Life in a Blender Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LIFE IN A BLENDER FAMILY MEDICINE, LLC

Practice address

132 Professional Park Dr Unit a
Conway, SC 29526-9268

Phone

(843) 347-4900

Fax

(843) 347-4901

NPI assigned

May 10, 2013

Last updated

May 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph PapottoNPI 1114970431

Title

Owner, Physician

Phone

(843) 347-4900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

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.

• Joseph J Papotto III, D.O.

  • Family Medicine Physician
  • Murrells Inlet, SC
  • NPI 1114970431
  Medicare reassignment NPD Authorized official
• Vered Butbul Benezra, FNP

  • Family Nurse Practitioner
  • Murrells Inlet, SC
  • NPI 1528611605
  Medicare reassignment
• Tara Zebadua, FNP-C

  • Family Nurse Practitioner
  • Myrtle Beach, SC
  • NPI 1184011900
  Medicare reassignment

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1235574740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 PROFESSIONAL PARK DR UNIT A",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269268",
            "telephone_number": "843-347-4900",
            "fax_number": "843-347-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 PROFESSIONAL PARK DR UNIT A",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269268",
            "telephone_number": "843-347-4900",
            "fax_number": "843-347-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IN A BLENDER FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "PAPOTTO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "843-347-4900"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lewis
• Martha S. Lewis, P.T.
• Ha-Sheng Li-Korotky, AUD, PHD
• Yumeng Li, MD
• Nicklas Lidstrom
• Lifecare Supportive Medicine Incorporated
• Lifecare Supportive Medicine, Inc
• Like Honey Pediatric Therapy LLC
• Brian Louis Lilholt, DPT
• Nancy Ann Lincoln, RN, BSN

• Family Medicine Physician in Conway, SC
• Providers in Conway, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.