BAXTER MCLENDON (NPI# 1033160254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033160254 |
Entity Type | Individual |
Full Name | BAXTER MCLENDON |
Credential | M.D. |
Practice Address |
333 Revolutionary Trl Fairfax SC 29827-7109 |
Mailing Address |
Po Box 599 Brunson SC 29911-0599 |
Practice Telephone | 8036322533 |
Practice Fax Number | 8036322451 |
Mailing Telephone | 8036321699 |
Mailing Fax Number | 8036322451 |
Enumeration Date | 2006-05-12 |
Last Update Date | 2013-01-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 6266 | SC | Other Service Providers |
Y | 207W00000X | Ophthalmology | 6266 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 062666 | 05 | |
SC | GP1355 | 05 | |
SC | GP2629 | 05 |
Street Address |
333 REVOLUTIONARY TRL |
City | FAIRFAX |
State | SC |
Zip Code | 29827-7109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851656243 | Wanda W Tutt | Dietitian, Registered | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2012-07-11 |
1649414905 | Walter R Kirby | Physician Assistant | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2009-04-29 |
1104979061 | Delois Daniels | Nurse Practitioner | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2007-01-22 |
1164516209 | Bobbie Franklin Ayers Jr. | Family Medicine | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2006-10-03 |
1538170121 | Lucille Miley Sanders | Nurse Practitioner | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2006-08-10 |
1003820531 | Richard Boyles | Family Medicine | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2006-07-28 |
1407878366 | Janet M Mckissick | Family Medicine | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2006-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467843078 | We Care Family Resource LLC | Point of Service | 513 Bayshore Dr., Fairfax, SC 29827 | 2015-02-18 |
1154606440 | Robert M. Haberkorn Dds | Clinic/Center | 1987 Allendale Fairfax Hwy., Fairfax, SC 29827 | 2011-10-18 |
1144370503 | Allendale County Hospital Board | Clinic/Center | 1787 Allendale Fairfax Highway, Fairfax, SC 29827 | 2007-01-10 |
1336246677 | Allendale County Hospital Board | Skilled Nursing Facility | 185 Revolutionary Trail, Fairfax, SC 29827 | 2006-09-20 |
1881646669 | Shenika L. Marshall-hill | Counselor | 1594 Beaufort Ave. S., Fairfax, SC 29827 | 2006-05-17 |
1588623540 | Rebecca Lynn Wilkes | Nurse Practitioner | 333 Revolutionary Trail, Fairfax, SC 29827 | 2006-03-20 |
1497745012 | Robert M Haberkorn | Dentist | 1987 Allendale-fairfax Hwy, Fairfax, SC 29827 | 2005-10-25 |
1588815021 | James Robert Mynatt | Nurse Practitioner | 333 Revolutionary Trail, Fairfax, SC 29827 | 2008-10-02 |
1063607646 | Mol Ky | General Practice | 333 Revolutionary Trail, Fairfax, SC 29827 | 2007-09-07 |
1053475566 | Low Country Health Care System, Inc | Pharmacy | 333 Revolutionary Trail, Farifax, SC 29827 | 2006-12-20 |
Find all providers in zip 29827 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649619305 | Northern Virginia Eye Physicians, PC | Ophthalmology | 10721 Main St Ste 3200, Fairfax, VA 22030-6906 | 2013-06-17 |
1205024692 | Fairfax Eye Center, PC | Ophthalmology | 3650 Joseph Siewick Dr Ste 303, Fairfax, VA 22033-1714 | 2007-10-10 |
1689894578 | Prema Modak | Ophthalmology | 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033-2980 | 2007-04-26 |
1376766816 | John Phillip Essepian IIi | Ophthalmology | 3031 Javier Rd Ste 300, Fairfax, VA 22031-4638 | 2007-04-11 |
1750427555 | John Robert Minarcik Jr. | Ophthalmology | 8505 Arlington Blvd Ste 300, Fairfax, VA 22031-4630 | 2007-01-29 |
1881663102 | Fairfax Eye Associates Inc | Ophthalmology | 9936 Main St, Fairfax, VA 22031 | 2006-03-17 |
1407824394 | Jacqueline Jiang Fredrick | Ophthalmology | 12011 Lee Jackson Mem Hwy #305, Fairfax, VA 22033 | 2006-03-08 |
1003814534 | David Benjamin Summer | Ophthalmology | 3031 Javier Rd, Suite 300, Fairfax, VA 22031-4637 | 2005-07-08 |
1982067112 | Meghan Giurintano Moroux | Ophthalmology | 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033-2980 | 2016-04-04 |
1275904674 | Eye Specialists and Surgeons of Northern Virginia, LLC | Ophthalmology | 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033-2980 | 2015-10-12 |
Find all providers in FAIRFAX |
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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.