Organization Active NPI

Palmetto Health &Wellness/Oasis Skincare

Doing business as Oasis Skincare ,LLC

  • Clinic/Center
  • Orangeburg, SC
National Provider Identifier
1801059928
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
19256 Issued in SC
Legal business name
PALMETTO HEALTH &WELLNESS/OASIS SKINCARE
Doing business as
Oasis Skincare ,LLC
Practice address
1101 Cook Rd
Orangeburg, SC 29118-8204
Phone
(803) 535-3961
Fax
(803) 535-3962
NPI assigned
Jul 9, 2008
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
OASIS SKINCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. Patricia Ellen Riddle, M.D.NPI 1447280946
Title
Medical Director (Owner)
Phone
(803) 535-3961

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 19256 SC Primary

Addresses

Primary practice location

1101 Cook Rd
Orangeburg, SC 29118-8204

Mailing address

1101 Cook Rd
Orangeburg, SC 29118-8204
Phone (803) 535-3961

Other names 1

  • Oasis Skincare ,LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Palmetto Health Wellnessoasis Skincare

Locations

1101 Cook Rd
Orangeburg, SC 29118
Phone (803) 535-3961

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1801059928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 COOK RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291188204",
            "telephone_number": "803-535-3961",
            "fax_number": "803-535-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 COOK RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291188204",
            "telephone_number": "803-535-3961",
            "fax_number": "803-535-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HEALTH &WELLNESS/OASIS SKINCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OASIS SKINCARE, LLC",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR (OWNER)",
        "authorized_official_telephone_number": "803-535-3961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "19256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis Skincare ,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.