DR. ROLAND L SKINNER III (NPI# 1104993807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104993807 |
| Entity Type | Individual |
| Full Name | DR. ROLAND L SKINNER III |
| Credential | MD |
| Practice Address |
800 E Cheves St Suite 380 Florence SC 29506-2650 |
| Mailing Address |
Po Box 3239 Florence SC 29502-3239 |
| Practice Telephone | 8436654104 |
| Mailing Telephone | 8436654104 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2010-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
10392 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CIGNA | 4002967 | 01 |
| SC | AETNA | 5120202(PIN) | 01 |
| SC | MEDICARE PTAN | D055848552 | 01 |
| SC | BCBS | 069 | 01 |
| SC | BLUE CHOICE | 068 | 01 |
| SC | MEDCOST | 224300 | 01 |
| SC | TRICARE | 039 | 01 |
| SC | 103925 | 05 |
| Street Address |
800 E CHEVES ST SUITE 380 |
| City | FLORENCE |
| State | SC |
| Zip Code | 29506-2650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882388 | Allergy Asthma Sinus Ctr | Allergy & Immunology | 800 E Cheves St, Ste 420, Florence, SC 29506-2649 | 2005-06-28 |
| 1447717244 | Melissa Mcduffie Hamer | Nurse Practitioner | 800 E Cheves St, Florence, SC 29506-2650 | 2019-02-28 |
| 1790220242 | Amy Marie Stoddard | Nurse Practitioner | 800 E Cheves St, Florence, SC 29506-2650 | 2016-12-19 |
| 1942605787 | Mcleod Physician Associates II | Psychiatry & Neurology | 800 E Cheves St, Suite 200, Florence, SC 29506-2650 | 2014-10-22 |
| 1003220021 | Mcleod Physician Associates II | Otolaryngology | 800 E Cheves St, Suite 370, Florence, SC 29506-2650 | 2014-06-18 |
| 1376981316 | Amanda Rae Loomis | Physician Assistant | 800 E Cheves St, Suite 480, Florence, SC 29506-2650 | 2013-06-12 |
| 1811254733 | Mcleod Physician Associates II | Plastic Surgery | 800 E Cheves St, Suite 280, Florence, SC 29506-2650 | 2012-04-17 |
| 1922305481 | Edward Signor Jr. | Physician Assistant | 800 E Cheves St, Suite 480, Florence, SC 29506-2650 | 2011-02-18 |
| 1912226960 | Ellen Jane Moore | Internal Medicine | 800 E Cheves St, Suite 200, Florence, SC 29506-2650 | 2010-05-28 |
| 1174852396 | Mcleod Physician Associates II | Psychiatry & Neurology | 800 E Cheves St, Suite 380, Florence, SC 29506-2650 | 2009-12-17 |
| Find all providers in the same location | ||||
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285708966 | Florence Neurological Clinic, Pa | Psychiatry & Neurology | 1929 Mountain Laurel Ct, Suite B, Florence, SC 29505-6053 | 2006-11-17 |
| 1538253075 | Dina Riyad Jannun | Psychiatry & Neurology | 426 E Dr Hicks Blvd, Florence, AL 35630-5763 | 2006-10-02 |
| 1457457806 | Tennessee Valley Neurology, PC | Psychiatry & Neurology | 2407 Helton Dr, Florence, AL 35630-1067 | 2006-09-15 |
| 1922034370 | Vascular Diagnostics LLC | Psychiatry & Neurology | 500 Pamplico Hwy, Suite G, Florence, SC 29505-6051 | 2006-06-25 |
| 1568414555 | Comprehensive Neurological Services PC | Psychiatry & Neurology | 436 W Palmetto Street, Florence, SC 29501 | 2006-05-17 |
| 1942605787 | Mcleod Physician Associates II | Psychiatry & Neurology | 800 E Cheves St, Suite 200, Florence, SC 29506-2650 | 2014-10-22 |
| 1942598909 | Eunice C Abrams | Psychiatry & Neurology | 555 E Cheves St, Florence, SC 29506-2617 | 2011-07-12 |
| 1174852396 | Mcleod Physician Associates II | Psychiatry & Neurology | 800 E Cheves St, Suite 380, Florence, SC 29506-2650 | 2009-12-17 |
| 1366631640 | Robert Joseph Healy Md Pa | Psychiatry & Neurology | 805 Pamplico Hwy, Suite A130, Florence, SC 29505-6019 | 2007-10-23 |
| 1790970499 | Florence Alabama Neurology Clinic, Inc | Psychiatry & Neurology | 2407 Helton Dr, Florence, AL 35630-1067 | 2007-09-06 |
| 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.