Palmetto Therapeutic Medicine LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

28138 Issued in SC

Legal business name

PALMETTO THERAPEUTIC MEDICINE LLC

Practice address

1204 Palmetto Peninsula Dr
Mount Pleasant, SC 29464-7452

Phone

(843) 819-7950

NPI assigned

Sep 23, 2015

Last updated

Jan 25, 2016By 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. Stephen Mark Thomas, M.D.NPI 1508956673

Title

MD, Family Medicine

Phone

(843) 819-7950

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24929/brand/1/csg/1/fhir/r4

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.

• Stephen Mark Thomas, M.D.

  • Family Medicine Physician
  • Mount Pleasant, SC
  • NPI 1508956673
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1306215140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 PALMETTO PENINSULA DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647452",
            "telephone_number": "843-819-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 PALMETTO PENINSULA DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647452",
            "telephone_number": "843-819-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO THERAPEUTIC MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MD, FAMILY MEDICINE",
        "authorized_official_telephone_number": "843-819-7950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "28138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC
• Palmetto Specialty Pharm LLC (Palmetto Pharm)
• Palmetto Specialty Pharm LLC (Palmetto Pharm)
• Palmetto Specialty Pharm LLC (Palmetto Pharm)
• Palmetto Women's Health, PC
• Palmetto Women's Health, PC
• Alice Johanna Palumbo, RT (R) (MR)
• Calen David Pangle, RD
• Demetrios A Papadopoulos, MD

• Assisted Living Facility in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Assisted Living Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.