MCLEOD PHYSICIAN ASSOCIATES II (NPI# 1164792016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164792016 |
| Entity Type | Organization |
| Organization Name | MCLEOD PHYSICIAN ASSOCIATES II |
| Other Organization Name | MCLEOD ENT SEACOAST |
| Practice Address |
3980 Highway 9 E Suite 340 Little River SC 29566-8163 |
| Mailing Address |
Po Box 3239 Florence SC 29502-3239 |
| Practice Telephone | 8433663040 |
| Practice Fax Number | 8433663041 |
| Mailing Telephone | 8433663729 |
| Mailing Fax Number | 8437777102 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2017-04-04 |
| Authorized Official Name | DANE P FICCO (SR VP) |
| Authorized Official Telephone | 8437777010 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCLEOD HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207Y00000X | Otolaryngology | SC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| McLeod ENT Seacoast | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999405 | Mcleod Physician Associates II | Family Medicine | 4237 River Hills Dr Ste 170, Little River, SC 29566-6446 | 2020-07-20 |
| 1831717693 | Mcleod Physician Associates II | Surgery | 690 Sunset Blvd N Ste 208, Sunset Beach, NC 28468-5332 | 2020-07-08 |
| 1588280747 | Mcleod Physician Associates II | Nurse Practitioner | 1126 Clarence Coker Hwy., Turbeville, SC 29162-8983 | 2020-06-23 |
| 1457977852 | Mcleod Physician Associates II | Internal Medicine | 800 E Cheves St Ste 400, Florence, SC 29506-2649 | 2020-06-22 |
| 1326672361 | Mcleod Physician Associates II | Family Medicine | 800 E Cheves St Ste 240, Florence, SC 29506-2652 | 2020-02-28 |
| 1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
| 1972014652 | Mcleod Physician Associates II | Clinic/Center | 1040 Marlboro Way Ste 1, Bennettsville, SC 29512-2494 | 2017-10-20 |
| 1508377284 | Mcleod Physician Associates II | Clinic/Center | 1076 Marlboro Way Ste 3, Bennettsville, SC 29512-2495 | 2017-10-20 |
| 1801326814 | Mcleod Physician Associates II | Dermatology | 401 E Cheves St Ste 302, Florence, SC 29506-2615 | 2017-06-13 |
| 1407393861 | Mcleod Physician Associates II | Radiology | 1116 W Evans St, Florence, SC 29501-3320 | 2017-01-24 |
| Street Address |
3980 HIGHWAY 9 E SUITE 340 |
| City | LITTLE RIVER |
| State | SC |
| Zip Code | 29566-8163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175516 | Kevin Michael Dineen | Internal Medicine | 3980 Highway 9 E, Suite 340, Little River, SC 29566-8163 | 2005-06-24 |
| 1114459658 | Mcleod Physician Associates II | Surgery | 3980 Highway 9 E, Suite 120, Little River, SC 29566-8163 | 2017-04-03 |
| 1326416116 | Mcleod Physician Associates II | Surgery | 3980 Highway 9 E, Suite 240, Little River, SC 29566-8163 | 2015-09-10 |
| 1609261437 | Mcleod Physician Associates II | Internal Medicine | 3980 Highway 9 E, Suite 340, Little River, SC 29566-8163 | 2015-03-30 |
| 1801211743 | Heidi Danielle Wilkerson | Nurse Anesthetist, Certified Registered | 3980 Highway 9 E, Little River, SC 29566-8163 | 2014-03-01 |
| 1770839342 | Mcleod Physician Associates II | Internal Medicine | 3980 Highway 9 E, Suite 100b, Little River, SC 29566-8163 | 2012-08-01 |
| 1194090720 | Mcleod Physician Associates II | Orthopaedic Surgery | 3980 Highway 9 E, Suite 200, Little River, SC 29566-8163 | 2012-03-15 |
| 1649547761 | Mcleod Physician Associates II | Internal Medicine | 3980 Highway 9 E, Suite 100a, Little River, SC 29566-8163 | 2011-11-17 |
| 1396031985 | Mcleod Physician Associates | Obstetrics & Gynecology | 3980 Highway 9 E, Suite 110, Little River, SC 29566-8163 | 2011-06-22 |
| 1144458167 | Loris Community Hospital District | Internal Medicine | 3980 Highway 9 E, Suite 100, Little River, SC 29566-7832 | 2009-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736309 | Holly Leanne Poplin | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite C, Main Street Physicians/sc House Calls Inc, Little River, SC 29566 | 2020-09-30 |
| 1619534112 | Mcleod Loris Seacoast Hospital | Pharmacy | 4000 Hwy 9 East, Outpatient Pharmacy, Little River, SC 29566 | 2019-05-21 |
| 1366960585 | Sasha Hayes | Dentist | 1247 Highway 17 S, Little River, SC 29566 | 2017-09-07 |
| 1639557531 | Mary Lucille Harding | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite, Main Street Physicians, Little River, SC 29566 | 2015-05-12 |
| 1770900771 | Dottie Randall-cox | Registered Nurse | 107 Hwy 57-north, Little River, SC 29566 | 2014-03-27 |
| 1689091688 | Carolyn Howe | Registered Nurse | 107 Highway 57 North, Dhec, Little River, SC 29566 | 2014-03-27 |
| 1376977884 | Southern Surgical Group, LLC | Specialist | 3600 Sea Mountain Hwy Suite A, Little River, SC 29566 | 2013-09-03 |
| 1144570888 | Laura Gore | Pharmacist | 2492 Hwy 9 East, Little River, SC 29566 | 2012-09-10 |
| 1255611406 | Belliams Home Health Services | Home Health | 687c Williamson Rd, Longs, SC 29566 | 2011-08-19 |
| 1083878813 | Lacie E. Edmison | Internal Medicine | 3980 Highway 9 E Ste 320, Little River, SC 29566 | 2008-07-10 |
| Find all providers in zip 29566 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427377076 | Sarah Jane Novis | Otolaryngology | 3980 Highway 9 E Ste 340, Little River, SC 29566-8165 | 2010-05-21 |
| 1568433225 | Salvatore A. Zieno | Otolaryngology | 3980 Highway 9 E, Suite 340, Little River, SC 29566-8163 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992316764 | Carolina Pines Ear Nose Throat & Allergy Associates LLC | Otolaryngology | 2032 Medical Park Dr, Newberry, SC 29108-2248 | 2020-08-13 |
| 1932667276 | Brendan Hardy | Otolaryngology | 135 Rutledge Ave Ste 1130, Charleston, SC 29425 | 2019-03-06 |
| 1538696091 | Michael Richard Bobian | Otolaryngology | 135 Rutledge Ave # Msc550, Charleston, SC 29425-8903 | 2017-05-16 |
| 1316497845 | Thomas Edward Nix | Otolaryngology | 28 Collins Ridge Dr, Greenville, SC 29607-3775 | 2016-10-07 |
| 1194150573 | Sarfaraz Mubarak Banglawala | Otolaryngology | Musc Dept of Otolaryngology Head and Neck, 135 Rutledge Avenue, Charleston, SC 29425-0001 | 2013-09-04 |
| 1457614703 | Travis Parke Schrank | Otolaryngology | Otolaryngology Head and Neck Surgery, 135 Rutledge Ave Msc 550, Charleston, SC 29425-0001 | 2012-06-21 |
| 1215268578 | Newton Gaston Quantz Jr. | Otolaryngology | 401 Ralston Creek Street, Charleston, SC 29492 | 2010-01-26 |
| 1386871499 | Shaun A Nguyen | Otolaryngology | 135 Rutledge St # Msc550, Charleston, SC 29425-8903 | 2009-06-16 |
| 1285825240 | Daniel Mcqueen Ervin | Otolaryngology | 1523 B Heritage Lane, Florence, SC 29505-3197 | 2007-08-06 |
| 1992916704 | Ross Michael Germani | Otolaryngology | 325 Medical Pkwy Ste 250, Greer, SC 29650-2460 | 2007-05-24 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE RIVER |
| Zip Code | 29566 |
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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.