HOPE CLINIC - NORTH CHARLESTON
NPI 1205017860
Internal Medicine in North Charleston, SC

NPI Status: Active since November 23, 2007

Contact Information

5880 RIVERS AVE
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 725-4673
Fax: (843) 725-1235

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  • Organization
  • Internal Medicine

About HOPE CLINIC - NORTH CHARLESTON

This page provides the complete NPI Profile along with additional information for Hope Clinic - North Charleston, an internist established in North Charleston, South Carolina operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1205017860 assigned on November 2007. The practitioner's primary taxonomy code is 207R00000X with license number 20234 (SC). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Hope Clinic - North Charleston. The authorized official of this NPI record is Dr. Temisan L Etikerentse M.d (Medical Doctor, Ceo)

NPI
1205017860
Provider Legal Name
HOPE CLINIC LLC
Other Organization Name
HOPE CLINIC - NORTH CHARLESTON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5880 RIVERS AVE NORTH CHARLESTON, SC 29406
Location Phone
(843) 725-4673
Location Fax
(843) 725-1235
Mailing Address
5880 RIVERS AVE NORTH CHARLESTON, SC 29406
Mailing Phone
(843) 725-4673
Mailing Fax
(843) 725-1235
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-23-2007
Last Update Date
03-07-2023
Code Navigator

An internist like Hope Clinic - North Charleston is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
20234
License State
SC
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TEMISAN L ETIKERENTSE M.D

Authorized Official Title
MEDICAL DOCTOR, CEO
Authorized Official Phone
(843) 725-4673

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
20234OTHER (01)SCSTATE LICENSE
20067813-001OTHER (01)SCFIRST CHOICE
GP4815MEDICAID (05)SC 
75767OTHER (01)SCSC PCF
JB021584OTHER (01)SCJUA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205017860
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22050114812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 0 + 1 + 1 + 4 + 8 + 1 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1205017860 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952585564 WAKESHA T EVANS PA-C
Individual
Physician Assistant (Medical)5880 RIVERS AVE
NORTH CHARLESTON, SC 29406
(843) 725-4673
1699000471 CLAIRE HAMER KIRKPATRICK PA-C
Individual
Physician Assistant (Medical)5880 RIVERS AVE
NORTH CHARLESTON, SC 29406
(843) 725-4673
1043509144MRS. KATHRYN ANNE BORKERT PA
Individual
Physician Assistant5880 RIVERS AVE
NORTH CHARLESTON, SC 29406
(843) 725-4673
1679943419 PORTIA BROOKS
Individual
Technician, Other5880 RIVERS AVE
NORTH CHARLESTON, SC 29406
(843) 725-4673
1437529260HOPE CLINIC
Organization
Clinic/Center (Primary Care)5880 RIVERS AVE
NORTH CHARLESTON, SC 29406
(843) 725-4673
1154582047 KAREY L BREEN M.D.
Individual
Family Medicine5880 RIVERS AVE
NORTH CHARLESTON, SC 29406
(843) 225-2374
1992276091PREMIER MEDICAL OF SC LLC
Organization
Family Medicine5880 RIVERS AVE
NORTH CHARLESTON, SC 29406
(843) 225-2374

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205017860, enumerated in the NPI registry as an "organization" on November 23, 2007

The provider is located at 5880 Rivers Ave North Charleston, Sc 29406 and the phone number is (843) 725-4673

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.