JEAN T ISHERWOOD (NPI# 1104812403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104812403 |
Entity Type | Individual |
Full Name | JEAN T ISHERWOOD |
Other Name | JEAN T DOBEK |
Credential | WHNP-BC |
Practice Address |
811 W Main St Ste 209 Lexington SC 29072-2500 |
Mailing Address |
Po Box 6069 West Columbia SC 29171-6069 |
Practice Telephone | 8037854777 |
Practice Fax Number | 8033586240 |
Enumeration Date | 2005-09-22 |
Last Update Date | 2020-11-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
3671 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1 Wellness Blvd Ste 203, Irmo, SC 290632873 | 8039368100 | 8037499916 |
222 E Medical Ln Ste 300, West Columbia, SC 291694848 | 8039368100 | 8039368130 |
Street Address |
811 W MAIN ST STE 209 |
City | LEXINGTON |
State | SC |
Zip Code | 29072-2500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801236765 | Andrea Shipp Garrick | Obstetrics & Gynecology | 811 W Main St Ste 209, Lexington, SC 29072-2500 | 2013-06-25 |
1235368796 | Jaime E Brown Price | Obstetrics & Gynecology | 811 W Main St Ste 209, Lexington, SC 29072-2500 | 2009-07-06 |
1659561421 | Lauren A Castleberry | Obstetrics & Gynecology | 811 W Main St Ste 209, Lexington, SC 29072-2500 | 2007-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
1962973768 | William R. Key | Counselor | Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 | 2018-12-06 |
1639651961 | Lindsey Terry | Social Worker | 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 | 2018-09-04 |
1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
1649781857 | Constance Jean Lynch | Occupational Therapist | 800 North Lake Boulevard, Lexington, SC 29072 | 2017-10-14 |
Find all providers in zip 29072 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386190171 | Elisabeth A Pelt | Nurse Practitioner | 140 North Eagle Creek, Ste 200, Lexington, KY 40509-1800 | 2016-08-31 |
1013969302 | Kerri Jo Neff | Nurse Practitioner | 1700 Nicholasville Rd Ste 701, Lexington, KY 40503-1467 | 2006-05-16 |
1346798485 | Tiffany Hickman | Nurse Practitioner | 1700 Nicholasville Rd Ste 701, Lexington, KY 40503-1467 | 2016-09-19 |
1285042689 | Anna Barber | Nurse Practitioner | 1700 Nicholasville Rd Ste 701, Lexington, KY 40503-1467 | 2014-07-29 |
1366865594 | Tyler Halvaksz | Nurse Practitioner | 1720 Nicholasville Rd, Ste. 702, Lexington, KY 40503-1404 | 2014-01-23 |
1558666735 | Womankind Midwives Pllc | Nurse Practitioner | 141 N Eagle Creek Dr Ste 200, Lexington, KY 40509-2538 | 2011-01-19 |
1982889986 | Christen M Cabral | Nurse Practitioner | 1 Forbes Rd, Lexington, MA 02421-7305 | 2008-01-08 |
1154532786 | Jill A Lamson | Nurse Practitioner | 1 Forbes Rd, Lexington, MA 02421-7305 | 2007-05-25 |
1962416792 | Women's Care Center Pllc | Nurse Practitioner | 1720 Nicholasville Rd., Suite 402, Lexington, KY 40503 | 2006-07-28 |
1821063231 | Kathleen F. Goodman | Nurse Practitioner | 7 Medical Park Dr, Lexington, NC 27292-6768 | 2006-02-20 |
Find all providers in LEXINGTON |
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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.