Equilibrium Endocrinology, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

28953 Issued in SC

Legal business name

EQUILIBRIUM ENDOCRINOLOGY, PA

Practice address

622 Trolley Rd
Suite 102
Summerville, SC 29485-5674

Phone

(843) 851-3727

NPI assigned

Aug 13, 2008

Organization subpart

No

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

Authorized official

Name

Orlin Sergev, MD, PHDNPI 1003845207

Title

Owner

Phone

(843) 851-3727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

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

• Orlin Sergev, M.D., PH.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Summerville, SC
  • NPI 1003845207
  Medicare reassignment Care Compare group Authorized official
• Erica Damico Gunnells, FNP

  • Family Nurse Practitioner
  • Charleston, SC
  • NPI 1912131285
  Medicare reassignment Care Compare group NPD
• Carissa D Michel, FNP-C

  • Nurse Practitioner
  • Ladson, SC
  • NPI 1942186143
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1962658740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 TROLLEY RD",
            "address_2": "SUITE 102",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855674",
            "telephone_number": "843-851-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 TROLLEY RD",
            "address_2": "SUITE 102",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855674",
            "telephone_number": "843-851-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM ENDOCRINOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "SERGEV",
        "authorized_official_first_name": "ORLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-851-3727",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "28953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Encarnacion
• Endless Horizons Counseling, LLC
• Deborah Boyle Engelman, LPC
• Otis Edward Engelman, MD
• Sandi E Engler, PA-C
• Kara Leanne Erb, MA, LPC, NCC
• Eric S. Stem, M.D.
• James Clayton Erickson, D.C.
• Etai Eshel, PARAMEDIC
• Rica Mae Espinosa

• Specialist in Summerville, SC
• Providers in Summerville, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.