HANS BLAAKMAN,DPM,LLC (NPI# 1265673784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265673784 |
Entity Type | Organization |
Organization Name | HANS BLAAKMAN,DPM,LLC |
Other Organization Name | UPSTATE FOOTCARE |
Practice Address |
1575 E Main St Duncan SC 29334-9218 |
Mailing Address |
1604 N Limestone St Gaffney SC 29340-2312 |
Practice Telephone | 8644873338 |
Practice Fax Number | 8644874102 |
Mailing Telephone | 8644873338 |
Mailing Fax Number | 8644874102 |
Enumeration Date | 2009-03-12 |
Last Update Date | 2009-05-07 |
Authorized Official Name | DR. HANS BLAAKMAN (OWNER) |
Authorized Official Telephone | 8644873338 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
00564 | SC | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00564 | SC | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | MEDICARE ID | 8291 | 01 |
SC | GP4211 | 05 |
Other Name | Type Code |
---|---|
Upstate Footcare | Doing Business As Name - Organization |
Street Address |
1575 E MAIN ST |
City | DUNCAN |
State | SC |
Zip Code | 29334-9218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568432102 | Richard Lucarelli | Family Medicine | 1575 E Main St, Duncan, SC 29334-9218 | 2006-01-25 |
1912379728 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1575 E Main St, Duncan, SC 29334-9218 | 2015-10-20 |
1033505524 | Amanda Kinney | Family Medicine | 1575 E Main St, Duncan, SC 29334-9218 | 2015-04-10 |
1669897690 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1575 E Main St, Duncan, SC 29334-9218 | 2014-02-27 |
1144466251 | Spartanburg Medical Center | Obstetrics & Gynecology | 1575 E Main St, Duncan, SC 29334-9218 | 2008-12-18 |
1881787802 | Walter Dean Kucaba | Family Medicine | 1575 E Main St, Duncan, SC 29334-9218 | 2006-10-02 |
1003887142 | John Skelton | Internal Medicine | 1575 E Main St, Duncan, SC 29334-9218 | 2006-01-27 |
1629049937 | Michael Tanbonliong | Family Medicine | 1575 E Main St, Duncan, SC 29334-9218 | 2006-01-27 |
1982674321 | Brenda Adams-hudson | Family Medicine | 1575 E Main St, Duncan, SC 29334-9218 | 2006-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487032272 | Polly Wright Rector | Specialist | 120 S Spencer St, Duncan, SC 29334 | 2015-05-12 |
1417343286 | Rubina Batool Baksh | Pediatrics | 500 Squires Pt Ste A, Duncan, SC 29334 | 2015-04-08 |
1922274463 | Joseph Brandon Chadwell | Dentist | 705 Squires Pt, Duncan, SC 29334 | 2008-05-05 |
1306068127 | Worth Family Chiropractic | Chiropractor | 1531 E Main St #2, Duncan, SC 29334 | 2007-05-02 |
1912031717 | Laura Ann Gray | Speech-Language Pathologist | 407 Caperton Way, Duncan, SC 29334 | 2007-03-15 |
1457429078 | Spartanburg County School District No. 5 | Registered Nurse | 100 N. Danzler Rd, Duncan, SC 29334 | 2006-12-01 |
1003913328 | World Class Healthcare Pa | Chiropractor | 700 Squire's Pt, Ste. B, Duncan, SC 29334 | 2006-09-20 |
1245348242 | Craig Bernard Pruitt | Optometrist | Vision Plus 1955 E Main St, 1955 East Main St. Suite C., Duncan, SC 29334 | 2006-08-29 |
1861415085 | Mary Black Health System LLC | Family Medicine | 500 Squires Pointe, Duncan, SC 29334 | 2006-07-26 |
1982622585 | Derek T Dunlap | Dentist | 700 Squire's Pointe Drive, Suite A, Duncan, SC 29334 | 2006-07-18 |
Find all providers in zip 29334 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912379728 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1575 E Main St, Duncan, SC 29334-9218 | 2015-10-20 |
1669897690 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1575 E Main St, Duncan, SC 29334-9218 | 2014-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
1568827814 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1190, Sc-9, Lancaster, SC 29720 | 2015-12-30 |
1285006981 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 700 N A St, Easley, SC 29640-2142 | 2015-10-21 |
1598136996 | Gregory Santamaria | Podiatrist | 1112 Johnnie Dodds Blvd, Mount Pleasant, SC 29464-3131 | 2015-10-12 |
1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
1952727992 | Genesis Foot & Leg Specialists, LLC | Podiatrist | 21563 Wyhte Hardee Blvd, Hardeeville, SC 29927 | 2014-03-14 |
1922424423 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 166 Waccamaw Medical Park Ct, Conway, SC 29526-8965 | 2014-03-09 |
1255756797 | Foot Clinic of South Carolina, LLC | Podiatrist | 1035 Medical Ridge Rd, Clinton, SC 29325-4542 | 2014-02-20 |
1144645722 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1 Medical Park Dr Ste C, Chester, SC 29706-9769 | 2014-02-19 |
1699190272 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 9789 Charlotte Hwy Ste 200, Fort Mill, SC 29707-7182 | 2014-02-19 |
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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.