DR. VICTORIA M DIOKNO (NPI# 1619920246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619920246 |
Entity Type | Individual |
Full Name | DR. VICTORIA M DIOKNO |
Credential | M.D. |
Practice Address |
100 Fair Sailing Rd Mount Pleasant SC 29466-8158 |
Practice Telephone | 8432762630 |
Mailing Telephone | 8439727873 |
Enumeration Date | 2006-05-17 |
Last Update Date | 2020-06-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207K00000X | Allergy & Immunology | 35-088393 | OH | Allopathic & Osteopathic Physicians |
N | 207K00000X | Allergy & Immunology | C10006636 | DE | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | 31305 | SC | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | DEA#BD7946429 | DE | Allopathic & Osteopathic Physicians |
Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
31305 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DE | 100016773 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1241 Woodland Ave, Mount Pleasant, SC 294643288 | 8436063333 |
Street Address |
100 FAIR SAILING RD |
City | MOUNT PLEASANT |
State | SC |
Zip Code | 29466-8158 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
Find all providers in zip 29466 |
Taxonomy Code | 207RA0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Allergy & Immunology |
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801005921 | Albert Severin Anderson | Internal Medicine | 3110 Wade Hampton Blvd, Suite 19, Gallery Centre, Taylors, SC 29687-2863 | 2007-05-22 |
1326254012 | Allan Daniel Lieberman | Internal Medicine | 7510 N Forest Dr, North Charleston, SC 29420-4247 | 2007-05-16 |
1518456748 | Palmetto Health - University of South Carolina Medical Group | Internal Medicine | 2 Medical Park Rd Ste 506, Columbia, SC 29203-6876 | 2018-05-03 |
1235627852 | Palmetto Health - University of South Carolina Medical Group | Internal Medicine | Taylor At Marion St., Columbia, SC 29202-0001 | 2018-04-30 |
1356662704 | James Lee Kuhlen Jr. | Internal Medicine | 534 Woods Lake Rd, Greenville, SC 29607 | 2010-06-21 |
1972782084 | Columbia Allergy Clinic | Internal Medicine | 2601 Laurel St, #230, Columbia, SC 29204-2033 | 2007-10-25 |
City | MOUNT PLEASANT |
Zip Code | 29466 |
Please comment or provide details below to improve the information on DR. VICTORIA M DIOKNO.
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.