Equilibrium Diabetes Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

28953 Issued in SC

Legal business name

EQUILIBRIUM DIABETES CENTER, LLC

Practice address

1342 Ellison Run
Charleston, SC 29412-8285

Phone

(843) 364-6695

NPI assigned

Dec 16, 2013

Last updated

Dec 16, 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

Dr. Orlin Sergev, MDNPI 1003845207

Title

President

Phone

(843) 871-7979

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Orlin Sergev, M.D., PH.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Summerville, SC
  • NPI 1003845207
  Authorized official Same address or phone
• Kathryn J Gershkowitz, APRN

  • Family Nurse Practitioner
  • Summerville, SC
  • NPI 1740458975
  NPD (past)
• Erica Damico Gunnells, FNP

  • Family Nurse Practitioner
  • Charleston, SC
  • NPI 1912131285
  NPD (past)
• Carissa D Michel, FNP-C

  • Nurse Practitioner
  • Ladson, SC
  • NPI 1942186143
  NPD (past)

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1295156404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 OLD TROLLEY RD",
            "address_2": "SUITE 102",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855674",
            "telephone_number": "843-871-7979",
            "fax_number": "843-871-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 ELLISON RUN",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128285",
            "telephone_number": "843-364-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM DIABETES CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "SERGEV",
        "authorized_official_first_name": "ORLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-871-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "28953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marie Epping, PT, DPT
• Lauren Nicole Eppley, PA-C
• Theresa Christine Eppley, MA CCC SLP
• Brittney Epps, DACM, MSOM, LAC
• Shayna D Epstein
• Erica Dejesus
• Erica Juras OD, LLC (Coastal Vision Care)
• Irene Erich
• Evert Austin Eriksson, M.D.
• Julie Lorraine Eriksson, NP-C

• Specialist in Charleston, SC
• Providers in Charleston, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.