Core I Med LLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

CORE I MED LLC

Practice address

105 Stone Village Dr
Fort Mill, SC 29708-6489

Phone

(803) 548-2610

NPI assigned

Sep 6, 2019

Last updated

Sep 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Farshad HosseiniNPI 1770040073

Title

Managing Member

Phone

(980) 229-1449

Specialties & licenses 1

Addresses

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.

• Farshad Hosseini

  • Case Manager/Care Coordinator
  • Fort Mill, SC
  • NPI 1770040073
  NPD (past) Authorized official

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1912556598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 PLEASANT RD # 11605",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STONE VILLAGE DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086489",
            "telephone_number": "803-548-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE I MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "HOSSEINI",
        "authorized_official_first_name": "FARSHAD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "980-229-1449",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebonik Corbett, LMSW
• Grace Corbett
• Andrea Cordle, PT, ATC
• Kyra H Cordle, SLP
• Core Dentistry LLC
• Core Physical Therapy LLC
• Kathryn Corn, PT, DPT
• Kimberly Correa, FNP
• Corrective Chiropractic Fort Mill
• Costa Clinic of Chiropractic, LLC

• Electrodiagnostic Medicine Physician in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Electrodiagnostic Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.