DR. SAMUEL KEITH PARISH M.D. NPI 1376527580

NPI Information

NPI: 1376527580
Provider Name: DR. SAMUEL KEITH PARISH, M.D.
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
5133 RIVERS AVE
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 789-1786
Get Directions

DR. Samuel Keith Parish, M.D. is an addiction medicine family medicine in North Charleston, SC with 36 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Samuel Keith Parish, M.D. NPI is 1376527580. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year:1988

The provider's business location address is:

5133 RIVERS AVE
NORTH CHARLESTON, SC
ZIP 29406-338
Phone: (843) 789-1786
Fax: (843) 958-1263

The NPI 1376527580 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2005 and was last updated on 10/11/2023.

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	207Q00000X	Family Medicine		42966	TENNESSEE	No
2	207Q00000X	Family Medicine		ME98798	FLORIDA	No
3	207QA0401X	Family Medicine	Addiction Medicine	ME98798	FLORIDA	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	02146	OTHER	FLORIDA	BCBS
2	024147900	MEDICAID	FLORIDA

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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