MCLEOD PHYSICIAN ASSOCIATES II (NPI# 1104899145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104899145 |
| Entity Type | Organization |
| Organization Name | MCLEOD PHYSICIAN ASSOCIATES II |
| Other Organization Name | MCLEOD CARDIOTHORACIC SURGICAL ASSOCIATES |
| Practice Address |
101 South Ravenel Street Suite 270 Florence SC 29506-2610 |
| Mailing Address |
Po Box 3239 Florence SC 29502-3239 |
| Practice Telephone | 8436640221 |
| Practice Fax Number | 8436649545 |
| Mailing Telephone | 8436640221 |
| Mailing Fax Number | 8436649545 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2012-03-01 |
| Authorized Official Name | KIMBERLY BARLOWE (REGIONAL PRACTICE MANAGER/AVP) |
| Authorized Official Telephone | 8437777040 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCLEOD HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3603 | 05 |
| Other Name | Type Code |
|---|---|
| McLeod Cardiothoracic Surgical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999405 | Mcleod Physician Associates II | Family Medicine | 4237 River Hills Dr Ste 170, Little River, SC 29566-6446 | 2020-07-20 |
| 1831717693 | Mcleod Physician Associates II | Surgery | 690 Sunset Blvd N Ste 208, Sunset Beach, NC 28468-5332 | 2020-07-08 |
| 1588280747 | Mcleod Physician Associates II | Nurse Practitioner | 1126 Clarence Coker Hwy., Turbeville, SC 29162-8983 | 2020-06-23 |
| 1457977852 | Mcleod Physician Associates II | Internal Medicine | 800 E Cheves St Ste 400, Florence, SC 29506-2649 | 2020-06-22 |
| 1326672361 | Mcleod Physician Associates II | Family Medicine | 800 E Cheves St Ste 240, Florence, SC 29506-2652 | 2020-02-28 |
| 1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
| 1972014652 | Mcleod Physician Associates II | Clinic/Center | 1040 Marlboro Way Ste 1, Bennettsville, SC 29512-2494 | 2017-10-20 |
| 1508377284 | Mcleod Physician Associates II | Clinic/Center | 1076 Marlboro Way Ste 3, Bennettsville, SC 29512-2495 | 2017-10-20 |
| 1801326814 | Mcleod Physician Associates II | Dermatology | 401 E Cheves St Ste 302, Florence, SC 29506-2615 | 2017-06-13 |
| 1407393861 | Mcleod Physician Associates II | Radiology | 1116 W Evans St, Florence, SC 29501-3320 | 2017-01-24 |
| Street Address |
101 SOUTH RAVENEL STREET SUITE 270 |
| City | FLORENCE |
| State | SC |
| Zip Code | 29506-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124098868 | Prakash S Beeraka | Family Medicine | 101 South Ravenel Street, Suite 160, Florence, SC 29506-2610 | 2006-01-25 |
| 1821293093 | Constance Lynne Belissary Maroney | Internal Medicine | 101 South Ravenel Street, Suite 120, Florence, SC 29506-2610 | 2007-06-18 |
| 1588637771 | Michael Barrett | Family Medicine | 101 South Ravenel Street, Ste 160, Florence, SC 29506-2635 | 2006-02-09 |
| 1881667244 | Motte G Skinner | Family Medicine | 101 South Ravenel Street, Ste 160, Florence, SC 29506-2635 | 2006-02-08 |
| 1952374399 | Joslyn L Angus Jr. | Family Medicine | 101 South Ravenel Street, Ste 160, Florence, SC 29506-2635 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871001693 | Med Way Ambulance Service, LLC | Ambulance | 1627 E Palmetto St, Florence, SC 29506 | 2018-01-15 |
| 1851810261 | Daijavon Jaquita Mccall | Specialist/Technologist | 1207 Malloy Street, Florence, SC 29506 | 2017-09-18 |
| 1629453873 | Rebecca Diboni | Pharmacist | 501 E Cheves St, Suite D, Florence, SC 29506 | 2015-07-29 |
| 1710365846 | Tiffany Joann Williams | Counselor | 205 Pearl Cir Florence, Sc, SC 29506 | 2015-05-08 |
| 1275925091 | Joe Brice Williamson Jr. | Pharmacist | 501 E. Cheves St., Suite D, Florence, SC 29506 | 2015-03-03 |
| 1528474632 | La'keisha Coker | Dietitian, Registered | 145 E. Cheves St., Florence County Health Department, Florence, SC 29506 | 2014-07-09 |
| 1275948085 | Patrick Kevin Mccarthy | Dietitian, Registered | 145 East Cheves Street, Florence County Health Dept., Florence, SC 29506 | 2014-07-01 |
| 1073931655 | Gwen A Davis | Registered Nurse | 145 E Cheves Street, Sc Dhec Pee Dee Region, Florence, SC 29506 | 2014-04-01 |
| 1205267879 | Jessica Turner | Physical Therapist | 555 E Cheves St., Inpatient Rehab Department, Florence, SC 29506 | 2013-12-09 |
| 1700213923 | Pamela Orange | Nurse's Aide | 2501 Sparklberry Lane, Florence, SC 29506 | 2013-10-02 |
| Find all providers in zip 29506 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790758258 | Gregory Jones | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 805 Pamplico Hwy Ste B300, Florence, SC 29505-6081 | 2006-02-07 |
| 1740287200 | Robert H. Messier Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 101 S Ravenel St Ste 270, Florence, SC 29506-2624 | 2005-06-30 |
| 1255645628 | Rchp-florence LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 541 W College St, Suite 2000, Florence, AL 35630-5323 | 2010-07-28 |
| 1497840011 | The Health Care Authority of Lauderdale County & The City of Florence | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 541 W College St, Suite 2000, Florence, AL 35630 | 2006-10-03 |
| 1609808385 | Scot C Schultz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 101 S Ravenel St, Suite 270, Florence, SC 29506-2644 | 2006-07-06 |
| 1194755751 | Michael Jay Carmichael | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 101 S Ravenel St, Suite 270, Florence, SC 29506-2644 | 2006-07-03 |
| 1972545887 | Steven F Chapman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 805 Pamplico Hwy, B-300, Florence, SC 29505-6047 | 2006-06-12 |
| 1275596470 | John W Perry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 805 Pamplico Hwy Ste B300, Florence, SC 29505-6081 | 2006-04-10 |
| 1598737728 | Charles W Holley Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 101 S Ravenel St Ste 270, Florence, SC 29506-2624 | 2006-02-02 |
| 1124019518 | Stephen Cary Huber | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 101 S Ravenel St, Suite 270, Florence, SC 29506-2644 | 2005-11-03 |
| Find all providers in FLORENCE | ||||
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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.