Tarunendu S Dwivedi MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

26861 Issued in SC

Legal business name

TARUNENDU S DWIVEDI MD PC

Practice address

1721 Ebenezer Rd
Suite 265
Rock Hill, SC 29732-4103

Phone

(803) 329-7778

Fax

(803) 329-7843

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tarunendu Shekhar Dwivedi, MDNPI 1063481844

Title

President

Phone

(803) 329-7778

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

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

• Tarunendu Shekhar Dwivedi, M.D.

  • Psychiatry Physician
  • Rock Hill, SC
  • NPI 1063481844
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1679622013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 EBENEZER RD",
            "address_2": "SUITE 265",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297324103",
            "telephone_number": "803-329-7778",
            "fax_number": "803-329-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 EBENEZER RD",
            "address_2": "SUITE 265",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297324103",
            "telephone_number": "803-329-7778",
            "fax_number": "803-329-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARUNENDU S DWIVEDI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "DWIVEDI",
        "authorized_official_first_name": "TARUNENDU",
        "authorized_official_middle_name": "SHEKHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-329-7778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "26861",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "26861",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268613",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lachrista S Talford
• Todd Tambling
• Scholastica Njilefac Tanyi-Agyeman, RBT
• Krysten Tarbell
• Laura Tarnowski
• Porsha Tate, BSN, RN
• Shelby Leigh Tate, DC, MS
• Tattle Tales Speech and Language Therapy
• Tawana Feimster, DDS, Ms, PLLC
• Amber Nicole Taylor, RBT

• Psychiatry Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.