Active NPI
Stephen Rease Intemann
- Anatomic Pathology & Clinical Pathology Physician
- Florence, SC
National Provider Identifier
1265493613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 10230
- Practice address
- 555 E Cheves St
Florence, SC 29506-2617 - Phone
- (843) 777-2064
- Fax
- (843) 777-2071
- NPI assigned
- Mar 28, 2006
- Last updated
- Feb 28, 2008
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 10230 | SC | Primary |
Addresses
Primary practice location
555 E Cheves St
Florence, SC 29506-2617
Mailing address
PO Box 30309
Charleston, SC 29417-0309
Phone (843) 554-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102301 | Medicaid | SC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10230 | SC | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pee Dee Pathology Associates Inc. | Current | Accepting new patients | |
| Pee Dee Pathology Associates Inc. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Medical Laboratory
- Florence, SC
- NPI 1710146212
-
- Anatomic Pathology & Clinical Pathology Physician
- Florence, SC
- NPI 1831159656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1265493613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30309",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294170309",
"telephone_number": "843-554-9300",
"fax_number": "843-556-8780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E CHEVES ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062617",
"telephone_number": "843-777-2064",
"fax_number": "843-777-2071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INTEMANN",
"first_name": "STEPHEN",
"middle_name": "REASE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "SC",
"license": "10230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102301",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
- Inman Family Medicine, LLC
- Inmed Diagnostics Services of SC LLC
- Inmed Diagnostics Services of SC LLC
- Insight Behavioral Health, LLC
- Integrative Health Solutions LLC
- Internal Medicine Associates PC
- Internal Medicine Specialists of Florence,LLC
- Irby Street Dental Health Center, P.C. (PeeDee Dental)
- Angela Isaac
- Isd Renal Inc (Florence Dialysis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.