DR. SAMUEL WILLIAM POLEN (NPI# 1194721076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194721076 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL WILLIAM POLEN |
| Credential | M.D. |
| Practice Address |
1315 Roberts St Camden SC 29020-3737 |
| Mailing Address |
101 Pee Dee Dr Florence SC 29501-8279 |
| Practice Telephone | 8037136140 |
| Mailing Telephone | 8436615061 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2008-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 012753 | SC | Allopathic & Osteopathic Physicians |
| N | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
012753 | SC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 012753 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 127534 | 05 |
| Street Address |
1315 ROBERTS ST |
| City | CAMDEN |
| State | SC |
| Zip Code | 29020-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710528260 | Gina Allen | Nurse Practitioner | 1315 Roberts St, Camden, SC 29020-3737 | 2019-10-07 |
| 1710543384 | Scott Patrick King | Physical Therapist | 1315 Roberts St, Camden, SC 29020-3737 | 2019-05-19 |
| 1598232332 | Jessica Leigh Davis Atkinson | Nurse Practitioner | 1315 Roberts St, Camden, SC 29020-3737 | 2018-10-30 |
| 1861996142 | Kershaw Hospital LLC | Psychiatric Unit | 1315 Roberts St, Camden, SC 29020-3737 | 2018-03-21 |
| 1073986048 | Kershaw Anesthesia, LLC | Anesthesiology | 1315 Roberts St, Camden, SC 29020-3737 | 2015-11-12 |
| 1386029882 | Sarah Creed Bradley | Nurse Practitioner | 1315 Roberts St, Camden, SC 29020-3737 | 2015-07-25 |
| 1316322027 | Kershaw Hospital LLC | Internal Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2015-07-23 |
| 1174903314 | Low Country Physicians Group, LLC | Emergency Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2015-06-03 |
| 1760876585 | Jack Robert Maxfield | Registered Nurse | 1315 Roberts St, Camden, SC 29020-3737 | 2015-03-19 |
| 1568802478 | Emily Augusta Huggins | Internal Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2013-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1205493871 | Kershaw County Board of Disabilities and Special Needs | Early Intervention Provider Agency | 1619 Jefferson Davis Highway, Camden, SC 29020 | 2019-05-20 |
| 1831669415 | Jennifer Dawn Colby | Counselor | 709 Mill Street, Camden, SC 29020 | 2018-11-27 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
| 1811414675 | Audra Rowell Scott | Registered Nurse | Kershaw County Health Department, 1116 Church Street, Camden, SC 29020 | 2017-08-23 |
| 1386173789 | Robert James Mccarthy | Specialist/Technologist | 410 Chewning Street, Camden, SC 29020 | 2017-06-08 |
| 1902357205 | First Physical Therapy LLC | Clinic/Center | 1114 Mill St, Camden, SC 29020 | 2016-10-21 |
| 1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
| 1154748424 | Diane Mcdonald | Registered Nurse | 1611 Church St, Camden, SC 29020 | 2014-03-25 |
| Find all providers in zip 29020 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942663570 | Nicole Mansfield | Emergency Medicine | One Cooper Plaza, Kelemen 152, Cooper University Hospital, Camden, NJ 08103 | 2016-03-31 |
| 1578925962 | Yvonne Mbachu | Emergency Medicine | 1 Cooper Plaza, Keleman 152, Camden, NJ 08103-1461 | 2016-03-24 |
| 1184091779 | Sarab Sodhi | Emergency Medicine | One Cooper Plaza Kelemen 152, Cooper University Hospital, Camden, NJ 08103 | 2015-08-31 |
| 1376506154 | Guy Beyer Kahler | Emergency Medicine | 1111 Mill St, Camden, SC 29020-3763 | 2006-04-11 |
| 1043298789 | Quoc V Nguyen | Emergency Medicine | Box 7003, Camden, SC 29020-7003 | 2006-01-04 |
| 1073012043 | Jared Klein | Emergency Medicine | 1 Cooper Plz, Camden, NJ 08103 | 2018-02-06 |
| 1528588985 | Alexander Kuc | Emergency Medicine | 1 Cooper Plz, Camden, NJ 08103-1461 | 2017-06-26 |
| 1841720331 | Caroline Kaigh | Emergency Medicine | 1 Cooper Plz, Camden, NJ 08103-1461 | 2017-06-15 |
| 1316482227 | Kimberley Chavez | Emergency Medicine | 1 Cooper Plz, Camden, NJ 08103-1461 | 2016-12-31 |
| 1609311984 | John Cafaro | Emergency Medicine | 1 Cooper Plz, Keleman 152 Department of Emergency Medicine, Camden, NJ 08103-1461 | 2016-12-22 |
| Find all providers in CAMDEN | ||||
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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.