Red Tide Re LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

RED TIDE RE LLC

Practice address

10 Enterprise Blvd Ste 109
Greenville, SC 29615-3534

Phone

(864) 813-7226

Fax

(864) 556-7552

NPI assigned

Oct 30, 2025

Organization subpart

No

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

Authorized official

Name

Sung Choi, MD

Title

Owner

Phone

(860) 990-2204

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1316816390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9709 LAKESIDE BLVD STE 350",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773811216",
            "telephone_number": "713-489-2198",
            "fax_number": "713-489-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ENTERPRISE BLVD STE 109",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153534",
            "telephone_number": "864-813-7226",
            "fax_number": "864-556-7552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3911 HIGHWAY 17 UNIT B",
            "address_purpose": "LOCATION",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765014",
            "country_code": "US",
            "telephone_number": "854-894-4525",
            "fax_number": "843-473-8475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RED TIDE RE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "SUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-990-2204",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Anesthesiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.