Hope Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20234 Issued in SC

Legal business name

HOPE CLINIC LLC

Doing business as

Hope Clinic - North Charleston

Practice address

5880 Rivers Ave
North Charleston, SC 29406

Phone

(843) 725-4673

Fax

(843) 725-1235

NPI assigned

Nov 23, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

HOPE CLINIC LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Temisan L Etikerentse, M.DNPI 1710986757

Title

Medical Doctor, Ceo

Phone

(843) 725-4673

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Hope Clinic - North Charleston Doing business as

Part of

Hope Clinic LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Temisan L Etikerentse, MD

  • Internal Medicine Physician
  • Moncks Corner, SC
  • NPI 1710986757
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1205017860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066053",
            "telephone_number": "843-725-4673",
            "fax_number": "843-725-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-725-4673",
            "fax_number": "843-725-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPE CLINIC LLC",
        "enumeration_date": "2007-11-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ETIKERENTSE",
        "authorized_official_first_name": "TEMISAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DOCTOR, CEO",
        "authorized_official_telephone_number": "843-725-4673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "20234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "20234",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CHOICE",
            "identifier": "20067813-001",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4815",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC PCF",
            "identifier": "75767",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUA",
            "identifier": "JB021584",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Clinic - North Charleston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lamar Clinton Hood, PA-C
• Kristin Hoort, RN
• Ruth Durand Hoover, M.D.
• Hope Advancement, Inc
• Hope Clinic
• James Hopkins, R.PH
• Sean Hopper, RBT
• Horizon Healthcare, LLC
• Katie Hormann
• Elizabeth Joy Chard Horton, MA, NCC, LPC

• Internal Medicine Physician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.