MR. O BOYD GARDO JR. (NPI# 1164489191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164489191 |
| Entity Type | Individual |
| Full Name | MR. O BOYD GARDO JR. |
| Credential | ANAPLASTOLOGIST |
| Practice Address |
803 N Fant St Anderson SC 29621-5707 |
| Mailing Address |
126 Cool Meadows Dr Piedmont SC 29673-8941 |
| Practice Telephone | 8642263006 |
| Practice Fax Number | 8648455034 |
| Mailing Telephone | 8642263006 |
| Mailing Fax Number | 8648455034 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2008-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DE2711 | 05 |
| Street Address |
803 N FANT ST |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-5707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609163302 | Anmed Health | Internal Medicine | 803 N Fant St, Suite 3b, Anderson, SC 29621-5700 | 2011-07-01 |
| 1386728483 | Thomas J. Sullivan, Jr. Md, Pa | Internal Medicine | 803 N Fant St, Suite 2-c, Anderson, SC 29621-5700 | 2006-10-25 |
| 1912008806 | James Winbush | Internal Medicine | 803 N Fant St, Suite 3a, Anderson, SC 29621-5700 | 2006-09-26 |
| 1629095062 | Amy R Cianciolo | Family Medicine | 803 N Fant St, Suite 2a, Anderson, SC 29621-5700 | 2006-07-15 |
| 1922038413 | Zachary Gregg Seymour | Internal Medicine | 803 N Fant St, Suite 2 B, Anderson, SC 29621-5700 | 2006-07-03 |
| 1275574618 | Carolina Imaging Center LLC | Radiologic Technologist | 803 N Fant St, Anderson, SC 29621-5707 | 2006-06-09 |
| 1881646933 | Daniel A Keenan Jr Md LLC | Internal Medicine | 803 N Fant St, Suite 3-b, Anderson, SC 29621-5700 | 2006-05-17 |
| 1598714305 | Daniel A. Keenan Jr. | Internal Medicine | 803 N Fant St, Suite 3-b, Anderson, SC 29621-5700 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730461138 | Chad N Mullins | Orthotic Fitter | 513 Chester Ave, Great Falls, SC 29055-1219 | 2011-09-13 |
| 1164723151 | Rebecca Randall | Orthotic Fitter | 7 Maverick St, Charleston, SC 29403-4114 | 2010-11-08 |
| 1922247253 | Matrix Rehabilitation Solutions, LLC | Orthotic Fitter | 108 Riverfront Ln., Simpsonville, SC 29681 | 2009-02-10 |
| 1982857272 | Bob Jeffrey Hampton | Orthotic Fitter | 31 Ruby Bay Lane, Simpsonville, SC 29681 | 2008-10-30 |
| 1518142215 | Mark Root | Orthotic Fitter | 5950 Hampton Leas Ln, Columbia, SC 29209-1900 | 2008-01-01 |
| 1942216262 | Katherine E Newton | Orthotic Fitter | 223 S Herlong Ave Ste 110, Rock Hill, SC 29732-1089 | 2006-07-31 |
| 1811952146 | Sprinkle Prosthetics Inc. | Orthotic Fitter | 383 S Pine St, Suite A, Spartanburg, SC 29302-2650 | 2006-04-19 |
| 1003809476 | John Joseph Kasik Sr. | Orthotic Fitter | 329 Hunters Blind Dr, Columbia, SC 29212-1651 | 2005-08-31 |
| 1346886496 | James Edward Newton | Orthotic Fitter | 223 S Herlong Ave Ste 110, Rock Hill, SC 29732-1089 | 2019-11-25 |
| 1477860161 | Steven Edward Hamontree | Orthotic Fitter | 1009 Grove Rd, Suite B-1, Greenville, SC 29605-4600 | 2010-09-02 |
| 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.