MCLEOD LORIS SEACOAST HOSPITAL (NPI# 1265708119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265708119 |
| Entity Type | Organization |
| Organization Name | MCLEOD LORIS SEACOAST HOSPITAL |
| Other Organization Name | MCLEOD LORIS/SEACOAST PHYSICIANS |
| Practice Address |
3655 Mitchell St Loris SC 29569-2827 |
| Mailing Address |
Po Box 100567 Florence SC 29502-0567 |
| Practice Telephone | 8437167000 |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2019-02-25 |
| Authorized Official Name | SAMUEL FULTON ERVIN III (SR VP AND CFO) |
| Authorized Official Telephone | 8437772910 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCLEOD HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians | ||
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | B311 | 05 |
| Other Name | Type Code |
|---|---|
| McLeod Loris/Seacoast Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619534112 | Mcleod Loris Seacoast Hospital | Pharmacy | 4000 Hwy 9 East, Outpatient Pharmacy, Little River, SC 29566 | 2019-05-21 |
| 1588941520 | Mcleod Loris Seacoast Hospital | Skilled Nursing Facility | 3620 Stevens St, Loris, SC 29569-2953 | 2011-11-04 |
| 1306123344 | Mcleod Loris Seacoast Hospital | General Acute Care Hospital | 3655 Mitchell St, Loris, SC 29569-2827 | 2011-11-04 |
| 1629387352 | Mcleod Loris Seacoast Hospital | Pharmacy | 3655 Mitchell St, Loris, SC 29569-2827 | 2010-09-29 |
| Street Address |
3655 MITCHELL ST |
| City | LORIS |
| State | SC |
| Zip Code | 29569-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467441329 | James N Moore IIi | Family Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2005-10-13 |
| 1437785888 | Hunter Tyson Chestnut | Registered Nurse | 3655 Mitchell St, Loris, SC 29569-2827 | 2020-03-17 |
| 1700417474 | Madeline Soucy | Nurse Practitioner | 3655 Mitchell St, Loris, SC 29569-2827 | 2020-01-30 |
| 1730627712 | Chad Dewayne Buffkin | Emergency Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2017-02-09 |
| 1093172256 | Joann Hannah | Nurse Anesthetist, Certified Registered | 3655 Mitchell St, Loris, SC 29569-2827 | 2016-01-19 |
| 1699148569 | Horizon Emergency Physicians, LLC | Physician Assistant | 3655 Mitchell St, Loris, SC 29569-2827 | 2015-11-02 |
| 1376916114 | Symposium Emergency Physicians, LLC | Nurse Practitioner | 3655 Mitchell St, Loris, SC 29569-2827 | 2015-11-02 |
| 1497177216 | David Justin Guthrie | Registered Nurse | 3655 Mitchell St, Loris, SC 29569-2827 | 2014-01-14 |
| 1962753988 | Mohamed Bassiouny | Internal Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2012-10-01 |
| 1306123344 | Mcleod Loris Seacoast Hospital | General Acute Care Hospital | 3655 Mitchell St, Loris, SC 29569-2827 | 2011-11-04 |
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| 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 | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699008342 | Heather Snyder | Nurse Anesthetist, Certified Registered | 3365 Mitchell Street, Loris, SC 29569-9601 | 2009-09-14 |
| 1821292178 | Carla B Hamilton | Nurse Anesthetist, Certified Registered | 3655 Mitchell St., Loris, SC 29569-9601 | 2007-06-12 |
| 1093172256 | Joann Hannah | Nurse Anesthetist, Certified Registered | 3655 Mitchell St, Loris, SC 29569-2827 | 2016-01-19 |
| 1730317470 | Lori Ashli Daniels | Nurse Anesthetist, Certified Registered | 3655 Mitchell St, Loris, SC 29569-9601 | 2009-07-01 |
| 1205977667 | Carmen Esper | Nurse Anesthetist, Certified Registered | 3655 Mitchell St, Loris, SC 29569-9601 | 2007-02-09 |
| 1588705909 | Kyron L Cain | Nurse Anesthetist, Certified Registered | 3655 Mitchell St, Box 690001, Loris, SC 29569-9601 | 2007-02-09 |
| 1942379870 | Robin B Hodge | Nurse Anesthetist, Certified Registered | 3655 Mitchell St, Box 690001, Loris, SC 29569-9601 | 2006-11-07 |
| 1477634483 | Starlette C Godwin | Nurse Anesthetist, Certified Registered | 3655 Mitchell St, Loris, SC 29569-2827 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905867 | Kelsey Squires Lennon | Nurse Anesthetist, Certified Registered | 101 Reedy View Dr Apt 174, Greenville, SC 29601-1827 | 2018-06-07 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1710480280 | Midlands Anesthesia Company, LLC | Nurse Anesthetist, Certified Registered | 340 Sumter Hwy, Camden, SC 29020-9347 | 2018-03-12 |
| 1386155265 | Ajith A Skariah | Nurse Anesthetist, Certified Registered | 311 Chartwell Dr, Greer, SC 29650-4784 | 2017-10-18 |
| 1447616917 | Teletha Ruth | Nurse Anesthetist, Certified Registered | 42 Oak St, Varnville, SC 29944-4855 | 2016-01-13 |
| 1508221037 | Polaya Anesthesia LLC | Nurse Anesthetist, Certified Registered | 201 74th Ave N, Myrtle Beach, SC 29572-3832 | 2015-12-29 |
| 1255702007 | Jane Elizabeth Donnan | Nurse Anesthetist, Certified Registered | 1313 E North St, Greenville, SC 29607-1355 | 2015-10-19 |
| 1285010611 | Terra Lynn Kloth | Nurse Anesthetist, Certified Registered | 6451 Come About Way, Awendaw, SC 29429-6022 | 2015-08-07 |
| 1306226402 | Shayla Callahan | Nurse Anesthetist, Certified Registered | 1412 Red Sunset Ln, Blythewood, SC 29016-7639 | 2015-06-03 |
| 1295120822 | Lisa G James | Nurse Anesthetist, Certified Registered | 2 Chestnut Hill Pl, Simpsonville, SC 29680-6662 | 2015-03-31 |
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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.