DR. WILLIE STANLEY EDWARDS JR. (NPI# 1134129216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134129216 |
Entity Type | Individual |
Full Name | DR. WILLIE STANLEY EDWARDS JR. |
Credential | M.D. |
Practice Address |
800 E Cheves St Ste 480 Florence SC 29506-2653 |
Mailing Address |
Po Box 3239 Florence SC 29502-3239 |
Practice Telephone | 8434321880 |
Practice Fax Number | 8434321022 |
Mailing Telephone | 8437777092 |
Mailing Fax Number | 8437777102 |
Enumeration Date | 2005-07-29 |
Last Update Date | 2018-04-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 10996 | SC | Allopathic & Osteopathic Physicians |
N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
26438 | NC | Allopathic & Osteopathic Physicians |
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
10996 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 109965 | 05 | |
NC | 8930169 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073614418 | Willie Edwards | Nurse Anesthetist, Certified Registered | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2006-09-26 |
Street Address |
800 E CHEVES ST STE 480 |
City | FLORENCE |
State | SC |
Zip Code | 29506-2653 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811444664 | Sonia Thomas Wicker | Physician Assistant | 800 E Cheves St Ste 480, Florence, SC 29506-2653 | 2016-09-08 |
1972882306 | Jocie Patterson | Physician Assistant | 800 E Cheves St Ste 480, Florence, SC 29506-2653 | 2011-08-16 |
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 | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396745485 | Anthony Wayne Alexander | Orthopaedic Surgery | 800 E Cheves St Ste 480-b, Florence, SC 29506-2650 | 2005-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861971731 | Carolina Spine and Ortho LLC | Orthopaedic Surgery | 2730 Devine St, Columbia, SC 29205-2433 | 2018-08-10 |
1285136267 | Joint Replacement Cin of South Carolina LLC | Orthopaedic Surgery | 6650 Rivers Ave Ste 401, North Charleston, SC 29406-4809 | 2018-03-06 |
1962904946 | Select Health of Sc, LLC | Orthopaedic Surgery | 6650 Rivers Ave Ste 410, North Charleston, SC 29406-4809 | 2018-03-06 |
1760741953 | Southeastern Spine Institute, LLC | Orthopaedic Surgery | 1122 Chuck Dawley Blvd, Mt Pleasant, SC 29464-4183 | 2012-05-09 |
1760534358 | Southeastern Spine Institute,llc | Orthopaedic Surgery | 1625 Hospital Dr Ste 200, Mt Pleasant, SC 29464-3698 | 2007-01-17 |
1003986514 | William L. Mills | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2006-11-09 |
1497742720 | R. Blake Dennis | Orthopaedic Surgery | 1106 Chuck Dawley Blvd, Suite 100, Mount Pleasant, SC 29464-4183 | 2005-10-03 |
1073514139 | John Talley Parrott | Orthopaedic Surgery | 40 Pinnacle Pkwy Ste 100, Elgin, SC 29045-8390 | 2005-08-10 |
1124029103 | Paul Douglas Deholl | Orthopaedic Surgery | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2005-08-02 |
1215232020 | Jeffery M. Reuben, M. D., Pa | Orthopaedic Surgery | 15 Moss Creek Vlg, Hilton Head Island, SC 29926-1105 | 2011-01-26 |
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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.