FRANCIS ROOSEVELT GILLIAM III (NPI# 1891704474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891704474 |
Entity Type | Individual |
Full Name | FRANCIS ROOSEVELT GILLIAM III |
Other Name | ROSEY GILLIAM III |
Credential | MD |
Practice Address |
115 N Sumter St Ste 410 Sumter SC 29150 |
Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
Practice Telephone | 8037749797 |
Practice Fax Number | 8037749796 |
Mailing Telephone | 8032967320 |
Mailing Fax Number | 8032967330 |
Enumeration Date | 2006-08-05 |
Last Update Date | 2018-08-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
14615 | SC | Allopathic & Osteopathic Physicians |
Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
14615 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | STATE LICENSE | 27190 | 01 |
SC | STATE LICENSE | 14615 | 01 |
VA | STATE LICENSE | 0101043514 | 01 |
NC | 8935558 | 05 | |
SC | Q27190 | 05 | |
DEA | AG2375714 | 01 |
Street Address |
115 N SUMTER ST STE 410 |
City | SUMTER |
State | SC |
Zip Code | 29150 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528031531 | William S Stavrou | Internal Medicine | 115 N Sumter St Ste 410, Sumter, SC 29150-4969 | 2006-02-09 |
1033741590 | Margaret Conant Britt | Nurse Practitioner | 115 N Sumter St Ste 410, Sumter, SC 29150-4969 | 2020-02-12 |
1205368230 | Cameron Thomasson | Nurse Practitioner | 115 N Sumter St Ste 410, Sumter, SC 29150 | 2017-03-29 |
1679951990 | Shannon Cornell | Nurse Practitioner | 115 N Sumter St Ste 410, Sumter, SC 29150-4969 | 2015-05-07 |
1063473684 | John D Rozich | Internal Medicine | 115 N Sumter St Ste 410, Sumter, SC 29150 | 2006-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
Find all providers in zip 29150 |
Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
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 |
---|---|---|---|---|
1154934305 | Roper Saint Francis Physicians Network | Internal Medicine | 3508 S Live Oak Dr, Moncks Corner, SC 29461-8737 | 2020-08-27 |
1275800492 | Anmed Health | Internal Medicine | 107-2 Wall St, Clemson, SC 29631-2921 | 2011-11-17 |
1477708089 | Lorena Doctor | Internal Medicine | 5531 Savannah Hwy, Ravenel, Ravenel, SC 29470-5585 | 2008-11-24 |
1073770624 | St Francis Physician Services Inc | Internal Medicine | 2 Innovation Dr Ste 400, Greenville, SC 29607-5270 | 2008-05-21 |
1669538062 | Arrhythmia Consultants, P.a. | Internal Medicine | 712 Grove Rd, Greenville, SC 29605-4211 | 2006-12-29 |
1811097108 | Lawrence Tye Weston | Internal Medicine | 712 Grove Road, Greenville, SC 29605-4211 | 2006-09-25 |
1245266139 | Columbia Heart Clinic, Pa | Internal Medicine | 8 Richland Medical Park Drive., Suite 300, Columbia, SC 29203 | 2006-06-23 |
1972560225 | Cardiology Consultants Pa | Internal Medicine | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2298 | 2006-04-28 |
1861458853 | Brett M Baker | Internal Medicine | 897 Von Kolnitz Rd Ste 101, Mt Pleasant, SC 29464-3630 | 2006-04-26 |
1053377507 | Bryan H Frain | Internal Medicine | 897 Von Kolnitz Road, Suite 101, Mt Pleasant, SC 29464-3630 | 2006-04-25 |
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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.