MARY ANN HADEN (NPI# 1013977156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013977156 |
| Entity Type | Individual |
| Full Name | MARY ANN HADEN |
| Credential | MD |
| Practice Address |
606 Black River Rd Georgetown SC 29440-3304 |
| Mailing Address |
Po Box 2249 Pawleys Island SC 29585-2249 |
| Practice Telephone | 8432373378 |
| Practice Fax Number | 8432375073 |
| Mailing Telephone | 8432373378 |
| Mailing Fax Number | 8432375073 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2012-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
11960 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 119605 | 05 | |
| SC | RAILROAD | 300063900 | 01 |
| Street Address |
606 BLACK RIVER RD |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301731 | Mary L Michael | Nurse Anesthetist, Certified Registered | 606 Black River Rd, Georgetown, SC 29440-3304 | 2005-07-22 |
| 1518489814 | Pauline A Seebode | Nurse Practitioner | 606 Black River Rd, Georgetown, SC 29440-3304 | 2017-07-09 |
| 1588191134 | Michael Patrick Stribos | Emergency Medicine | 606 Black River Rd, Georgetown, SC 29440-3304 | 2017-05-15 |
| 1104365857 | Kristen Miller | Nurse Anesthetist, Certified Registered | 606 Black River Rd, Georgetown, SC 29440-3304 | 2017-02-14 |
| 1083096192 | Adam Christopher Hughes | Internal Medicine | 606 Black River Rd, Georgetown, SC 29440 | 2015-06-25 |
| 1619364031 | Agnes Edwards | Social Worker | 606 Black River Rd, Georgetown, SC 29440 | 2015-04-23 |
| 1700293081 | Christopher Devault | Specialist/Technologist | 606 Black River Rd, Georgetown, SC 29440-3304 | 2014-07-17 |
| 1790070415 | Lananh Nguyen | Internal Medicine | 606 Black River Rd, Georgetown, SC 29440-3304 | 2011-06-10 |
| 1255634069 | Family Pharmacy At Gmh | Pharmacy | 606 Black River Rd, Georgetown, SC 29440-3304 | 2010-12-16 |
| 1699903898 | Matthew Bernstein | Pathology | 606 Black River Rd, Georgetown, SC 29440-3304 | 2009-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
| 1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
| 1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
| 1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
| 1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
| 1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
| Find all providers in zip 29440 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689165961 | Georgetown Radiology Associates, Pllc. | Radiology | 113 Tanksley Cir, Georgetown, TX 78628-5320 | 2018-05-23 |
| 1467760975 | John Martin Reed | Radiology | 100 Gatewood Drive, Georgetown, KY 40324 | 2010-09-17 |
| 1972720233 | Georgetown Open Mri Center | Radiology | 104 Lawson Dr, Unit 100, Georgetown, KY 40324-8998 | 2007-04-19 |
| 1942397716 | Patricia Ann Lowry | Radiology | 302 Davis Mountain Cir, Georgetown, TX 78633-5728 | 2006-10-05 |
| 1205860392 | Kerry K Ford | Radiology | 510 E 15th St, Georgetown, TX 78626-6941 | 2006-07-11 |
| 1184816639 | Julie A Farrell Md Inc | Radiology | 425 Home St, Georgetown, OH 45121-1407 | 2007-08-17 |
| 1831103845 | Carter L Brown | Radiology | 606 Black River Rd, Georgetown, SC 29440-3304 | 2006-07-27 |
| 1407802309 | Julie A Farrell | Radiology | 425 Home St, Georgetown, OH 45121-1407 | 2006-05-25 |
| 1538125018 | Georgetown Radiology | Radiology | 606 Black River Rd, Georgetown, SC 29440-3304 | 2006-04-25 |
| 1780644823 | George T Deschamps Jr. | Radiology | 606 Black River Rd, Georgetown, SC 29440-3304 | 2006-03-24 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 29440 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.