Palmetto Travel Medicine

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

MD7722 Issued in SC

Legal business name

PALMETTO TRAVEL MEDICINE

Practice address

2154 N Center St
Suite A104
North Charleston, SC 29406-4056

Phone

(843) 225-5688

Fax

(843) 225-5689

NPI assigned

Aug 10, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Adam Taylor

Title

Executive Director

Phone

(843) 225-5688

Specialties & licenses 1

Addresses

Other names 1

• Passport Health Doing business as

Tax ID family

Palmetto Travel Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Palmetto Travel Medicine

  • Specialist
  • North Charleston, SC
  • NPI 1467691568
  NPD tax ID

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1376890152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 N CENTER ST",
            "address_2": "SUITE A104",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064056",
            "telephone_number": "843-225-5688",
            "fax_number": "843-225-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 N CENTER ST",
            "address_2": "SUITE A104",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064056",
            "telephone_number": "843-225-5688",
            "fax_number": "843-225-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO TRAVEL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-225-5688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "SC",
            "license": "MD7722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passport Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Palmetto Pathway Support LLC
• Palmetto Pediatrics, PA
• Palmetto Plastic Surgery, P.a.
• Palmetto Primary Care Physicians, LLC
• Palmetto Speech & Language Assoc, LLC
• Palmetto Travel Medicine
• Nisha Pandya, MS, CGC
• Sylvia Panos, RN
• Susan Elizabeth Pantone, P.T.
• Sahil Parikh, MD, MS

• Community Health Clinic/Center in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Community Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.