Active NPI
Ramon Proctan Sy, MD
- Cardiovascular Disease Physician
- Manning, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 20345
- Practice address
- 15 E Hospital St
Manning, SC 29102-3152 - Phone
- (803) 435-2529
- Fax
- (803) 435-4196
- NPI assigned
- May 1, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 20345 | SC | Primary |
Addresses
Primary practice location
15 E Hospital St
Manning, SC 29102-3152
Mailing address
15 E Hospital St
Manning, SC 29102-3152
Phone (803) 435-2529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203452 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
210 E Boyce St
Manning, SC 29102-3441
Phone (803) 433-4337
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20345 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarendon Cardiology and Internal Medicine LLC | Cardiovascular Disease | Current | Accepting new patients |
| Lake Marion Primary Care | Cardiovascular Disease | Past | Accepting new patients |
Locations
210 E Boyce St
Manning, SC 29102
Phone (803) 433-4337
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Manning, SC
- NPI 1669658357
-
- Cardiovascular Disease Physician
- Manning, SC
- NPI 1912964479
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CenterWell Home Health
- Home Health Agency
- Florence, SC
- NPI 1528433521
-
dba Amedisys Home Health of Myrtle Beach
- Home Health Agency
- Kingstree, SC
- NPI 1255399747
-
- Rural Acute Care Hospital
- Manning, SC
- NPI 1205284411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1457319535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 E HOSPITAL ST",
"city": "MANNING",
"state": "SC",
"postal_code": "291023152",
"telephone_number": "803-435-2529",
"fax_number": "803-435-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 E HOSPITAL ST",
"city": "MANNING",
"state": "SC",
"postal_code": "291023152",
"telephone_number": "803-435-2529",
"fax_number": "803-435-4196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SY",
"first_name": "RAMON",
"middle_name": "PROCTAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SC",
"license": "20345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203452",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manning, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.