VIPUL V THAKKAR (NPI# 1811908064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811908064 |
| Entity Type | Individual |
| Full Name | VIPUL V THAKKAR |
| Credential | M.D. |
| Practice Address |
228 S Herlong Ave Rock Hill SC 29732-1158 |
| Mailing Address |
200 Queens Rd Suite 400 Charlotte NC 28204-3253 |
| Practice Telephone | 8033665186 |
| Practice Fax Number | 8033665730 |
| Mailing Telephone | 7043337376 |
| Mailing Fax Number | 7043333397 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
30229 | SC | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
200701182 | NC | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
35081789 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CIGNA | 3591870 | 01 |
| NC | BLUE CROSS | 1460E | 01 |
| NC | MEDCOST | 199820 | 01 |
| NC | PARTNERS | 811304 | 01 |
| SC | N01182 | 05 | |
| NC | 5907146 | 05 |
| Street Address |
228 S HERLONG AVE |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-1158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295097 | Morgan Mcleod Hirsch | Nurse Practitioner | 228 S Herlong Ave, Rock Hill, SC 29732-1158 | 2018-12-04 |
| 1245359728 | Robert J. Mccammon | Radiology | 228 S Herlong Ave, Rock Hill, SC 29732-1158 | 2007-03-28 |
| 1366553034 | Piedmont/carolinas Radiation Therapy, LLC | Clinic/Center | 228 S Herlong Ave, Rock Hill, SC 29732-1158 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245359728 | Robert J. Mccammon | Radiology | 228 S Herlong Ave, Rock Hill, SC 29732-1158 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659885754 | Providence Physician Practices, LLC | Radiology | 114 Gateway Corporate Blvd Ste 440, Columbia, SC 29203-9785 | 2017-11-28 |
| 1497045058 | Charles Eric Wooten | Radiology | 805 Pamplico Hwy Ste A315, Florence, SC 29505-6056 | 2011-04-15 |
| 1174769764 | Beaufort County Memorial Hospital | Radiology | 989 Ribaut Rd Ste 130, Beaufort, SC 29902 | 2009-01-02 |
| 1255518734 | Paul Anthony Saconn | Radiology | 122 Okatie Center Blvd N, Okatie, SC 29909-3750 | 2008-01-27 |
| 1508042201 | Newberry Oncology Associates | Radiology | 298 Commerce Dr., Newberry, SC 29108 | 2008-01-14 |
| 1972624484 | James Fyffe Mcnab | Radiology | 1680 Ribaut Raod, Ste A, Port Royal, SC 29935-2029 | 2007-04-02 |
| 1568516383 | Edward William Duffy Jr. | Radiology | 130 North Washington Street, Sumter, SC 29150 | 2007-01-22 |
| 1285645937 | Eduard Dvorak | Radiology | 30494 435th Ave, Utica, SC 57067-5905 | 2006-08-10 |
| 1013947589 | Larry Douglas Grubb | Radiology | 130 N Washington St, Sumter, SC 29150-4920 | 2006-07-03 |
| 1053356493 | Dean Alan Gant | Radiology | 1005 W Meeting St, Lancaster, SC 29720-2205 | 2006-06-19 |
| Find all providers with the same taxonomy | ||||
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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.