CHESTERFIELD CLINIC CORP (NPI# 1154489706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154489706 |
| Entity Type | Organization |
| Organization Name | CHESTERFIELD CLINIC CORP |
| Other Organization Name | PRIMARY CARE OF CHERAW |
| Practice Address |
34 Foundry Hill Rd Cheraw SC 29520-2500 |
| Practice Telephone | 8435377074 |
| Practice Fax Number | 8435372744 |
| Mailing Telephone | 8435377074 |
| Mailing Fax Number | 8435372744 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-09-20 |
| Authorized Official Name | DEBBIE T BREWER (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 6154657626 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHESTERFIELD CLINIC CORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3624 | 05 | |
| SC | GP2502 | 05 |
| Other Name | Type Code |
|---|---|
| Primary Care of Cheraw | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346262961 | Chesterfield Clinic Corp | Pediatrics | 309 Clyde Ave, Cheraw, SC 29520-3029 | 2006-07-24 |
| 1376546903 | Chesterfield Clinic Corp | Obstetrics & Gynecology | 721 Chesterfield Hwy, Cheraw, SC 29520-7002 | 2005-05-27 |
| 1295007672 | Chesterfield Clinic Corp | Clinic/Center | 723 S Doctors Dr, Cheraw, SC 29520-7108 | 2012-02-01 |
| 1326232919 | Chesterfield Clinic Corp | Orthopaedic Surgery | 715 S Doctors Dr, Ste F, Cheraw, SC 29520-7113 | 2007-08-28 |
| 1578622478 | Chesterfield Clinic Corp | Surgery | 715 S Doctors Dr, Suite C, Cheraw, SC 29520-7113 | 2006-12-06 |
| 1093883001 | Chesterfield Clinic Corp | Orthopaedic Surgery | 715 S Doctors Dr, Suite F, Cheraw, SC 29520-7113 | 2006-11-30 |
| 1164454435 | Chesterfield Clinic Corp | Internal Medicine | 715 S Doctors Dr, Suite B, Cheraw, SC 29520-7113 | 2006-07-07 |
| 1013986405 | Chesterfield Clinic Corp | Family Medicine | 715 S Doctors Dr, Suite B, Cheraw, SC 29520-7113 | 2006-03-16 |
| Street Address |
34 FOUNDRY HILL RD |
| City | CHERAW |
| State | SC |
| Zip Code | 29520-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053316943 | Christopher Davis | Emergency Medicine | 34 Foundry Hill Rd, Cheraw, SC 29520-2500 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811541824 | Gloria Curtis | Nurse's Aide | 2912 Wire 1 Rd, Cheraw, SC 29520 | 2019-07-29 |
| 1427419175 | New Perspective Life Center LLC | Case Management | 319 Chesterfiled Hwy #9, Cheraw, SC 29520 | 2016-03-09 |
| 1306203310 | Highly Favored LLC | Counselor | 65 Sanders Ln, Cheraw, SC 29520 | 2016-01-21 |
| 1962880690 | Butterfly Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1562 Fred Davis Road, Cheraw, SC 29520 | 2015-05-14 |
| 1912304387 | Wrights Care Services LLC | Community/Behavioral Health | 319 East Chesterfield Hwy, Cheraw, SC 29520 | 2014-12-01 |
| 1386994762 | Stefanie Deese | Pharmacist | 901 Market St., Cheraw, SC 29520 | 2012-09-13 |
| 1699952218 | Chesterfield Marlboro, Lp | General Acute Care Hospital | Highway 9 West, Cheraw, SC 29520 | 2008-01-25 |
| 1174678411 | Carolina Eye Associates, Inc. | Ophthalmology | 705 Chesterfield Hwy, Cheraw, SC 29520 | 2007-01-25 |
| 1619030855 | Horton Chiropractic Clinic of Cheraw, Pa | Chiropractor | 601 Diane Dr, Cheraw, SC 29520 | 2006-12-19 |
| 1700947835 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 104 Grace Lane, Cheraw, SC 29520 | 2006-12-13 |
| Find all providers in zip 29520 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558745364 | Mcleod Family Medicine Pa | Family Medicine | 110 Doctors Dr Ste B2, Cheraw, SC 29520-7112 | 2015-07-13 |
| 1497800957 | Frank F. Hyatt | Family Medicine | 312 Peachtree Rd, Cheraw, SC 29520-6210 | 2007-01-24 |
| 1184686875 | Travis Andrew Novinger | Family Medicine | 316 2nd St, Cheraw, SC 29520-2404 | 2006-04-06 |
| 1326509324 | Eric Mclaine | Family Medicine | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 | 2019-03-31 |
| 1518349158 | Garrett Barton | Family Medicine | 710 Chesterfield Hwy, Cheraw, SC 29520 | 2015-06-19 |
| 1346632817 | Mcleod Physician Associates II | Family Medicine | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 | 2015-02-20 |
| 1407182371 | Mcleod Family Medicine Pa | Family Medicine | 110 Doctors Dr, Ste B2, Cheraw, SC 29520-7112 | 2009-10-27 |
| 1992966352 | Jeffrey Michael Brock | Family Medicine | 212 3rd St, Cheraw, SC 29520-2648 | 2008-06-18 |
| 1154480028 | John F Mcleod IIi | Family Medicine | 110 Doctors Dr, Ste B-2, Cheraw, SC 29520-7112 | 2006-12-07 |
| 1932291242 | Palmetto Family Medicine of Chesterfield County, LLC | Family Medicine | 316 2nd St, Cheraw, SC 29520-2404 | 2006-09-28 |
| Find all providers in CHERAW | ||||
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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.