Cherokee Internal Medicine PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0687 Issued in SC

Legal business name

CHEROKEE INTERNAL MEDICINE PA

Practice address

211 W Montgomery Street
Gaffney, SC 29341

Phone

(864) 488-1514

Fax

(864) 488-0552

NPI assigned

Apr 4, 2006

Last updated

Oct 17, 2007By 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. Alfred T Ezman, DONPI 1366631749

Title

Owner

Phone

(864) 488-1514

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Alfred Thomas Ezman, D.O.

  • Internal Medicine Physician
  • Gaffney, SC
  • NPI 1366631749
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1386606556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W MONTGOMERY STREET",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "29341",
            "telephone_number": "864-488-1514",
            "fax_number": "864-488-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W MONTGOMERY STREET",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "29341",
            "telephone_number": "864-488-1514",
            "fax_number": "864-488-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "EZMAN",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-488-1514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "0687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3720",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherokee Community Care, LLC
• Cherokee County Commission on Alcohol and Drug Abuse
• Cherokee County DSN Board
• Cherokee County School District
• Cherokee General Dentistry
• Cherokee Medical Center (CMC-Center for Internal Medicine)
• Cherokee Medical Center (CMC-Center for Family Medicine-Grassy Pond)
• Cherokee Medical Center (CMC Wound Services)
• Cherokee Medical Center (CMC-Center for Pediatrics)
• Cherokee Medical Center (CMC-Center for Ob/Gyn)

• Internal Medicine Physician in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.