REARDEN INTERNAL MEDICINE & GERIATRICS LLC NPI 1245552843

NPI Information

NPI: 1245552843
Provider Name: REARDEN INTERNAL MEDICINE & GERIATRICS LLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 42D2052192

Address:
1205 WISTERIA RD
CHARLESTON, SC
ZIP 29407
Phone: (843) 277-2771
Get Directions

REARDEN INTERNAL MEDICINE & GERIATRICS LLC is a geriatric medicine internal medicine in Charleston, SC. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. REARDEN INTERNAL MEDICINE & GERIATRICS LLC NPI is 1245552843. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1205 WISTERIA RD
CHARLESTON, SC
ZIP 29407-226
Phone: (843) 277-2771
Fax: (843) 277-2778

The provider's authorized official is Gail Lashun Rearden .
The authorized official title is Owner and has the following contact phone number (843) 277-2771.

The CLIA number assigned to this NPI record is 42D2052192 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2010 and was last updated on 5/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0300X	Internal Medicine	Geriatric Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	302586	MEDICAID	SOUTH CAROLINA
2	42D2052192	OTHER	SOUTH CAROLINA	CLAI WAIVER
3	42D2093779	OTHER	SOUTH CAROLINA	CLIA WAIVER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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