SMITHA M BALLYAMANDA (NPI# 1932336542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932336542 |
| Entity Type | Individual |
| Full Name | SMITHA M BALLYAMANDA |
| Credential | M.D. |
| Practice Address |
515 Rivercrossing Dr Suite 180 Fort Mill SC 29715-7900 |
| Practice Telephone | 8035782800 |
| Practice Fax Number | 8035782810 |
| Mailing Telephone | 8035782800 |
| Mailing Fax Number | 8035782810 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2017-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 2016-02043 | NC | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 36544 | SC | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
2016-02043 | NC | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
36544 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 365447 | 05 |
| Street Address |
515 RIVERCROSSING DR SUITE 180 |
| City | FORT MILL |
| State | SC |
| Zip Code | 29715-7900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083032254 | Piedmont Express Care At Sutton Road, LLC | Pediatrics | 515 Rivercrossing Dr, Suite 180, Fort Mill, SC 29715-7900 | 2014-04-03 |
| 1114353935 | Piedmont Express Care At Sutton Road, LLC | Family Medicine | 515 Rivercrossing Dr, Suite 180, Fort Mill, SC 29715-7900 | 2013-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590278 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1919 Springfield Parkway, Fort Mill, SD 29715 | 2020-08-25 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1730715293 | Fort Mill Dobys Bridge Dental LLC | Clinic/Center | 1500 Fort Mill Pkwy #108, Fort Mill, SC 29715 | 2020-03-17 |
| 1841728755 | Dennis Demetrius Williams | Specialist/Technologist | 1179 Madison Green Dr, Fort Mill, SC 29715 | 2017-05-23 |
| 1437684453 | Specialty Orthopaedics and Sports Medicine | Orthopaedic Surgery | 130 Crisanto Ave Ste B, Fort Mill, SC 29715 | 2017-04-27 |
| 1730624115 | Springfield Dentistry | Dentist | 452 Mercantile Place, Fort Mill, SC 29715 | 2016-12-21 |
| 1700335569 | Melby Transitions Mht LLC | Internal Medicine | 1148 Wessington Manor Ln, Fort Mill, SC 29715 | 2016-09-22 |
| 1629434071 | Palmetto Family Pharmacy Regent Park | Pharmacy | 1046 Regent Parkway, Suite 104, Fort Mill, SC 29715 | 2016-01-14 |
| 1619374220 | Rebecca Rowe | Speech-Language Pathologist | 8835 Gladden Hill Ln, Fort Mill, SC 29715 | 2014-11-25 |
| 1003248873 | Terri Hennessey | Speech-Language Pathologist | 1599 Farm House Dr, Fort Mill, SC 29715 | 2013-08-05 |
| Find all providers in zip 29715 | ||||
| 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 |
|---|---|---|---|---|
| 1639542699 | Affinity Health Center | Family Medicine | 120 Elliott St E, Fort Mill, SC 29715-1848 | 2015-11-12 |
| 1942409651 | Katrina Herring | Family Medicine | 773 Stockbridge Dr, Fort Mill, SC 29708-7200 | 2007-07-12 |
| 1558462085 | Arnold B Campo | Family Medicine | 377 Rubin Center Dr, Suite 110, Fort Mill, SC 29708-7275 | 2006-09-26 |
| 1407863343 | Piedmont Family Practice At Tega Cay, LLC | Family Medicine | 773 Stockbridge Drive, Fort Mill, SC 29708 | 2006-08-02 |
| 1144288796 | David M Mobley | Family Medicine | 502 6th Baxter Crossing, Fort Mill, SC 29708 | 2006-05-03 |
| 1811962574 | James C Jordan | Family Medicine | 1690 Highway 160 W, Fort Mill, SC 29708-8024 | 2006-02-17 |
| 1114999737 | Lance M Gowen | Family Medicine | 515 Rivercrossing Dr Ste 180, Fort Mill, SC 29715-7900 | 2006-02-07 |
| 1760462311 | Jennifer C Dickens | Family Medicine | 113 Millwood Dr, Fort Mill, SC 29715-8356 | 2006-01-19 |
| 1043819535 | Carolinas Physicians Network Inc | Family Medicine | 9623 Redstone Dr Ste 300, Fort Mill, SC 29707-5407 | 2020-10-26 |
| 1124439021 | Inna Slisz | Family Medicine | 704 Gold Hill Rd, Ste 107, Fort Mill, SC 29715-8906 | 2014-05-13 |
| Find all providers in FORT MILL | ||||
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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.