SANJIN MEDICAL PA (NPI# 1144680596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144680596 |
| Entity Type | Organization |
| Organization Name | SANJIN MEDICAL PA |
| Practice Address |
102 Commons Blvd Ste C Piedmont SC 29673-7766 |
| Mailing Address |
3300 N Main St Ste D Pmb 171 Anderson SC 29621-4128 |
| Practice Telephone | 8642209115 |
| Practice Fax Number | 8642209513 |
| Mailing Telephone | 8642209115 |
| Mailing Fax Number | 8642209513 |
| Enumeration Date | 2016-02-27 |
| Last Update Date | 2016-02-27 |
| Authorized Official Name | DANA WILEY (PRESIDENT) |
| Authorized Official Telephone | 8642209115 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
17523 | SC | Behavioral Health & Social Service Providers |
| Street Address |
102 COMMONS BLVD STE C |
| City | PIEDMONT |
| State | SC |
| Zip Code | 29673-7766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427006808 | Dana Lee Wiley | Psychiatry & Neurology | 102 Commons Blvd, Ste C, Piedmont, SC 29673 | 2006-05-05 |
| 1487197414 | Jessica Denise Waters | Physician Assistant | 102 Commons Blvd, C, Piedmont, SC 29673-7766 | 2016-11-22 |
| 1144590878 | Yadira Baez-lockard | Psychologist | 102 Commons Blvd, Suite C, Piedmont, SC 29673-7766 | 2012-01-11 |
| 1649293085 | Dana L. Wiley, Md Pa | Counselor | 102 Commons Blvd, Suite C, Piedmont, SC 29673-7766 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982674 | Coco Carter | Licensed Practical Nurse | 210 Helen St, Piedmont, SC 29673 | 2020-11-06 |
| 1962975888 | Powdersville Family Pharmacy LLC | Pharmacy | 11061 Anderson Road, Piedmont, SC 29673 | 2019-01-03 |
| 1720571003 | Ingles Markets Inc | Pharmacy | 10903 Anderson Rd, Powdersville, SC 29673 | 2018-06-11 |
| 1982086518 | Joyce C. Gregory | Chore Provider | 2415 Fork Shoals Road, Piedmont, SC 29673 | 2015-06-19 |
| 1053741975 | Darlene Theresa Cooke | Massage Therapist | 100 New Cut Rd, Piedmont, SC 29673 | 2013-11-13 |
| 1497004311 | Robyn Deann Bailey | Pharmacist | 3460 Hwy 153, Piedmont, SC 29673 | 2012-09-06 |
| 1114276003 | Charity W Speed | Pharmacist | 7501 Augusta Road, Piedmont, SC 29673 | 2012-09-06 |
| 1033499827 | Joyce C Gregory | Community Based Residential Treatment Facility, Mental Illness | 2415 Fork Shoals Rd, Piedmont, SC 29673 | 2011-08-24 |
| 1801074273 | Richard Ernest Parnell Jr. | Chiropractor | 108b Clair Dr, Piedmont, SC 29673 | 2008-02-07 |
| 1487854956 | Upstate Neurology, P.a. | Specialist | 103 Clair Drive, Suite D, Piedmont, SC 29673 | 2007-07-23 |
| Find all providers in zip 29673 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730413634 | East Cooper Psychiatric Solutions, LLC | Psychologist | 1073b Johnnie Dodds Blvd, Suite 1 Building F, Mount Pleasant, SC 29464-3155 | 2009-09-24 |
| 1447644331 | Fermo Psychiatric Solutions | Psychologist | 887 Johnnie Dodds Blvd, Suite 100, Mount Pleasant, SC 29464-3154 | 2015-03-27 |
| 1497979017 | Diane David Hamrick | Psychologist | 655 Saint Andrews Blvd, Charleston, SC 29407-7165 | 2007-04-13 |
| 1629190673 | F E ' Asuncion Cardona | Psychologist | 125 E Cheves St, Florence, SC 29506-2526 | 2007-04-03 |
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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.