MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA (NPI# 1124096979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124096979 |
| Entity Type | Organization |
| Organization Name | MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA |
| Practice Address |
1013 Lake Murray Blvd Irmo SC 29063-2824 |
| Mailing Address |
1910 Blanding St Columbia SC 29201-3520 |
| Practice Telephone | 8032564107 |
| Practice Fax Number | 8032536676 |
| Mailing Telephone | 8032564107 |
| Mailing Fax Number | 8032536676 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2016-10-06 |
| Authorized Official Name | MRS. ANN MARGARET MCCRAW (CEO) |
| Authorized Official Telephone | 8032564107 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | ========= | SC | Suppliers |
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PA3335 | 05 | |
| SC | MEDICAID DME | DME633 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760674055 | Midlands Orthopaedics and Neurosurgery, Pa | Durable Medical Equipment & Medical Supplies | 1013 Lake Murray Blvd., Irmo, SC 29063 | 2007-08-10 |
| 1750359501 | Midlands Orthopaedics and Neurosurgery, Pa | Durable Medical Equipment & Medical Supplies | 2989 Sunset Blvd, West Columbia, SC 29169-3497 | 2006-03-09 |
| 1710425954 | Midlands Orthopaedics and Neurosurgery, Pa | Durable Medical Equipment & Medical Supplies | 109 Park Place Ct, Lexington, SC 29072-6690 | 2017-02-08 |
| 1093253254 | Midlands Orthopaedics and Neurosurgery, Pa | Orthopaedic Surgery | 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 | 2017-02-08 |
| 1912445172 | Midlands Orthopaedics and Neurosurgery, Pa | Orthopaedic Surgery | 1910 Blanding St, Columbia, SC 29201-3520 | 2017-02-08 |
| 1366980591 | Midlands Orthopaedics and Neurosurgery, Pa | Durable Medical Equipment & Medical Supplies | 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 | 2017-02-08 |
| 1649718875 | Midlands Orthopaedics and Neurosurgery, Pa | Neurological Surgery | 109 Park Place Ct, Lexington, SC 29072-6690 | 2017-02-08 |
| 1558809715 | Midlands Orthopaedics and Neurosurgery, Pa | Durable Medical Equipment & Medical Supplies | 2989 Sunset Blvd, West Columbia, SC 29169-3497 | 2017-02-08 |
| 1720526981 | Midlands Orthopaedics and Neurosurgery, Pa | Orthopaedic Surgery | 1013 Lake Murray Blvd, Irmo, SC 29063-2824 | 2017-02-08 |
| 1033657275 | Midlands Orthopaedics and Neurosurgery, Pa | Neurological Surgery | 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 | 2017-02-08 |
| Street Address |
1013 LAKE MURRAY BLVD |
| City | IRMO |
| State | SC |
| Zip Code | 29063-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720526981 | Midlands Orthopaedics and Neurosurgery, Pa | Orthopaedic Surgery | 1013 Lake Murray Blvd, Irmo, SC 29063-2824 | 2017-02-08 |
| 1184007031 | Progressive Physical Therapy, Pa | Physical Therapist | 1013 Lake Murray Blvd, Irmo, SC 29063-2824 | 2015-07-09 |
| 1013334085 | Arcis Healthcare | Durable Medical Equipment & Medical Supplies | 1013 Lake Murray Blvd, Irmo, SC 29063-2824 | 2014-03-27 |
| 1235566191 | Arcis Healthcare, LLC | Neurological Surgery | 1013 Lake Murray Blvd, Irmo, SC 29063-2824 | 2013-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603640 | Daniel Witcher | Counselor | 1180 Columbia Avenue, Suite 203, Irmo, SC 29063 | 2020-06-16 |
| 1710512140 | Arie Anew Services Incorporated | Psychologist | 7803 St. Andrews Road, C5, Irmo, SC 29063 | 2020-03-05 |
| 1366922296 | Jennie C Beym | Speech-Language Pathologist | 7 Tip Top Court, Irmo, SC 29063 | 2018-08-20 |
| 1295214088 | The Well LLC | Massage Therapist | 1720 Dutch Fork Rd., Irmo, SC 29063 | 2018-08-13 |
| 1699268821 | Shannon Marie Kelly | Dentist | 200 N Royal Tower Dr, Irmo, SC 29063 | 2018-06-12 |
| 1497243174 | Anthony Batiste Thompson Jr. | Behavior Technician | 137 Chapelwhite Road, Irmo, SC 29063 | 2018-04-27 |
| 1578076022 | Demario Sawyer Sr | Ambulance | 107 N Royal Tower Dr Ste C, Irmo, SC 29063 | 2017-11-07 |
| 1306365713 | Dreher Shuler | Student in an Organized Health Care Education/Training Program | 205 River Creek Drive, Irmo, SC 29063 | 2017-09-18 |
| 1053833442 | Tania Rodriguez | Social Worker | 30 Ash Court, Irmo, SC 29063 | 2017-07-07 |
| 1598294944 | Ashley Elaine Bradley | Home Health | 120 Stockland Rd, Irmo, SC 29063 | 2017-06-08 |
| Find all providers in zip 29063 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467875054 | Providence Orthopedic Group, LLC | Orthopaedic Surgery | 7936 Broad River Rd, Irmo, SC 29063-2355 | 2014-02-03 |
| 1033374244 | Providence Orthopaedic Group, LLC | Orthopaedic Surgery | One Wellness Boulevard, Suite 204, Irmo, SC 29063 | 2008-07-28 |
| 1720526981 | Midlands Orthopaedics and Neurosurgery, Pa | Orthopaedic Surgery | 1013 Lake Murray Blvd, Irmo, SC 29063-2824 | 2017-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139919 | Orthosc LLC | Orthopaedic Surgery | 3620 Walton Dr Unit C-5c6, Myrtle Beach, SC 29577-6781 | 2020-09-17 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1912523085 | Julia Anne Prodoehl | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Surgery, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-24 |
| 1447873815 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 4812 Bluffton Parkway, Bluffton, SC 29910 | 2020-05-20 |
| 1285253336 | Providence Physician Practices LLC | Orthopaedic Surgery | 114 Gateway Corporate Blvd Ste 220a, Columbia, SC 29203-9785 | 2020-04-09 |
| 1528627346 | John Charles Sharpe | Orthopaedic Surgery | Orthopaedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2019-06-06 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1003373820 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 325 Folly Rd Ste 200, Charleston, SC 29412-2507 | 2019-02-28 |
| 1316416415 | Spartanburg Medical Center | Orthopaedic Surgery | 1650 Skylyn Dr Ste 120, Spartanburg, SC 29307-1069 | 2018-11-19 |
| 1134608805 | Optim Orthopedics, LLC | Orthopaedic Surgery | 25 Hospital Center Blvd Ste 100, Hilton Head, SC 29926 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
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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.