MALLORY PARKER (NPI# 1033589080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033589080 |
| Entity Type | Individual |
| Full Name | MALLORY PARKER |
| Credential | PA-C |
| Practice Address |
2720 Sunset Blvd West Columbia SC 29169-4810 |
| Mailing Address |
470 Hulon Ln West Columbia SC 29169-4841 |
| Practice Telephone | 8037912480 |
| Practice Fax Number | 8039364102 |
| Mailing Telephone | 8037912480 |
| Enumeration Date | 2015-10-03 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2584 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 7774 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588183602 | Mallory Parker | Social Worker | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2017-09-11 |
| Street Address |
2720 SUNSET BLVD |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708614 | William M Luce | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2005-05-27 |
| 1376144972 | Lexington Health Inc | Internal Medicine | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-11-02 |
| 1003416066 | Lexington Health Inc | Physical Therapist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-29 |
| 1962002915 | Lexington Health Inc | Emergency Medicine | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-29 |
| 1275133373 | Sean Tran | Pharmacist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-28 |
| 1538767645 | Lexington Health Inc | Radiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-12 |
| 1083212294 | Lexington Health Inc | Radiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-12 |
| 1942808159 | Lexington Health Inc | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-12 |
| 1386241834 | Lexington Health Inc | General Acute Care Hospital | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-07 |
| 1609483247 | Daria Patres Spratley | Dietitian, Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134418270 | Laura Ann Rate | Physician Assistant | 146 E Hospital Dr Ste 140, West Columbia, SC 29169-4800 | 2011-03-29 |
| 1578676417 | Sabrina Phillips Garrison | Physician Assistant | 513 S Columbia Dr, West Columbia, TX 77486-3025 | 2006-08-16 |
| 1730188517 | Jennifer G D'antoni | Physician Assistant | 3231 Sunset Blvd, Suite C, West Columbia, SC 29169-3483 | 2005-07-14 |
| 1609485333 | Gerardo A Santiago Jr. | Physician Assistant | 110 Medical Cir, West Columbia, SC 29169-3642 | 2020-07-28 |
| 1205480803 | Shelley S Crawford | Physician Assistant | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2019-07-31 |
| 1962900357 | Andre Johnathan Kennedy | Physician Assistant | 111 W Hospital Dr, West Columbia, SC 29169-3405 | 2018-01-31 |
| 1477098192 | Eric T Holberton | Physician Assistant | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2017-01-04 |
| 1346794732 | Gary Alan Benda Jr. | Physician Assistant | 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 | 2016-08-15 |
| 1790148823 | Morgan Mixon Armstrong | Physician Assistant | 3314 Platt Springs Rd, West Columbia, SC 29170-2204 | 2016-04-05 |
| 1336529981 | Amber L Keck Hill | Physician Assistant | 1053 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2015-06-08 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.