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AIKEN PROFESSIONAL ASSOCIATION LLC NPI 1639479801


NPI Information

NPI: 1639479801
Provider Name: AIKEN PROFESSIONAL ASSOCIATION, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 42D1079917

Address:
420 SOCIETY HILL DR STE 200
AIKEN, SC
ZIP 29803
Phone: (803) 649-7266
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AIKEN PROFESSIONAL ASSOCIATION, LLC is an internal medicine in Aiken, SC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. AIKEN PROFESSIONAL ASSOCIATION, LLC NPI is 1639479801. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

420 SOCIETY HILL DR STE 200
AIKEN, SC
ZIP 29803-731
Phone: (803) 649-7266

The provider's authorized official is Todd Evans .
The authorized official title is Cfo and has the following contact phone number (610) 382-4334.

The CLIA number assigned to this NPI record is 42D1079917 - ambulatory surgery center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/22/2010 and was last updated on 6/26/2019.


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
1207Q00000XFamily MedicineSOUTH CAROLINANo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RG0100XInternal MedicineGastroenterologySOUTH CAROLINANo
4207RI0011XInternal MedicineInterventional CardiologyNo
5207V00000XObstetrics & GynecologyNo
6207X00000XOrthopaedic SurgeryNo
7208600000XSurgerySOUTH CAROLINANo
8208800000XUrologyNo
9208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
10363L00000XNurse PractitionerNo
11207R00000XInternal MedicineSOUTH CAROLINAYes

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
11639479801OTHERSOUTH CAROLINABCBS SC
2GP5588MEDICAIDSOUTH CAROLINA
3DR4297OTHERSOUTH CAROLINARAILROAD MEDICARE

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.