Organization Active NPI

Internal Medicine Healthcare, P.a.

  • Internal Medicine Physician
  • Beaufort, SC
National Provider Identifier
1750385274
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10330 Issued in SC
Legal business name
INTERNAL MEDICINE HEALTHCARE, P.A.
Practice address
1055 Ribaut Rd
Ste 10
Beaufort, SC 29902-3402
Phone
(843) 524-2100
Fax
(843) 525-9613
NPI assigned
Jun 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Edward J McNeil, M.D.
Title
Owner
Phone
(843) 524-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 10330 SC Primary

Addresses

Primary practice location

1055 Ribaut Rd
Ste 10
Beaufort, SC 29902-3402

Mailing address

1055 Ribaut Rd
Ste 10
Beaufort, SC 29902-3402
Phone (843) 524-2100

Other identifiers 1

IdentifierTypeStateIssuer
GP1566MedicaidSC

National Provider Directory

National Provider Directory

Locations

11 Todd Dr
Beaufort, SC 29902
Phone (843) 524-8911

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1750385274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 RIBAUT RD",
            "address_2": "STE 10",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299023402",
            "telephone_number": "843-524-2100",
            "fax_number": "843-525-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 RIBAUT RD",
            "address_2": "STE 10",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299023402",
            "telephone_number": "843-524-2100",
            "fax_number": "843-525-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE HEALTHCARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-524-2100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "10330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1566",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.