CAROLINA NEURO SPECIALISTS (NPI# 1275602153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275602153 |
| Entity Type | Organization |
| Organization Name | CAROLINA NEURO SPECIALISTS |
| Practice Address |
109 Midlands Ct Ste A West Columbia SC 29169-3456 |
| Practice Telephone | 8039261515 |
| Practice Fax Number | 8039263740 |
| Mailing Telephone | 8039261515 |
| Mailing Fax Number | 8039263740 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-01-30 |
| Authorized Official Name | DR. VICTORIA RENE SAMUELS (CEO) |
| Authorized Official Telephone | 8039261515 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 14997 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GPO637 | 05 |
| Street Address |
109 MIDLANDS CT STE A |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760582621 | Suzanne J Smith | Physician Assistant | 109 Midlands Ct Ste A, West Columbia, SC 29169-3456 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487909081 | Lexington County Health Services District, Inc. | Neurological Surgery | 146 East Hospital Dr, Ste 120a, West Columbia, SC 29169 | 2012-07-19 |
| 1538261615 | Brett C Gunter | Neurological Surgery | 222 E Medical Ln Ste 200, West Columbia, SC 29169-4848 | 2006-09-01 |
| 1720685159 | Lexington Health Inc | Neurological Surgery | 146 E Hospital Dr Ste 120a, West Columbia, SC 29169-4800 | 2020-10-08 |
| 1821425786 | Arcis Healthcare | Neurological Surgery | 2989 Sunset Blvd, West Columbia, SC 29169-3497 | 2013-10-08 |
| 1003255548 | Nathan Chadwick Davis | Neurological Surgery | 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 | 2013-06-18 |
| 1730368499 | Charles P. Toussaint | Neurological Surgery | 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 | 2007-10-30 |
| 1194929810 | Johnathan A Engh | Neurological Surgery | 222 East Medical Lane, Suite 200, West Columbia, SC 29169-4801 | 2007-06-14 |
| 1528160686 | Scott B Boyd | Neurological Surgery | 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285259374 | Brian Fabian Saway | Neurological Surgery | 96 Jonathan Lucas St Rm 301, Charleston, SC 29425-8900 | 2020-06-15 |
| 1548819170 | Carolina Neurosurgery & Spine Associates Pa | Neurological Surgery | 937 Riverwalk Pkwy Ste 101, Rock Hill, SC 29730-0179 | 2019-09-06 |
| 1497016778 | Adam R Mathes | Neurological Surgery | Piedmont Spine and Neurosurgical Group, 3 St. Francis Drive, Ste 490, Greenville, SC 29601-3973 | 2012-06-04 |
| 1427358951 | The Neurological Institute of Savannah & Center for Spine P C | Neurological Surgery | 12b Arley Way Ste 103, Bluffton, SC 29910-8860 | 2010-11-01 |
| 1104142223 | Malcolm Daniel Eggart | Neurological Surgery | 4040 Highway 17 Ste 306, Murrells Inlet, SC 29576-5098 | 2010-04-14 |
| 1780917518 | Roper Saint Francis Physicians Network | Neurological Surgery | 56 Persimmons St, Suite C, Bluffton, SC 29910-7641 | 2009-09-11 |
| 1417198573 | Edward Bernard Byrd | Neurological Surgery | 2735 Royal Trace Ln, Mt Pleasant, SC 29466-8124 | 2009-03-18 |
| 1720205016 | Sharon Woods Webb | Neurological Surgery | 3 Saint Francis Dr Ste 490, Greenville, SC 29601-3973 | 2007-04-19 |
| 1841350451 | Clarendon Memorial Hospital | Neurological Surgery | 20 Hospital St, Manning, SC 29102 | 2006-12-12 |
| 1770673766 | Sabino J D'agostino | Neurological Surgery | 9313 Medical Plaza Dr., Suite 305, N. Charleston, SC 29406-7140 | 2006-10-13 |
| Find all providers with the same taxonomy | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.