FLEETWOOD INTERNAL MEDICINE PA – NPI #1104812692
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

FLEETWOOD INTERNAL MEDICINE PA is a provider located in EASLEY, SC. NPPES has assigned the NPI number 1104812692 to FLEETWOOD INTERNAL MEDICINE PA on September 21, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 19 years ago on Oct 31, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FLEETWOOD INTERNAL MEDICINE PA below.

NPI Profile for
FLEETWOOD INTERNAL MEDICINE PA

NPI Number
1104812692
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FLEETWOOD INTERNAL MEDICINE PA
Primary location
109B FLEETWOOD DR
EASLEY, SC 29640-2019
Phone: (864) 855-1036 Fax: (864) 855-3318
Mailing address
PO BOX 309
PICKENS, SC 29671-0309
Phone: (864) 850-1441 Fax: (864) 850-1482
Organization Subpart
No
Authorized Official
LAWRENCE STROUD
PRESIDENT
Phone: (864) 855-1036
Updated
Identifiers

Identifiers for FLEETWOOD INTERNAL MEDICINE PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCPA4726
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
SC 851
207RC0000X
- Internal Medicine / Cardiovascular Disease
SC 9099
207QA0401X
- Family Medicine / Addiction Medicine
SC 8878

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.