Internal Medicine of Walterboro

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18426 Issued in SC

Legal business name

INTERNAL MEDICINE OF WALTERBORO

Practice address

873 Robertson Blvd
Walterboro, SC 29488

Phone

(843) 542-9535

Fax

(843) 542-9675

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey Rae Kramer, MDNPI 1588618169

Title

Owner

Phone

(843) 542-9535

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDIDAD

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Rae Kramer, MD

  • Internal Medicine Physician
  • Walterboro, SC
  • NPI 1588618169
  Medicare reassignment NPD Authorized official
• Bailey Smithey Barrineau, NP

  • Nurse Practitioner
  • Walterboro, SC
  • NPI 1467050138
  Medicare reassignment NPD
• Marguerite Louise Fishburne, FNP-BC

  • Primary Care Nurse Practitioner
  • Walterboro, SC
  • NPI 1437978954
  Medicare reassignment NPD

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1487792248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 ROBERTSON BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "29488",
            "telephone_number": "843-542-9535",
            "fax_number": "843-542-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 ROBERTSON BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "29488",
            "telephone_number": "843-542-9535",
            "fax_number": "843-542-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF WALTERBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-542-9535",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "18426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184268",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "G649288697",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2942",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tim Jamison

• Internal Medicine Physician in Walterboro, SC
• Providers in Walterboro, 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 May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.