CAROLINA IMAGING CENTER LLC (NPI# 1275574618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275574618 |
| Entity Type | Organization |
| Organization Name | CAROLINA IMAGING CENTER LLC |
| Practice Address |
803 N Fant St Anderson SC 29621-5707 |
| Practice Telephone | 8642268889 |
| Mailing Telephone | 8642268889 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN EDWIN HESS (OWNER) |
| Authorized Official Telephone | 8642268889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 247100000X | Radiologic Technologist | 247478 | SC | Technologists, Technicians & Other Technical Service Providers |
| X | 2471N0900X |
Radiologic Technologist Specialization: Nuclear Medicine Technology |
001757 | SC | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00465913B | 05 | |
| SC | MEDCOST ID NUMBER | 91823 | 01 |
| SC | GP2958 | 05 |
| Street Address |
803 N FANT ST |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-5707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164489191 | O Boyd Gardo Jr. | Orthotic Fitter | 803 N Fant St, Anderson, SC 29621-5707 | 2006-04-26 |
| 1609163302 | Anmed Health | Internal Medicine | 803 N Fant St, Suite 3b, Anderson, SC 29621-5700 | 2011-07-01 |
| 1386728483 | Thomas J. Sullivan, Jr. Md, Pa | Internal Medicine | 803 N Fant St, Suite 2-c, Anderson, SC 29621-5700 | 2006-10-25 |
| 1912008806 | James Winbush | Internal Medicine | 803 N Fant St, Suite 3a, Anderson, SC 29621-5700 | 2006-09-26 |
| 1629095062 | Amy R Cianciolo | Family Medicine | 803 N Fant St, Suite 2a, Anderson, SC 29621-5700 | 2006-07-15 |
| 1922038413 | Zachary Gregg Seymour | Internal Medicine | 803 N Fant St, Suite 2 B, Anderson, SC 29621-5700 | 2006-07-03 |
| 1881646933 | Daniel A Keenan Jr Md LLC | Internal Medicine | 803 N Fant St, Suite 3-b, Anderson, SC 29621-5700 | 2006-05-17 |
| 1598714305 | Daniel A. Keenan Jr. | Internal Medicine | 803 N Fant St, Suite 3-b, Anderson, SC 29621-5700 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760603849 | Doctors Digital Scanning | Radiologic Technologist | 1930 Barney Rd, Anderson, CA 96007-4337 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558816926 | Michael Wayne Mason | Radiologic Technologist | 636 Long Point Rd, Unit 6 Box 31, Mt Pleasant, SC 29464-8286 | 2016-08-16 |
| 1093187148 | Erick B Young | Radiologic Technologist | 103 Chatfield Cir, Goose Creek, SC 29445-7092 | 2015-10-28 |
| 1366884587 | Dmarcus Jamall Beatty | Radiologic Technologist | 108 Londonberry Cir, Columbia, SC 29210-6057 | 2013-07-29 |
| 1730358227 | Davis H Maddux | Radiologic Technologist | 5 Bontwell Cir, Bluffton, SC 29910-6538 | 2008-02-28 |
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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.