SHERIDAN EMERGENCY PHYSICIAN SERVICES OF SOUTH CAROLINA, PA (NPI# 1033453618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033453618 |
| Entity Type | Organization |
| Organization Name | SHERIDAN EMERGENCY PHYSICIAN SERVICES OF SOUTH CAROLINA, PA |
| Practice Address |
200 Fleetwood Dr Easley SC 29640-2022 |
| Mailing Address |
Po Box 452215 Sunrise FL 33345-2215 |
| Practice Telephone | 8644427200 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |
| Authorized Official Name | PAUL A ANDRULONIS (PRESIDENT) |
| Authorized Official Telephone | 9548382371 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
200 FLEETWOOD DR |
| City | EASLEY |
| State | SC |
| Zip Code | 29640-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508836974 | Easley M R I L L C | Radiology | 200 Fleetwood Dr, Suite 100, Easley, SC 29640-2022 | 2006-01-26 |
| 1992306914 | Connie Burth | Pharmacist | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2020-11-05 |
| 1609476985 | Pamela Page Polk | Pharmacist | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2020-10-27 |
| 1134728140 | Rhett Powell | Pharmacist | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2020-10-21 |
| 1063044600 | Jacquelyn Nicole Greene | Internal Medicine | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2020-02-11 |
| 1538635057 | Kathryn Lybrand | Dietitian, Registered | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2018-10-23 |
| 1639656713 | Prisma Health-upstate | General Acute Care Hospital | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2018-07-23 |
| 1376053298 | Lynn Kelsey Kline | Dietitian, Registered | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2017-10-05 |
| 1194254318 | Dorothy Warren Shovlin | Nurse Practitioner | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2017-06-10 |
| 1154859031 | Baptist Easley | Family Medicine | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2017-05-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063935773 | Mary Kathryn Henderson | Speech-Language Pathologist | 1400 Griffin Mill Road, Easley, SC 29640 | 2017-07-25 |
| 1417309451 | Ashby Park Pediatric Dentistry Easley | Dentist | 708 North A Street, Easley, SC 29640 | 2016-07-01 |
| 1548696990 | Phuong T Tran | Pharmacist | 309 Rolling Hills Circle, Easley, SC 29640 | 2013-09-17 |
| 1538593017 | Baptist Easley Hospital | Clinic/Center | 200 Fleet Wood Dr 3 Rd Floor, Easley, SC 29640 | 2013-09-03 |
| 1942507173 | Joanne Mason Wilkinson | Occupational Therapist | 1807a East Main St, Easley, SC 29640 | 2011-02-24 |
| 1861793911 | Ark Pharmacy Services LLC | Pharmacy | 5119- A Calhoun Memorial Hwy, Easley, SC 29640 | 2010-11-05 |
| 1659507952 | Sarah Elizabeth Proulx | Dentist | 227 South Pendleton Street, Suita A, Easley, SC 29640 | 2009-06-02 |
| 1508030503 | Jean Claire Palmour | Massage Therapist | 404 South Fifth Street, Jj & Company Salon & Spa, Easley, SC 29640 | 2008-04-22 |
| 1760685143 | Cannon Memorial Hospital | Family Medicine | 111 W. Roper Rd., Easley, SC 29640 | 2007-06-06 |
| 1942419171 | William Kent Hammond | Dentist | 298 Enterprise Dr, Easley, SC 29640 | 2007-05-22 |
| Find all providers in zip 29640 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417296393 | Doctors Care Sc, Pa | Emergency Medicine | 832 Powdersville Rd, Easley, SC 29642-3706 | 2013-02-12 |
| 1043263718 | David Franklin Carver | Emergency Medicine | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2006-05-17 |
| 1871542167 | John Worsham | Emergency Medicine | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2006-05-06 |
| 1568410223 | Joseph O'quinn | Emergency Medicine | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628898 | Gary L. Rose | Emergency Medicine | 1755 Ashley Hall Rd Apt E2, Charleston, SC 29407-3815 | 2020-08-05 |
| 1528690377 | Novant Health, Inc. | Emergency Medicine | 1423 Red Ventures Dr, Fort Mill, SC 29707-5019 | 2020-02-10 |
| 1912541814 | Colonial Family Practice, LLC | Emergency Medicine | 327 Broad St, Sumter, SC 29150-4152 | 2019-11-04 |
| 1962061747 | Nathan Barr | Emergency Medicine | Musc Emergency Department 171 Ashley Ave, Charleston, SC 29425-0001 | 2019-06-06 |
| 1942867767 | Robert Lee Stanley | Emergency Medicine | Emergency Medicine Dept, 14 Medical Park, Ste 350, Columbia, SC 29203 | 2019-05-28 |
| 1790349355 | Romie Sarand Barnes | Emergency Medicine | Emergency Medicine Administration, 14 Medical Park, Ste 350, Columbia, SC 29203 | 2019-04-29 |
| 1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
| 1457825846 | Aiken Professional Association LLC | Emergency Medicine | 110 Sasanqua Drive, Graniteville, SC 29829-4136 | 2019-01-18 |
| 1104393214 | David Weitzman Md PC | Emergency Medicine | 2423 Highway 17 S, North Myrtle Beach, SC 29582-4343 | 2018-10-26 |
| 1629561089 | John Brenton Bushkar | Emergency Medicine | 169 Ashley Ave Rm Nt265, Charleston, SC 29425 | 2018-06-11 |
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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.