KYLE ERNEST WATFORD (NPI# 1225000573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225000573 |
| Entity Type | Individual |
| Full Name | KYLE ERNEST WATFORD |
| Credential | MD |
| Practice Address |
10630 Clemson Blvd Ste 100 Seneca SC 29678-4545 |
| Mailing Address |
1 Independence Pointe Suite 212 Greenville SC 29615-4536 |
| Practice Telephone | 8644826000 |
| Mailing Telephone | 8647976328 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2017-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 20275 | SC | Allopathic & Osteopathic Physicians |
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
20275 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | BCBS | 055 | 01 |
| SC | 202756 | 05 | |
| SC | AETNA | 7574373 | 01 |
| SC | MEDCOST | 206186 | 01 |
| SC | SELECT HEALTH | 20072627 | 01 |
| NC | NC MEDICAID | 5909037 | 01 |
| SC | MEDICARE PTAN | H640278552 | 01 |
| SC | CIGNA | 8000830 | 01 |
| Street Address |
10630 CLEMSON BLVD STE 100 |
| City | SENECA |
| State | SC |
| Zip Code | 29678-4545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407207442 | Jessica Taylor Melton | Nurse Practitioner | 10630 Clemson Blvd Ste 100, Seneca, SC 29678-4545 | 2016-06-30 |
| 1487897104 | Christopher John Aubin | Physician Assistant | 10630 Clemson Blvd Ste 100, Seneca, SC 29678 | 2009-04-10 |
| 1760516249 | Tenley E Murphy | Family Medicine | 10630 Clemson Blvd Ste 100, Seneca, SC 29678 | 2007-03-15 |
| 1417917568 | Steven Lee Martin | Orthopaedic Surgery | 10630 Clemson Blvd Ste 100, Seneca, SC 29678-4545 | 2006-03-24 |
| 1083673776 | Brian James Redmond | Orthopaedic Surgery | 10630 Clemson Blvd Ste 100, Seneca, SC 29678-4545 | 2006-03-21 |
| 1760441547 | Larry Stanley Bowman | Orthopaedic Surgery | 10630 Clemson Blvd Ste 100, Seneca, SC 29678-4545 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803313 | Synergy Spine Center, Pa | Pain Medicine | 457 U.S. Highway 123, Suite D, Seneca, SC 29678 | 2020-02-20 |
| 1437630746 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 10708 Clemson Blvd, Seneca, SC 29678 | 2018-08-24 |
| 1497233415 | Southern Telco, Inc. | Emergency Response System Companies | 15879 Wells Hwy, Seneca, SC 29678 | 2018-08-01 |
| 1598252199 | Chana Ashlan Land | Counselor | 530 By Pass 123 Ste E2, Seneca, SC 29678 | 2018-04-18 |
| 1679972632 | Anesthesia At Synergy Spine | Nurse Anesthetist, Certified Registered | 457 E Bypass 123, Seneca, SC 29678 | 2014-08-15 |
| 1548683303 | Carolina Counseling Professionals, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr, Seneca, SC 29678 | 2014-01-30 |
| 1144658170 | Changing Strides Counseling, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr., Seneca, SC 29678 | 2013-10-30 |
| 1417383811 | Martha Williams | Registered Nurse | 101 Honeybee Ln, Seneca, SC 29678 | 2013-09-18 |
| 1073867404 | The Upstate's Golden Corner of Psychiatry | Psychiatry & Neurology | 450 B Bypass 123, Seneca, SC 29678 | 2012-11-07 |
| 1043569916 | Amanda Lee Simpson | Pharmacist | 105 Foothills Center Drive, West Union, SC 29678 | 2012-09-06 |
| Find all providers in zip 29678 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043452741 | James Clinton Black | Orthopaedic Surgery | 480 Floyd Rd Ste A, Spartanburg, SC 29307-1518 | 2009-03-27 |
| 1184828808 | Charleston Bone & Joint Pa | Orthopaedic Surgery | 767 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3027 | 2007-06-14 |
| 1407050123 | Charlestone Bone & Joint Pa | Orthopaedic Surgery | 730 Stoney Landing Rd Ste 100, Moncks Corner, SC 29461-2948 | 2007-06-14 |
| 1922555739 | Mcleod Physician Associates II | Orthopaedic Surgery | 1005 E Cheves St, Florence, SC 29506-2707 | 2016-09-09 |
| 1063968055 | Jessica Roberson Strickland | Orthopaedic Surgery | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2016-08-30 |
| 1083907125 | Kevin Murr | Orthopaedic Surgery | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2011-05-23 |
| 1073799433 | Michael Srinivasa Sridhar | Orthopaedic Surgery | 105 Doctors Dr, Greenville, SC 29605-5608 | 2008-01-16 |
| 1992900286 | Charleston Bone & Joint Pa | Orthopaedic Surgery | 2097 Henry Tecklenburg Dr, Ste 316, Charleston, SC 29414-5740 | 2007-06-18 |
| 1790989416 | Charleston Bone & Joint Pa | Orthopaedic Surgery | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2007-06-14 |
| 1841227220 | Thomas Michael Schaller | Orthopaedic Surgery | 200 Patewood Drive, Suite C100, Greenville, SC 29615-3557 | 2006-06-28 |
| 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.