THE AGELESS INSTITUTE (NPI# 1700346749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700346749 |
| Entity Type | Organization |
| Organization Name | THE AGELESS INSTITUTE |
| Practice Address |
1620 Broughton Street Orangeburg SC 29115 |
| Mailing Address |
Po Box 2549 Orangeburg SC 29116 |
| Practice Telephone | 8032620897 |
| Practice Fax Number | 8035316056 |
| Mailing Telephone | 8032620897 |
| Mailing Fax Number | 8035316056 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Authorized Official Name | GREGORY SINGLETON (OWNER) |
| Authorized Official Telephone | 8032620897 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1620 BROUGHTON STREET |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013953330 | Gregory Singleton | Family Medicine | 1620 Broughton Street, Orangeburg, SC 29115 | 2006-06-22 |
| 1003833583 | Orangeburg Primary Preventive & Occupational Medicine | Family Medicine | 1620 Broughton Street, Orangeburg, SC 29115 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326640 | Orange Cut Rate Drug Store, Inc | General Practice | 1326 Grove Park Dr, Orangeburg, SC 29115 | 2018-08-16 |
| 1821528639 | Shonta Tenisha Westbury | Speech-Language Pathologist | 1890 Dellwood Drive, Orangeburg, SC 29115 | 2017-06-14 |
| 1356870794 | All Your Needs Home Care Services, LLC | Respite Care | 133 Boulevard Street, Orangeburg, SC 29115 | 2017-06-08 |
| 1376090860 | Hanna Bozard | Pharmacist | 332 Stone Wall Jackson Blvd, Orangeburg, SC 29115 | 2016-09-01 |
| 1417309956 | Marian Mitchell Oliver Corp. | Dentist | 939 Jc Calhoun Drive, Orangeburg, SC 29115 | 2016-07-08 |
| 1750766119 | Holly Able | Pharmacist | 332 Stonewall Jackson Blvd., Orangeburg, SC 29115 | 2015-07-28 |
| 1104211234 | Sheryl Durant Singleton | Nurse Practitioner | 1857 Joe S Jeffords Hwy, Orangeburg, SC 29115 | 2015-04-06 |
| 1982012696 | Jeremy Morry Eith | Specialist/Technologist | 300 College Street, Orangeburg, SC 29115 | 2014-07-25 |
| 1629495841 | Kathy Beeks | Registered Nurse | 1550 Carolina Avenue, Carolina Avenue, Orangeburg, SC 29115 | 2014-03-26 |
| 1538509534 | Thomas Charles Haynes Jr. | Audiologist | 1655 Carolina Ave., Orangeburg, SC 29115 | 2013-07-05 |
| Find all providers in zip 29115 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053941757 | Occ Pro Healthcare LLC | Family Medicine | 1555 Middleton St, Orangeburg, SC 29115-4791 | 2020-01-22 |
| 1548429319 | Dr. Spencer C Disher | Family Medicine | 196 Centre St, Orangeburg, SC 29115-6044 | 2008-06-05 |
| 1114094745 | Neil L Block | Family Medicine | 60 Dutch Hill Road, Suite 3, Orangeburg, NY 10962 | 2006-11-29 |
| 1699882662 | Henry Bowens Jr. | Family Medicine | 172 Old Elloree Rd, Orangeburg, SC 29115 | 2006-08-24 |
| 1912914284 | Willie B Louis | Family Medicine | 1102 Summers Ave, Orangeburg, SC 29115-4922 | 2006-08-01 |
| 1730103144 | Franklin Carn Coulter | Family Medicine | 941 Summers Ave, Orangeburg, SC 29115-4931 | 2006-07-27 |
| 1093733719 | William H Whitley | Family Medicine | 1724 Village Park Dr, Orangeburg, SC 29118-2426 | 2006-07-18 |
| 1962428318 | Arthur Kobina Kennedy | Family Medicine | 1748 Saint Matthews Rd, Orangeburg, SC 29118-2441 | 2006-07-15 |
| 1447280946 | Patricia Ellen Riddle | Family Medicine | 1101 Cook Road, Orangeburg, SC 29118 | 2006-07-03 |
| 1093744849 | Alan Mark Jolles | Family Medicine | 125 Express Ln, Orangeburg, SC 29118-2477 | 2006-07-02 |
| Find all providers in ORANGEBURG | ||||
| City | ORANGEBURG |
| Zip Code | 29115 |
Please comment or provide details below to improve the information on THE AGELESS INSTITUTE.
| 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.