PARKSIDE MEDICAL CONSULTANTS LLC (NPI# 1184704850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184704850 |
| Entity Type | Organization |
| Organization Name | PARKSIDE MEDICAL CONSULTANTS LLC |
| Other Organization Name | MAGNOLIA MEDICAL CENTER |
| Practice Address |
410 University Pkwy Suite 2300 Aiken SC 29801-6807 |
| Mailing Address |
Po Box 2037 Aiken SC 29802 |
| Practice Telephone | 8036496366 |
| Practice Fax Number | 8036496347 |
| Mailing Telephone | 8036496366 |
| Mailing Fax Number | 8036496347 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-05-20 |
| Authorized Official Name | MRS. MARGO JOHANNA MUNIZ (OWNER) |
| Authorized Official Telephone | 8036496366 |
| Authorized Official Credential | MD RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 22170 | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4538 | 05 |
| Other Name | Type Code |
|---|---|
| MAGNOLIA MEDICAL CENTER | Doing Business As Name - Organization |
| Street Address |
410 UNIVERSITY PKWY SUITE 2300 |
| City | AIKEN |
| State | SC |
| Zip Code | 29801-6807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386626455 | Janet C Powell | Nurse Practitioner | 410 University Pkwy, Suite 1550, Aiken, SC 29801-6810 | 2005-11-15 |
| 1295276863 | Candace Perry Thomas | Counselor | 410 University Pkwy, Suite 1560, Aiken, SC 29801-6810 | 2017-03-16 |
| 1144763327 | Ashanti Friels-paz | Counselor | 410 University Pkwy, Aiken, SC 29801-6810 | 2016-11-21 |
| 1477005189 | Mark Collins Jr. | Counselor | 410 University Pkwy, Aiken, SC 29801-6810 | 2016-10-28 |
| 1548617368 | Patricia Ball Schander | Social Worker | 410 University Pkwy, Suite 2300, Aiken, SC 29801-6810 | 2016-05-23 |
| 1831545201 | Bhg Xxxix, LLC | Clinic/Center | 410 University Pkwy, Suite 1560, Aiken, SC 29801-6810 | 2016-05-04 |
| 1427412709 | Jackson Ryan Murphy | Pharmacist | 410 University Pkwy, Suite 2800, Aiken, SC 29801-6810 | 2016-04-12 |
| 1205292901 | Cassie Nicole Carroll | Social Worker | 410 University Pkwy, Aiken, SC 29801-6810 | 2016-01-11 |
| 1508240912 | Theresa Jordan | Psychologist | 410 University Pkwy, Aiken Counseling Group,410 University Pkwy, Suite 2300, Aiken, SC 29801-6810 | 2015-07-15 |
| 1306244637 | Ashton Sullivan | Social Worker | 410 University Pkwy, Suite 2300, Aiken, SC 29801-6810 | 2014-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003457557 | Edwin Knight | Technician | 458 Wheat Rd, Aiken, SC 29801 | 2019-10-07 |
| 1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
| 1457820433 | Catherine Reddish | Home Health | 245 Hancock Rd Reddish Health Care Agency, Aiken, SC 29801 | 2018-11-19 |
| 1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
| 1932649654 | Vageo Inc | Clinic/Center | 227 Chesterfiled St S, Aiken, SC 29801 | 2017-02-28 |
| 1629472550 | Andrea Ellis | Nurse Practitioner | 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 | 2014-10-21 |
| 1699177782 | Joyce Walker Pompey | Registered Nurse | 471 University Parkway, Box 11, Aiken, SC 29801 | 2014-09-19 |
| 1578973251 | Rehab Without Walls, Inc. | Clinic/Center | 104 Florence St. Sw, Suite A, Aiken, SC 29801 | 2014-05-02 |
| 1609297571 | Katherine Delucas Duke | Counselor | 1135 Gregg Highway, Aiken, SC 29801 | 2013-12-19 |
| 1811328149 | Lynda Renee Green | Speech-Language Pathologist | 100 Bears Rock Rd., Aiken, SC 29801 | 2013-12-12 |
| Find all providers in zip 29801 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871147454 | Augusta Oncology Associates, P.C. | Specialist | 222 University Parkway, Aiken, SC 29803 | 2019-07-31 |
| 1104941665 | Angela June Neal | Specialist | 1917 Cottonwood Dr, Aiken, SC 29803-5784 | 2007-03-20 |
| 1548324874 | Aiken Cardiovascular Associates, P.C. | Specialist | 137 Miracle Drive, Nw, Aiken, SC 29801 | 2006-12-21 |
| 1124066568 | Edwin Louis Peak | Specialist | 410 University Pkwy Ste 1000, Aiken, SC 29801-6800 | 2006-06-04 |
| 1629027628 | Daniel Joseph Smith | Specialist | 110 Pepper Hill Way, Aiken, SC 29801 | 2006-05-08 |
| 1164491296 | Dean A Page | Specialist | 3000 Woodside Executive Ct, Aiken, SC 29803-3831 | 2006-03-14 |
| 1578105128 | Shanika Grant | Specialist | 1135 Gregg Hwy Nw, Aiken, SC 29801-6341 | 2019-10-16 |
| 1134528672 | Kerrie Lovejoy | Specialist | 1000 Brookhaven Dr, Aiken, SC 29803-2109 | 2014-08-21 |
| 1619227758 | Neurology Care Consultants, LLC | Specialist | 100 Aurora Pl, Suite 300, Aiken, SC 29801-5318 | 2012-09-17 |
| 1073811642 | Neurological Surgery of Aiken | Specialist | 100 Aurora Pl, Suite 300, Aiken, SC 29801-5318 | 2011-03-07 |
| Find all providers in AIKEN | ||||
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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.