LIMESTONE COLLEGE (NPI# 1033585310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033585310 |
| Entity Type | Organization |
| Organization Name | LIMESTONE COLLEGE |
| Other Organization Name | LIMESTONE COLLEGE SPORTS MEDICINE |
| Practice Address |
1115 College Dr Gaffney SC 29340-3778 |
| Mailing Address |
Po Box 650850 Dallas TX 75265-0850 |
| Practice Telephone | 8644888361 |
| Practice Fax Number | 9723673451 |
| Mailing Telephone | 8005559073 |
| Mailing Fax Number | 9723673452 |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |
| Authorized Official Name | MOUZON BASS III (AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Limestone College Sports Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LIMESTONE COLLEGE | 1115 College Dr, Gaffney, SC 29340-3799 |
| Street Address |
1115 COLLEGE DR |
| City | GAFFNEY |
| State | SC |
| Zip Code | 29340-3778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487736088 | Meredith B Hamilton | Social Worker | 1115 College Dr, Gaffney, SC 29340-3778 | 2006-10-20 |
| 1306471933 | Elizabeth Delanie Turner | Specialist/Technologist | 1115 College Dr, Gaffney, SC 29340-3799 | 2020-03-04 |
| 1487209680 | Raymond Marrero | Specialist/Technologist | 1115 College Dr, Gaffney, SC 29340-3778 | 2019-08-05 |
| 1356829139 | Vanessa Fulbright | Specialist/Technologist | 1115 College Dr, Gaffney, SC 29340-3799 | 2018-08-02 |
| 1184100380 | Ceckia Pierce | Specialist/Technologist | 1115 College Dr, Gaffney, SC 29340-3778 | 2018-07-11 |
| 1124535547 | Emma O'keefe | Family Medicine | 1115 College Dr, Gaffney, SC 29340-3778 | 2018-01-08 |
| 1366958290 | Brianne Jones | Specialist/Technologist | 1115 College Dr, Gaffney, SC 29340-3778 | 2017-12-14 |
| 1639685514 | Aaron James Ellis | Specialist/Technologist | 1115 College Dr, Gaffney, SC 29340-3778 | 2017-12-14 |
| 1427564319 | Ardejah Beard | Emergency Medical Technician, Basic | 1115 College Dr, Gaffney, SC 29340-3778 | 2017-12-14 |
| 1255857215 | Josh Nelson | Specialist/Technologist | 1115 College Dr, Gaffney, SC 29340-3778 | 2017-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116943 | Mark Reynolds | Nurse Practitioner | 840 West Floyd Baker Blvd, Gaffney, SC 29340 | 2019-07-24 |
| 1477805448 | Upstate Carolina Ems Inc | Ambulance | 145 Medical Center Dr., Gaffney, SC 29340 | 2012-10-15 |
| 1730439811 | Mickey Dean Bailey | Pharmacist | 229 West Buford Dtreet, Gaffney, SC 29340 | 2012-09-14 |
| 1780959825 | Mqp Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 115 W. Buford St., Gaffney, SC 29340 | 2012-03-21 |
| 1750448858 | Peachtree Centre Cherokee County Long Term Health | Assisted Living Facility | 1434 N. Limestone Street, Gaffney, SC 29340 | 2007-01-02 |
| 1629151550 | Otis Donnell Speight | Emergency Medicine | 510 Thompson Street, Dba Ltc Health Solutions, Gaffney, SC 29340 | 2006-10-23 |
| 1881604965 | Andrew P Harakas Md Pa | Specialist | 1552 N Limestone St, Suite C, Gaffney, SC 29340 | 2006-08-09 |
| 1023026358 | Pamela Turner Boone | Pharmacist | 1530 N. Limestone St, Gaffney, SC 29340 | 2006-08-03 |
| 1831126606 | Bruce Douglas Mikota | Chiropractor | 111 West Rutledge Avenue, Gaffney, SC 29340 | 2006-06-27 |
| 1063469062 | John Colby Stowell | Surgery | 117 E Montgomery St, Gaffney, SC 29340 | 2006-05-27 |
| Find all providers in zip 29340 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699839530 | Mary Black Health System LLC | Orthopaedic Surgery | 724 Hyatt St, Suite F, Gaffney, SC 29341-2630 | 2006-12-21 |
| 1952870057 | Spartanburg Medical Center | Orthopaedic Surgery | 1552 N Limestone St Ste B, Gaffney, SC 29340-4750 | 2018-11-19 |
| 1134376734 | Novant Medical Group Inc | Orthopaedic Surgery | 722 Hyatt St, Suite D, Gaffney, SC 29341-2643 | 2008-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139919 | Orthosc LLC | Orthopaedic Surgery | 3620 Walton Dr Unit C-5c6, Myrtle Beach, SC 29577-6781 | 2020-09-17 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1912523085 | Julia Anne Prodoehl | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Surgery, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-24 |
| 1447873815 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 4812 Bluffton Parkway, Bluffton, SC 29910 | 2020-05-20 |
| 1285253336 | Providence Physician Practices LLC | Orthopaedic Surgery | 114 Gateway Corporate Blvd Ste 220a, Columbia, SC 29203-9785 | 2020-04-09 |
| 1528627346 | John Charles Sharpe | Orthopaedic Surgery | Orthopaedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2019-06-06 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1003373820 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 325 Folly Rd Ste 200, Charleston, SC 29412-2507 | 2019-02-28 |
| 1316416415 | Spartanburg Medical Center | Orthopaedic Surgery | 1650 Skylyn Dr Ste 120, Spartanburg, SC 29307-1069 | 2018-11-19 |
| 1134608805 | Optim Orthopedics, LLC | Orthopaedic Surgery | 25 Hospital Center Blvd Ste 100, Hilton Head, SC 29926 | 2018-08-13 |
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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.