Individual provider Active NPI

Ralph D D'Amore, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Greenwood, SC
National Provider Identifier
1578637013
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
17639 Issued in SC
Practice address
437 E Cambridge Ave
Greenwood, SC 29646-2244
Phone
(864) 306-0966
Fax
(864) 306-2544
NPI assigned
Nov 17, 2006
Last updated
Feb 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical Technician 146M00000X HTL-098 SC
Geriatric Medicine (Family Medicine) Physician 207QG0300X 17639 SC Primary

Addresses

Primary practice location

437 E Cambridge Ave
Greenwood, SC 29646-2244

Mailing address

PO Box 3109
Greenwood, SC 29648-3109
Phone (864) 306-0966

Other identifiers 2

IdentifierTypeStateIssuer
176393MedicaidSC
P00472524OtherSCRAILROAD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080306000000 SC Practitioner - Geriatric Medicine 9032137104 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
HTL-098SCMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NHC Healthcare-Greenwood LLC CurrentSince Nov 14, 2007 Accepting new patients
Self Regional Healthcare Past Accepting new patients

Locations

437 Cambridge Ave E
Greenwood, SC 29646
Phone (864) 223-1950

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1578637013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3109",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296483109",
            "telephone_number": "864-306-0966",
            "fax_number": "864-306-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 E CAMBRIDGE AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462244",
            "telephone_number": "864-306-0966",
            "fax_number": "864-306-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMORE",
        "first_name": "RALPH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "SC",
            "license": "HTL-098",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "SC",
            "license": "17639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176393",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00472524",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.