Active NPI
Anmed Health Family Medicine Residency
- Family Medicine Physician
- Anderson, SC
National Provider Identifier
1073354809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ANMED HEALTH FAMILY MEDICINE RESIDENCY
- Practice address
- 2000 E Greenville St Ste 3700
Anderson, SC 29621-1725 - Phone
- (864) 512-1475
- NPI assigned
- Jun 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Irene Kakouras, DO
- Title
- Resident
- Phone
- (864) 704-6029
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2000 E Greenville St Ste 3700
Anderson, SC 29621-1725
Mailing address
2000 E Greenville St Ste 3700
Anderson, SC 29621-1725
Phone (864) 512-1475
National Provider Directory
National Provider Directory- Tax ID family
- Anmed
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Student in an Organized Health Care Education/Training Program
- Anderson, SC
- NPI 1821837238
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Anderson, SC
- NPI 1750122404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717545600000",
"number": "1073354809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 E GREENVILLE ST STE 3700",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296211725",
"telephone_number": "864-512-1475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E GREENVILLE ST STE 3700",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296211725",
"telephone_number": "864-512-1475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANMED HEALTH FAMILY MEDICINE RESIDENCY",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-05",
"last_updated": "2024-06-05",
"certification_date": "2024-05-23",
"status": "A",
"authorized_official_last_name": "KAKOURAS",
"authorized_official_first_name": "IRENE",
"authorized_official_title_or_position": "RESIDENT",
"authorized_official_telephone_number": "864-704-6029",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.