PALMETTO BONE & JOINT PA (NPI# 1083664395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083664395 |
| Entity Type | Organization |
| Organization Name | PALMETTO BONE & JOINT PA |
| Other Organization Name | PHYSICIANS HEALTH AND REHAB |
| Practice Address |
105 Physicians Park Dr Clinton SC 29325-7551 |
| Practice Telephone | 8649380111 |
| Practice Fax Number | 8649380811 |
| Mailing Telephone | 8649380111 |
| Mailing Fax Number | 8649380811 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2016-08-15 |
| Authorized Official Name | DR. PHILLIP H MILNER (OWNER) |
| Authorized Official Telephone | 8649380611 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SL0033 | 05 |
| Other Name | Type Code |
|---|---|
| Physicians Health and Rehab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720295793 | Palmetto Bone & Joint Pa | Physical Therapist | 22971 Highway 76 E, Clinton, SC 29325-7529 | 2007-05-17 |
| Street Address |
105 PHYSICIANS PARK DR |
| City | CLINTON |
| State | SC |
| Zip Code | 29325-7551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902320005 | Steven Blake Vinson | Physical Therapist | 105 Physicians Park Dr, Clinton, SC 29325-7551 | 2017-07-31 |
| 1760906895 | John Gordon | Physical Therapist | 105 Physicians Park Dr, Clinton, SC 29325-7551 | 2017-07-31 |
| 1932622297 | Alexander James Brook | Physical Therapist | 105 Physicians Park Dr, Clinton, SC 29325-7551 | 2017-07-19 |
| 1003122268 | Lindsay Simmons Edwards | Physical Therapist | 105 Physicians Park Dr, Clinton, SC 29325-7551 | 2010-08-26 |
| 1821293721 | Physical Rehabilitation Group, LLC | Physical Therapist | 105 Physicians Park Dr, Clinton, SC 29325-7551 | 2007-06-19 |
| 1861523664 | Kenneth Darrell Austin | Physical Therapist | 105 Physicians Park Dr, Clinton, SC 29325-7551 | 2007-03-07 |
| 1184701591 | Sarah Revis Wyatt | Physical Therapist | 105 Physicians Park Dr, Clinton, SC 29325-7551 | 2006-11-01 |
| 1225045503 | Koskie Gibson | Occupational Therapist | 105 Physicians Park Dr, Clinton, SC 29325-7551 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353100 | Mason Paige Gambrell | Student in an Organized Health Care Education/Training Program | 107 Shellcreek Ct, Clinton, SC 29325 | 2020-07-07 |
| 1386207975 | Tammy Binger | Registered Nurse | 22725 U.S. 76, Clinton, SC 29325 | 2019-04-18 |
| 1154828945 | Lillian Smith | Physical Therapy Assistant | Nhc Clinton, 304 Jacobs Highway, Clinton, SC 29325 | 2018-04-09 |
| 1134519366 | Nora Pace | Specialist/Technologist | 18132 Hwy 72 E, Clinton, SC 29325 | 2015-01-26 |
| 1497186845 | John M. Griz | Orthopaedic Surgery | 22971 Hwy 76e, Clinton, SC 29325 | 2013-12-11 |
| 1992131171 | Sharon Kay Stoia | Occupational Therapist | 600 Plaza Circle, Clinton, SC 29325 | 2013-09-19 |
| 1578800256 | Hayes Ambulance Service LLC | Ambulance | 2143 Torrington Road, Clinton, SC 29325 | 2013-01-14 |
| 1083943518 | Margaret Estelle Shreve | Chiropractor | 209 Musgrove St, Clinton, SC 29325 | 2009-12-11 |
| 1750556213 | Piedmont Regional Urology | Urology | 300 Plantation Plaza, Suite F, Clinton, SC 29325 | 2008-04-25 |
| 1285821587 | Assisted Living Concepts Inc | Assisted Living Facility | 939 Springdale Drive, Clinton, SC 29325 | 2007-10-01 |
| Find all providers in zip 29325 | ||||
| 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 |
|---|---|---|---|---|
| 1043587629 | Clifton L Hester Jr. | Radiology | 607 E Leake St, Clinton, MS 39056-4300 | 2011-11-26 |
| 1225101173 | Palmetto Radiology, Pa | Radiology | 22725 Highway 76e, Clinton, SC 29325 | 2006-11-16 |
| 1003864554 | John P Hamlin | Radiology | 100 N. 30th St, Clinton, OK 73601-3831 | 2006-05-05 |
| 1538157094 | Brian Donnelly | Radiology | 1 Dogwood Drive, Clinton, NJ 08809-0388 | 2005-10-10 |
| 1174521330 | Clinton X-ray Associates, Pa | Radiology | 409 Cooper Dr, Clinton, NC 28328-2817 | 2005-07-12 |
| 1548268709 | Terry Patrick Ginthner | Radiology | 409c Cooper Dr, Clinton, NC 28328-2817 | 2005-07-12 |
| 1568613909 | Angela Maryann Pansera | Radiology | 7801 Old Branch Ave, Ste 300, Clinton, MD 20735-1608 | 2008-10-03 |
| 1851564181 | Austin Luel Jones | Radiology | 1600 N 2nd St, Clinton, MO 64735-1192 | 2008-04-08 |
| 1205039534 | Michael Andrew Gilbert | Radiology | 1600 N 2nd St, Clinton, MO 64735-1192 | 2007-06-06 |
| 1457475105 | Raymond E Waters IIi | Radiology | 7503 Surratts Road, Clinton, MD 20735-3395 | 2007-03-19 |
| Find all providers in CLINTON | ||||
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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.