Palmetto Travel Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

License

R98024 Issued in SC

Legal business name

PALMETTO TRAVEL MEDICINE

Doing business as

Passport Health

Practice address

2154 N Center St
Suite a-104
North Charleston, SC 29406-4056

Phone

(843) 225-5688

Fax

(843) 225-5689

NPI assigned

Feb 12, 2009

Last updated

Feb 12, 2009By 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

Ms. Ingrid Nielsen Brewster, RN

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

  dba Passport Health

  • Community Health Clinic/Center
  • North Charleston, SC
  • NPI 1376890152
  NPD tax ID

Locations

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1467691568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 N CENTER ST",
            "address_2": "SUITE A-104",
            "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 A-104",
            "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": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "BREWSTER",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "NIELSEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-225-5688",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "R98024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passport Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Palmetto Pediatrics, PA
• Palmetto Plastic Surgery, P.a.
• Palmetto Primary Care Physicians, LLC (Palmetto Advanced Therapy Services)
• Palmetto Speech & Language Assoc, LLC
• Palmetto Travel Medicine (Passport Health)
• Nisha Pandya, MS, CGC
• Sylvia Panos, RN
• Susan Elizabeth Pantone, P.T.
• Sahil Parikh, MD, MS
• Caitlin Paris, FNP-C

• Specialist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.