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TIDES GASTROENTEROLOGY, LLC
NPI 1437566510
Internal Medicine - Gastroenterology in Mt Pleasant, SC

Active since July 21, 2014
159 E SHIPYARD RD, MT PLEASANT, SC 29464(843) 743-4241 Get Directions Write a Review

NPPES record last updated: July 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tides Gastroenterology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDES GASTROENTEROLOGY, LLC (NPI 1437566510) is a healthcare organization registered as a gastroenterology in Mt Pleasant, South Carolina and active in the NPI registry since July 2014. The organization lists Jeffrey Dorociak, President, as its authorized official.

NPPES Registry Identity

NPI1437566510
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameTIDES GASTROENTEROLOGY, LLC
Location Address159 E SHIPYARD RDMt Pleasant, SC 29464-2677
Mailing Address159 E Shipyard RdMt Pleasant, SC 29464-2677
Phone(843) 743-4241
Organization SubpartNo
Authorized OfficialJeffrey DorociakPresident · (843) 743-4241
Enumeration DateJuly 21, 2014
✔ NPI 1437566510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

159 E SHIPYARD RD, Mt Pleasant, SC 29464
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tides Gastroenterology, LLC's NPI number?

The NPI number for Tides Gastroenterology, LLC is 1437566510. It was assigned to this organization in the NPPES registry on July 21, 2014.

Where is Tides Gastroenterology, LLC located?

Tides Gastroenterology, LLC is located at 159 E Shipyard Rd, Mt Pleasant, SC 29464. The listed phone number is (843) 743-4241.

What is Tides Gastroenterology, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Tides Gastroenterology, LLC was last updated on July 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.