Active NPI
Internal Medicine Group
- Internal Medicine Physician
- Lancaster, SC
National Provider Identifier
1447312665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23616
- Legal business name
- INTERNAL MEDICINE GROUP
- Practice address
- 834 W. Meeting St.
Suite F
Lancaster, SC 29720 - Phone
- (803) 285-8777
- Fax
- (803) 285-8776
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alagusivakuman Rameshbabu, MD
- Title
- Physician/Partner
- Phone
- (803) 366-3900
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23616 | SC | Primary |
| Internal Medicine Physician | 207R00000X | 23688 | SC | |
| Internal Medicine Physician | 207R00000X | 30340 | SC |
Addresses
Primary practice location
834 W. Meeting St.
Suite F
Lancaster, SC 29720
Mailing address
225 S Herlong Ave
Suite 230
Rock Hill, SC 29732
Phone (803) 366-3900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4455 | Medicaid | SC | |
| GP3868 | Medicaid | SC |
Other names 1
- LANCASTER INTERNAL MEDICINE
National Provider Directory
National Provider DirectoryLocations
834 W Meeting St
Ste F
Lancaster, SC 29720
Phone (803) 285-8777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220486400000",
"number": "1447312665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S HERLONG AVE",
"address_2": "SUITE 230",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "29732",
"telephone_number": "803-366-3900",
"fax_number": "803-366-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 W. MEETING ST.",
"address_2": "SUITE F",
"city": "LANCASTER",
"state": "SC",
"postal_code": "29720",
"telephone_number": "803-285-8777",
"fax_number": "803-285-8776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2008-09-04",
"status": "A",
"authorized_official_last_name": "RAMESHBABU",
"authorized_official_first_name": "ALAGUSIVAKUMAN",
"authorized_official_title_or_position": "PHYSICIAN/PARTNER",
"authorized_official_telephone_number": "803-366-3900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "SC",
"license": "23616",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "SC",
"license": "23688",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "SC",
"license": "30340",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4455",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3868",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LANCASTER INTERNAL MEDICINE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lancaster, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.