MR. WALTER J SUBER SR. (NPI# 1174526461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174526461 |
| Entity Type | Individual |
| Full Name | MR. WALTER J SUBER SR. |
| Credential | D.P.M. |
| Practice Address |
514 S Dargan St Ste F Florence SC 29506-2552 |
| Mailing Address |
Po Box 12407 Florence SC 29504-2407 |
| Practice Telephone | 8436626781 |
| Practice Fax Number | 8436626720 |
| Mailing Telephone | 8436626781 |
| Mailing Fax Number | 8436626720 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2008-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
00036 | SC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PDO369 | 05 | |
| SC | R.R. MEDICARE | 480026354 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346572 | Walter Suber Jr. | Counselor | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2016-02-22 |
| 1407994767 | Walter John Suber Jr. | Specialist | 2755 S Highway 14, Suite 2150, Greer, SC 29650-4902 | 2007-02-01 |
| Street Address |
514 S DARGAN ST STE F |
| City | FLORENCE |
| State | SC |
| Zip Code | 29506-2552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336257120 | Jena E Sallenger | Nurse Practitioner | 514 S Dargan St, Florence, SC 29506-2552 | 2006-08-29 |
| 1881622819 | Pee Dee Internal Medicine | Internal Medicine | 514 S Dargan St, Suite G, Florence, SC 29506-2552 | 2006-06-29 |
| 1174565766 | Kevin M Sattele | Internal Medicine | 514 S Dargan St, Suite G, Florence, SC 29506-2552 | 2006-06-11 |
| 1013957521 | Jon H. Docherty, Md | Clinic/Center | 514 S Dargan St, Suite G, Florence, SC 29506-2552 | 2006-06-07 |
| 1740272236 | Pongstorn Pitiranggon | Specialist | 514 S Dargan St, Suite H, Florence, SC 29506-2552 | 2005-08-19 |
| 1306838891 | Sarawadee Sittisuntorn | Specialist | 514 S Dargan St, Suite H, Florence, SC 29506-2552 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871001693 | Med Way Ambulance Service, LLC | Ambulance | 1627 E Palmetto St, Florence, SC 29506 | 2018-01-15 |
| 1851810261 | Daijavon Jaquita Mccall | Specialist/Technologist | 1207 Malloy Street, Florence, SC 29506 | 2017-09-18 |
| 1629453873 | Rebecca Diboni | Pharmacist | 501 E Cheves St, Suite D, Florence, SC 29506 | 2015-07-29 |
| 1710365846 | Tiffany Joann Williams | Counselor | 205 Pearl Cir Florence, Sc, SC 29506 | 2015-05-08 |
| 1275925091 | Joe Brice Williamson Jr. | Pharmacist | 501 E. Cheves St., Suite D, Florence, SC 29506 | 2015-03-03 |
| 1528474632 | La'keisha Coker | Dietitian, Registered | 145 E. Cheves St., Florence County Health Department, Florence, SC 29506 | 2014-07-09 |
| 1275948085 | Patrick Kevin Mccarthy | Dietitian, Registered | 145 East Cheves Street, Florence County Health Dept., Florence, SC 29506 | 2014-07-01 |
| 1073931655 | Gwen A Davis | Registered Nurse | 145 E Cheves Street, Sc Dhec Pee Dee Region, Florence, SC 29506 | 2014-04-01 |
| 1205267879 | Jessica Turner | Physical Therapist | 555 E Cheves St., Inpatient Rehab Department, Florence, SC 29506 | 2013-12-09 |
| 1700213923 | Pamela Orange | Nurse's Aide | 2501 Sparklberry Lane, Florence, SC 29506 | 2013-10-02 |
| Find all providers in zip 29506 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053351213 | Richard D Weber | Podiatrist | 506 East Cheves Street, Florence, SC 29506-2616 | 2006-06-07 |
| 1063464733 | Jeffrey P Muha | Podiatrist | 1580 Freedom Blvd, Suite 106, Florence, SC 29505-6074 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508226580 | Foot and Heel Pain Clinic, LLC | Podiatrist | 551 Old Charleston Hwy, Hardeeville, SC 29927-3716 | 2016-03-03 |
| 1952630972 | Roper Saint Francis Physicians Network | Podiatrist | 2270 Ashley Crossing Dr Ste 110, Charleston, SC 29414 | 2009-12-22 |
| 1487889200 | Carolina Foot Specialists, LLC | Podiatrist | 501 Bramson Ct Unit 301, Mt Pleasant, SC 29464-7953 | 2009-05-22 |
| 1720228661 | Nicholas A Straney Dpm | Podiatrist | 701 Saint Andrews Blvd, Charleston, SC 29407-7140 | 2009-03-05 |
| 1457543589 | Mid-carolina Podiatry, Inc. | Podiatrist | 1207 N Lake Dr, Lexington, SC 29072-7647 | 2007-08-13 |
| 1467571919 | Cheraw Foot Center PC | Podiatrist | 110 S Doctors Dr, Suite B1, Cheraw, SC 29520-7112 | 2007-03-28 |
| 1326117433 | Richard Hampton Moore | Podiatrist | 4000 Highway 9 E # 235, Little River, SC 29566-7833 | 2006-11-06 |
| 1093804817 | George Sich IIi | Podiatrist | 901 Magnolia Dr, Aiken, SC 29803 | 2006-10-12 |
| 1891891644 | James Leon Rose | Podiatrist | 2126b N Highway 81, Anderson, SC 29621-1532 | 2006-09-16 |
| 1043316987 | Palmetto Podiatry Group of Anderson, Pa | Podiatrist | 2126 - B Hwy 81 North, Anderson, SC 29621-4819 | 2006-09-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. WALTER J SUBER SR..
| 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.