MARION REGIONAL HEALTHCARE SYSTEM (NPI# 1164639423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164639423 |
| Entity Type | Organization |
| Organization Name | MARION REGIONAL HEALTHCARE SYSTEM |
| Other Organization Name | MULLINS SURGICAL ASSOCIATES |
| Practice Address |
119 W Lowman St Mullins SC 29574-3107 |
| Practice Telephone | 8434644000 |
| Practice Fax Number | 8434644017 |
| Mailing Telephone | 8434644000 |
| Mailing Fax Number | 8434644017 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-11-14 |
| Authorized Official Name | HAROLD E TUCKER (CEO) |
| Authorized Official Telephone | 8434312405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 079293 | 05 | |
| SC | GP4694 | 05 |
| Other Name | Type Code |
|---|---|
| Mullins Surgical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457585713 | Marion Regional Healthcare System | Clinic/Center | 51 11th Avenue, Aynor, SC 29511 | 2009-05-14 |
| 1588678627 | Marion Regional Healthcare System | Skilled Nursing Facility | 518 S Main St, Mullins, SC 29574-3510 | 2006-07-27 |
| 1770701153 | Marion Regional Healthcare System | Orthopaedic Surgery | 2845 E Highway 76, Suite 2, Mullins, SC 29574 | 2007-04-23 |
| 1376670562 | Marion Regional Healthcare System | Surgery | 2835 E Highway 76, Suite 5, Mullins, SC 29574-6038 | 2007-02-27 |
| 1487758041 | Marion Regional Healthcare System | Obstetrics & Gynecology | 2845 E Highway 76, Suite 3, Mullins, SC 29574-6037 | 2006-09-12 |
| 1336155761 | Marion Regional Healthcare System | Family Medicine | 2835 E Highway 76, Suite 7, Mullins, SC 29574-6038 | 2006-07-31 |
| 1720092570 | Marion Regional Healthcare System | Pediatrics | 2845 E Highway 76, Suite 5a, Mullins, SC 29574-6037 | 2006-07-28 |
| 1336173970 | Marion Regional Healthcare System | Pediatrics | 2835 E Highway 76, Suite 7, Mullins, SC 29574-6038 | 2006-07-10 |
| 1265466585 | Marion Regional Healthcare System | Clinic/Center | 2845 E Highway 76, Suite 4, Mullins, SC 29574-6037 | 2006-07-10 |
| 1972553691 | Marion Regional Healthcare System | Internal Medicine | 511 S Main St, Mullins, SC 29574-3509 | 2006-05-11 |
| Street Address |
119 W LOWMAN ST |
| City | MULLINS |
| State | SC |
| Zip Code | 29574-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619930518 | Mullins Surgery Center | Specialist | 119 W Lowman St, 119 West Lowman Street, Mullins, SC 29574-3107 | 2006-04-11 |
| 1417960360 | Eric Leon Yancey | Surgery | 119 W Lowman St, Mullins, SC 29574-3107 | 2006-08-14 |
| 1629004049 | Parakkat Gopalakrishnan | Surgery | 119 W Lowman St, Mullins, SC 29574-3107 | 2006-06-25 |
| 1346289907 | Chadwick V. Thomas | Surgery | 119 W Lowman St, Mullins, SC 29574-3107 | 2006-06-06 |
| 1841248085 | Robert Louis De Grood | Specialist | 119 W Lowman St, Mullins, SC 29574-3107 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700412921 | Maria Roman | Physical Therapist | 2829 East, Us-76, Mullins, SC 29574 | 2020-03-19 |
| 1679959431 | Healthy Childsmiles, LLC | Clinic/Center | 4504 East Highway 76, Mullins, SC 29574 | 2015-08-04 |
| 1629327549 | Shirley Howell Rogers | Pharmacist | 4005 Cleve Mayers Ct, Mullins, SC 29574 | 2012-09-06 |
| 1588834147 | Monique Hemingway-bell | Speech-Language Pathologist | 2622 Troy Atkinson Road, Mullins, SC 29574 | 2008-03-10 |
| 1932226156 | Patient Response Organization Inc | Ambulance | 142 South Main St, Mullins, SC 29574 | 2007-03-23 |
| 1164573200 | Marion School District Seven | Local Education Agency (LEA) | 3559 South Highway 501, Mullins, SC 29574 | 2007-01-16 |
| 1932270279 | Franklin Gasque Mason | Dentist | 410 South Main St, Mullins, SC 29574 | 2006-11-10 |
| 1033138904 | Iris M Floyd-norris | Family Medicine | 2835 East Highway 76, Ste 7, Mullins, SC 29574 | 2006-07-19 |
| 1790721207 | Home Therapy Inc | Durable Medical Equipment & Medical Supplies | 3391 Hwy. 76 E., Mullins, SC 29574 | 2006-06-22 |
| 1205876273 | John C Bilder | Dentist | 410 South Main Street, Mullins, SC 29574 | 2006-06-07 |
| Find all providers in zip 29574 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376670562 | Marion Regional Healthcare System | Surgery | 2835 E Highway 76, Suite 5, Mullins, SC 29574-6038 | 2007-02-27 |
| 1417960360 | Eric Leon Yancey | Surgery | 119 W Lowman St, Mullins, SC 29574-3107 | 2006-08-14 |
| 1629004049 | Parakkat Gopalakrishnan | Surgery | 119 W Lowman St, Mullins, SC 29574-3107 | 2006-06-25 |
| 1346289907 | Chadwick V. Thomas | Surgery | 119 W Lowman St, Mullins, SC 29574-3107 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785282 | Christopher James Levy | Surgery | Prisma Health Medical Group General Surgery, 2 Medical Park, Ste 300, Collumbia, SC 29203 | 2020-06-18 |
| 1881219137 | Meredith Elizabeth Taylor | Surgery | 96 Jonathan Lucas St # 613, Charleston, SC 29425-8900 | 2020-06-12 |
| 1073136511 | Trey Jeffrey Mathews | Surgery | 101 E. Wood St, Spartanburg, SC 29303-3098 | 2020-05-19 |
| 1356984322 | Katelyn Tuley | Surgery | 210 Village Center Blvd Ste 140, Myrtle Beach, SC 29579-6706 | 2019-10-23 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1104485648 | Gregory Tyler Rives | Surgery | 96 Jonathan Lucas St Csb 423-a / Msc 613, Charleston, SC 29425-0001 | 2019-06-09 |
| 1396220554 | Spartanburg Medical Center | Surgery | 840 W Floyd Baker Blvd Ste B, Gaffney, SC 29341-1845 | 2018-10-03 |
| 1659853596 | Roper Saint Francis Physicians Network | Surgery | 300 Callen Blvd, Summerville, SC 29486-2809 | 2018-09-06 |
| 1336633569 | Lytani Wilson | Surgery | 96 Jonathan Lucas St # 423, Charleston, SC 29425 | 2018-06-20 |
| 1609360890 | Alicia Marie Stafford | Surgery | 169 Ashley Avenue Rm 202 Main Hospital, Msc333, Charleston, SC 29425 | 2018-06-20 |
| 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.