MCLEOD PHYSICIAN ASSOCIATES II (NPI# 1205113248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205113248 |
| Entity Type | Organization |
| Organization Name | MCLEOD PHYSICIAN ASSOCIATES II |
| Other Organization Name | MCLEOD LORIS PRIMARY CARE |
| Practice Address |
3109 Casey St Loris SC 29569-2807 |
| Mailing Address |
Po Box 3239 Florence SC 29502-3239 |
| Practice Telephone | 8437569292 |
| Practice Fax Number | 8437569260 |
| Mailing Telephone | 8437777010 |
| Mailing Fax Number | 8437777006 |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2015-01-06 |
| Authorized Official Name | MR. DANE P FICCO (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 8437777012 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCLEOD HEALTH, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | SC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| McLeod Loris Primary Care | 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 |
3109 CASEY ST |
| City | LORIS |
| State | SC |
| Zip Code | 29569-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982642880 | Gary J Barrett Md Pa | Internal Medicine | 3109 Casey St, Loris, SC 29569 | 2006-06-03 |
| 1720629512 | Paul Wells James | Nurse Practitioner | 3109 Casey St, Loris, SC 29569-2807 | 2019-10-02 |
| 1285904664 | Mcleod Physician Associates II | Internal Medicine | 3109 Casey St, Suite B, Loris, SC 29569-2807 | 2012-01-03 |
| 1316267396 | Donna C Sellers | Nurse Practitioner | 3109 Casey St, Suite A, Loris, SC 29569-2807 | 2010-06-01 |
| 1073684577 | Wanda W Grainger | Nurse Practitioner | 3109 Casey St, Suite A, Loris, SC 29569-2807 | 2006-11-13 |
| 1578571592 | Gary Joseph Barrett | Internal Medicine | 3109 Casey St, Suite B, Loris, SC 29569-2807 | 2006-08-04 |
| 1265458251 | Seashore Pediatrics | Pediatrics | 3109 Casey St, Box 669, Loris, SC 29569-2807 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427464247 | Denise Logan | Dietitian, Registered | 3811 Walnut St, Loris, SC 29569 | 2014-07-02 |
| 1801231634 | Melissa Ann Miara | Internal Medicine | 3617 Casey St Ste C, Loris, SC 29569 | 2013-05-07 |
| 1356684161 | Gwyn Gordon Mcgutchen | Dentist | 3681 Spivey St., Loris, SC 29569 | 2013-03-29 |
| 1336486174 | Winferd Dale Holt | Dentist | 3980 Main Street, Loris, SC 29569 | 2013-01-14 |
| 1528314325 | Southern Living Emergency Physicians LLC | Physician Assistant | 6988 Mitchell Street, Loris, SC 29569 | 2012-07-30 |
| 1124347604 | Regina F. Holmes | Nurse Practitioner | Agape Senior Primary Care Inc Dba Main Street Physician, 3612 Mitchell Street, Loris, SC 29569 | 2010-05-24 |
| 1801914122 | Dr Gwyn Gordon Mccutchen Inc | Dentist | 3681 Spivey Street, Loris, SC 29569 | 2007-03-26 |
| 1700911203 | Twin States Helping Hands | Home Health | 1620 Hwy 701 N, Loris, SC 29569 | 2007-02-23 |
| 1306922646 | Loris Community Hospital District | Clinic/Center | 3204 Casey St, Loris, SC 29569 | 2006-10-30 |
| 1619074119 | South Carolina Cvs Pharmacy LLC | Pharmacy | 4767 Broad St, Loris, SC 29569 | 2006-09-20 |
| Find all providers in zip 29569 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619100096 | Little River Medical Center, Inc. | Family Medicine | 3817 Main St, Loris, SC 29569-3017 | 2009-09-01 |
| 1740216191 | Loris Medical Center, Pa | Family Medicine | 3439 Casey St, Loris, SC 29569-2903 | 2006-06-25 |
| 1467441329 | James N Moore IIi | Family Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2005-10-13 |
| 1629480751 | Lyndsi Cress | Family Medicine | 3418 Casey St, Loris, SC 29569-2904 | 2014-05-23 |
| 1326303538 | Bernice Francesca Lim | Family Medicine | 3817 Main St, Loris, SC 29569-3017 | 2012-07-13 |
| 1043302060 | Southern Medical Associates, P.a. | Family Medicine | 3418 Casey St, Loris, SC 29569-2904 | 2006-09-28 |
| 1285726232 | Mark F Pelstring | Family Medicine | 3418 Casey St, Loris, SC 29569-2904 | 2006-09-28 |
| 1144311812 | Andrew J.r. Sejan | Family Medicine | 3418 Casey St, Loris, SC 29569 | 2006-09-27 |
| 1972694628 | Timothy C Mills | Family Medicine | 3418 Casey St, Loris, SC 29569 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495841 | Neuro Health Sc LLC | Family Medicine | 108 Commons Blvd Ste A, Piedmont, SC 29673-7766 | 2020-10-21 |
| 1811595499 | Laura Coolidge | Family Medicine | 1528 Seacroft Rd, Charleston, SC 29412-8113 | 2020-10-15 |
| 1154928570 | Lexington Health Inc | Family Medicine | 146 E Hospital Dr Ste 500, West Columbia, SC 29169-4842 | 2020-10-08 |
| 1477150340 | Meghan Hodapp | Family Medicine | 623 Awendaw Lakes Blvd, Awendaw, SC 29429-6407 | 2020-10-05 |
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1851906267 | Avneet Nagra | Family Medicine | 162 Montauk Dr, Lexington, SC 29072-6776 | 2020-09-11 |
| 1134732753 | Ovp Health Care, Inc. | Family Medicine | 101 S Catawba St, Lancaster, SC 29720-2411 | 2020-08-24 |
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1922617950 | Fred E Hill | Family Medicine | 1033 Jervey Point Rd, Charleston, SC 29492-8372 | 2020-07-27 |
| 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.