Escobedo Advanced Healthcare Solutions LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ESCOBEDO ADVANCED HEALTHCARE SOLUTIONS LLC

Practice address

121 Sparkleberry Crossing Rd Ste 200
Columbia, SC 29229-8639

Phone

(803) 788-2167

Fax

(803) 788-4165

NPI assigned

Sep 2, 2020

Organization subpart

Yes

Parent organization

ESCOBEDO ADVANCED HEALTHCARE SOLUTIONS LLCAs reported in NPPES

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

Authorized official

Name

Dr. Mark EscobedoNPI 1801835574

Title

Owner

Phone

(803) 319-5457

Specialties & licenses 1

Addresses

Other names 1

• Advanced Healthcare Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Part of

Escobedo Advanced Healthcare Solutions LLC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark U Escobedo, D.C.

  • Chiropractor
  • Columbia, SC
  • NPI 1801835574
  NPD Authorized official
• Jeremy L Adams, FNP-C

  • Nurse Practitioner
  • Fort Mill, SC
  • NPI 1568942696
  Medicare reassignment

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1255945754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SPARKLEBERRY CROSSING RD STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298639",
            "telephone_number": "803-788-2167",
            "fax_number": "803-788-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SPARKLEBERRY CROSSING RD STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298639",
            "telephone_number": "803-788-2167",
            "fax_number": "803-788-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCOBEDO ADVANCED HEALTHCARE SOLUTIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESCOBEDO ADVANCED HEALTHCARE SOLUTIONS LLC",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "ESCOBEDO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-319-5457",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Healthcare Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eros Arcana Therapy, LLC
• Amanda Leigh Ervin, LAT, ATC
• Ann Harriott Fisher Ervin, MD
• Jennifer Ervin
• Mary Elizabeth Ervin
• Amy Marie Escobedo, D.C.
• Mark U Escobedo, D.C.
• Paul T Escott, NP
• Charles D Eskridge, M.D.
• Michael Anthony Eslick II, PHARM D

• General Practice Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• General Practice Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.