SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC (NPI# 1144645722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144645722 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC |
| Practice Address |
1 Medical Park Dr Ste C Chester SC 29706-9769 |
| Mailing Address |
8141 Rourk St Myrtle Beach SC 29572-4128 |
| Practice Telephone | 8032851411 |
| Mailing Telephone | 8434922293 |
| Mailing Fax Number | 8883836797 |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-07-18 |
| Authorized Official Name | BRANDON PERCIVAL (PRESIDENT) |
| Authorized Official Telephone | 8032851411 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922424423 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 166 Waccamaw Medical Park Ct, Conway, SC 29526-8965 | 2014-03-09 |
| 1699190272 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 9789 Charlotte Hwy Ste 200, Fort Mill, SC 29707-7182 | 2014-02-19 |
| 1578981452 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 3700 Sawtell Rd, Little River, SC 29566-7873 | 2014-03-28 |
| 1659797157 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1120 Glenns Bay Rd, Suite 103, Surfside Beach, SC 29575-4757 | 2014-03-09 |
| 1477979979 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 3700 Sawtell Rd, Little River, SC 29566-7873 | 2014-03-09 |
| 1659797140 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 8141 Rourk St, Myrtle Beach, SC 29572-4128 | 2014-03-09 |
| 1063837870 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 912 Inlet Square Dr, Murrells Inlet, SC 29576-7812 | 2014-03-03 |
| 1982029799 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2845 E Highway 76, Medical Park 2 Ste 1, Mullins, SC 29574-6037 | 2014-03-03 |
| 1669897690 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1575 E Main St, Duncan, SC 29334-9218 | 2014-02-27 |
| 1104241223 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 11 Mills Ave, Greenville, SC 29605-4015 | 2014-02-26 |
| Street Address |
1 MEDICAL PARK DR STE C |
| City | CHESTER |
| State | SC |
| Zip Code | 29706-9769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831719889 | Jump Start Bridging Gaps LLC | Counselor | 512 Columbia St, Chester, SC 29706 | 2020-04-20 |
| 1992215560 | Community Medicine Foundation Inc | Clinic/Center | 524 Doctors Court, Catawba Community Mental Health Center, Chester, SC 29706 | 2017-10-09 |
| 1598285314 | National Scholars Academy | Community/Behavioral Health | 2183 Dawson Drive, Chester, SC 29706 | 2017-06-22 |
| 1265899371 | Resourceful Health Care | Counselor | 1645 J A Cochrane By Pass, Chester, SC 29706 | 2016-01-20 |
| 1871829861 | Goldencare, Inc | Clinic/Center | 1197 Armory Road, Chester, SC 29706 | 2009-10-26 |
| 1922158583 | Bhm of Chester LLC | Assisted Living Facility | 570 Center Street, Chester, SC 29706 | 2007-01-12 |
| 1588777395 | Chester Hma Physician Management | Family Medicine | 517 Doctors Court, Chester, SC 29706 | 2006-08-16 |
| 1710942784 | Phillip Brian Jacobs | Optometrist | 136 Church Street, Chester, SC 29706 | 2006-04-20 |
| 1528063450 | Laudan A. Adkinson | Dentist | 726 Wilson St, Chester, SC 29706 | 2005-06-16 |
| 1679814388 | Kristin Marie Gibson | Counselor | 130 Hudson St, Chester, SC 29706 | 2013-03-05 |
| Find all providers in zip 29706 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073781076 | James River Foot & Ankle Center P C | Podiatrist | 13125 Rivers Bend Blvd, Chester, VA 23836-2699 | 2008-02-13 |
| 1609834795 | Allan Scott Wax | Podiatrist | 13048 Rivers Bend Rd, Chester, VA 23836-2564 | 2006-05-01 |
| 1679194856 | Pooja Manjunatha | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-29 |
| 1306403803 | Quinn Tran | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2019-05-21 |
| 1124581079 | Hans Erik Wangsness | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2019-04-08 |
| 1821550013 | Yusuke Kihira | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2019-04-05 |
| 1306331590 | Nina Kovalenko | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013 | 2018-06-29 |
| 1376033597 | Scott Hudzinski | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013 | 2018-05-14 |
| 1538656319 | Tyler R Austin | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013 | 2018-04-17 |
| 1659892776 | David Januszewski | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2017-06-28 |
| Find all providers in CHESTER | ||||
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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.