Thomas Maino, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

83087 Issued in SC

Practice address

102 Harth PL
Summerville, SC 29485-8107

Phone

(843) 875-7901

Fax

(843) 932-2038

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Liberty Doctors LLC

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1700162203
  Medicare reassignment NPD
• Liberty Doctors, LLC

  • Family Medicine Physician
  • North Charleston, SC
  • NPI 1376854406
  NPD
• Summerville Primary Care

  • Family Medicine Physician
  • Summerville, SC
  • NPI 1982048062
  NPD (past)
• Lawrence J. Schlitt M.D., a Professional Medical Corp.

  • Preferred Provider Organization
  • San Diego, CA
  • NPI 1508975202
  NPD (past)
• Washington County Emergency Medicine Physicians, LLC

  • Emergency Care Clinic/Center
  • Hagerstown, MD
  • NPI 1205826724
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1659323640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6390 GARDENIA STREET",
            "address_2": "SUITE 140",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80004",
            "telephone_number": "720-898-1110",
            "fax_number": "720-898-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HARTH PL",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858107",
            "telephone_number": "843-875-7901",
            "fax_number": "843-932-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINO",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "83087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Endocrinology, LLC
• Magnolia Family Dental LLC
• Magnolia Mental Health, LLC
• Magnolia Speech and Language, LLC
• Bernice Magwood
• Brittany Latasha Major, APRN,FNP-BC
• Tron Malachowski, D.C.
• William Malcolm, LISW-CP
• Kalista T Malette, PA-C
• McKenzie Rae Mallen

• Family Medicine Physician in Summerville, SC
• Providers in Summerville, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.