville, SC 29611 | 2018-03-07 |
| 1356851398 | Vanessa Dickey Leverette | Doula | 802 Staunton Bridge Rd, Greenville, SC 29611 | 2017-10-04 |
| 1083084545 | Aegis Family Services, LLC | Counselor | 165 Staunton Bridge Rd., Greenville, SC 29611 | 2015-09-28 |
| 1417330226 | A Different World After School | Counselor | 165 Staunton Bridge Road, Greenville, SC 29611 | 2015-06-30 |
| 1568800415 | Shasta Dawn Vance | Occupational Therapist | : 21 Mcbeth Street Greenville, Greenville, SC 29611 | 2013-06-12 |
| 1013220391 | Tooth Zone - Zona Dientes | Dentist | 103 Commons Way, Greenville, SC 29611 | 2010-07-15 |
| 1689867400 | Christopher George Loubier | Specialist/Technologist | 201 Smythe St, #225, Greenville, SC 29611 | 2007-08-24 |
| Find all providers in zip 29611 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1043868789 | Hopewell Medical Care LLC | Internal Medicine | 2090 Woodruff Rd, Greenville, SC 29607-5939 | 2019-08-27 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1689193237 | Gim Barry Blackston, Md, Pa | Internal Medicine | 8 Memorial Medical Ct Ste 4, Greenville, SC 29605-4400 | 2017-09-14 |
| 1003357948 | Keith Freeman | Internal Medicine | 10 Enterprise Blvd Ste 110, Greenville, SC 29615-3534 | 2017-03-11 |
| 1871945204 | Annum Faisal | Internal Medicine | 2100 Stantonsburg Rd Ofc, Greenville, NC 27834-2818 | 2016-07-11 |
| 1508284324 | Lusana Ahsan | Internal Medicine | 2100 Stantonsburg Rd Ste 1ad200, Greenville, NC 27834-2818 | 2014-03-29 |
| 1548604341 | William M Wooten | Internal Medicine | 2400 Stantonsburg Rd, Greenville, NC 27834-7210 | 2013-04-23 |
| 1356699904 | Mohammad Raihan Azad | Internal Medicine | 1006 Wh Smith Blvd., Physicians East - Endocrinology, Greenville, NC 27834 | 2012-08-29 |
| 1104185420 | Geoffrey P Little | Internal Medicine | 20 Bryants Sq, Apt/suite, Greenville, NY 12083-3413 | 2012-05-07 |
| 1053679530 | Matthew Earles Dauterive | Internal Medicine | 600 Moye Blvd Ste 3e149, Greenville, NC 27834-4300 | 2012-05-02 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29611 |
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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.