DR. MATTHEW STEPHEN MCKILLOP (NPI# 1083702963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083702963 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW STEPHEN MCKILLOP |
| Credential | M.D. |
| Practice Address |
101 Chapman Hill Rd Clemson SC 29631-2194 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8644556900 |
| Practice Fax Number | 3523923606 |
| Mailing Telephone | 8647976174 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME96218 | FL | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME96218 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
61263 | SC | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
ME96218 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003547000 | 05 |
| Street Address |
101 CHAPMAN HILL RD |
| City | CLEMSON |
| State | SC |
| Zip Code | 29631-2194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598764524 | William Bedingfield Jr. | Internal Medicine | 101 Chapman Hill Rd, Clemson, SC 29631-2194 | 2005-07-20 |
| 1801412762 | Lindsey Terbeek | Physical Therapist | 101 Chapman Hill Rd, Clemson, SC 29631-2194 | 2020-06-17 |
| 1386202893 | Erin Leonard Cleveland | Physical Therapist | 101 Chapman Hill Rd, Clemson, SC 29631-2194 | 2019-05-30 |
| 1144714544 | Hilary Koster | Nurse Practitioner | 101 Chapman Hill Rd, Clemson, SC 29631-2194 | 2018-06-19 |
| 1598294787 | Kenneth Ontario Felder | Physical Therapist | 101 Chapman Hill Rd, Clemson, SC 29631-2194 | 2017-06-09 |
| 1477082055 | Carrie S Anderson | Speech-Language Pathologist | 101 Chapman Hill Rd, Clemson, SC 29631-2194 | 2017-06-07 |
| 1679009021 | Jennier Johnston | Physical Therapy Assistant | 101 Chapman Hill Rd, Clemson, SC 29631-2194 | 2017-05-04 |
| 1447797675 | Fredda Patterson | Nurse Practitioner | 101 Chapman Hill Rd, Clemson, SC 29631 | 2017-01-26 |
| 1093267403 | Shannon Edwards Galloway | Physical Therapist | 101 Chapman Hill Rd, Clemson, SC 29631-2194 | 2016-11-02 |
| 1689023020 | Baptist Easley Hospital | Family Medicine | 101 Chapman Hill Rd, Ste. 201, Clemson, SC 29631-2194 | 2016-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059038 | James Ryan Small | Specialist/Technologist | 212 Vista Cir, Clemson, SC 29631 | 2019-12-09 |
| 1811559883 | Cheyenne Leigh Reynolds | Specialist/Technologist | 100 Reeves Way, Clemson, SC 29631 | 2019-07-01 |
| 1912474792 | Andrea Bagley Stokes | Physical Therapist | 500-1 Old Greenville Hwy # 1, Clemson, SC 29631 | 2018-10-30 |
| 1114426178 | Intouch Pharmacy LLC | Pharmacy | 105 Wall Street, Suite 10b, Clemson, SC 29631 | 2018-02-06 |
| 1881117695 | Community Pharmacy Group, Inc. | Pharmacy | 143 Thomas Green Blvd, Clemson, SC 29631 | 2017-07-24 |
| 1295286276 | James Matthew Mills | Occupational Therapist | 101 Chapman Rd, Clemson, SC 29631 | 2016-10-14 |
| 1558769141 | Virginia Bridges Gaulin | Counselor | 209 Pendleton Rd Ste C, Clemson, SC 29631 | 2014-12-12 |
| 1437580628 | Amanda Martin Eubanks | Speech-Language Pathologist | 101 Chapman Road Suite 202, Clemson, SC 29631 | 2013-12-12 |
| 1437408499 | Fort Hill Family Dentistry, Pa | Clinic/Center | 124 Strode Circle, Clemson, SC 29631 | 2012-09-06 |
| 1942511738 | Theresa S Ritter | Counselor | 386 College Avenue, Suite A, Clemson, SC 29631 | 2010-06-25 |
| Find all providers in zip 29631 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275800492 | Anmed Health | Internal Medicine | 107-2 Wall St, Clemson, SC 29631-2921 | 2011-11-17 |
| 1740442565 | Arrhythmia Consultants P.a. | Internal Medicine | 1011 Tiger Blvd, Suite 400 Upstate Professional Bldg, Clemson, SC 29631-2915 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154934305 | Roper Saint Francis Physicians Network | Internal Medicine | 3508 S Live Oak Dr, Moncks Corner, SC 29461-8737 | 2020-08-27 |
| 1477708089 | Lorena Doctor | Internal Medicine | 5531 Savannah Hwy, Ravenel, Ravenel, SC 29470-5585 | 2008-11-24 |
| 1073770624 | St Francis Physician Services Inc | Internal Medicine | 2 Innovation Dr Ste 400, Greenville, SC 29607-5270 | 2008-05-21 |
| 1669538062 | Arrhythmia Consultants, P.a. | Internal Medicine | 712 Grove Rd, Greenville, SC 29605-4211 | 2006-12-29 |
| 1811097108 | Lawrence Tye Weston | Internal Medicine | 712 Grove Road, Greenville, SC 29605-4211 | 2006-09-25 |
| 1245266139 | Columbia Heart Clinic, Pa | Internal Medicine | 8 Richland Medical Park Drive., Suite 300, Columbia, SC 29203 | 2006-06-23 |
| 1972560225 | Cardiology Consultants Pa | Internal Medicine | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2298 | 2006-04-28 |
| 1861458853 | Brett M Baker | Internal Medicine | 897 Von Kolnitz Rd Ste 101, Mt Pleasant, SC 29464-3630 | 2006-04-26 |
| 1053377507 | Bryan H Frain | Internal Medicine | 897 Von Kolnitz Road, Suite 101, Mt Pleasant, SC 29464-3630 | 2006-04-25 |
| 1770585648 | Carolina Arrhythmia Consultants, Pa | Internal Medicine | 897 Von Kolnitz Road Suite 101, Mt Pleasant, SC 29464-3630 | 2005-08-11 |
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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.