Active NPI
Philip D Rhine, MD
- Family Medicine Physician
- Mt Pleasant, SC
National Provider Identifier
1174534366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10376
- Practice address
- 1790 Tennyson Row
Mt Pleasant, SC 29466-7132 - Phone
- (803) 429-3523
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10376 | SC | Primary |
Addresses
Primary practice location
1790 Tennyson Row
Mt Pleasant, SC 29466-7132
Mailing address
1790 Tennyson Row
Mt Pleasant, SC 29466-7132
Phone (803) 429-3523
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT1336 | Medicaid | SC | |
| 080137947 | Other | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1174534366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 TENNYSON ROW",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294667132",
"telephone_number": "803-429-3523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 TENNYSON ROW",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294667132",
"telephone_number": "803-429-3523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHINE",
"first_name": "PHILIP",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "10376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AT1336",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080137947",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.