DR. CARY NELSON DAVIS FISHBURNE JR. (NPI# 1285624031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285624031 |
Entity Type | Individual |
Full Name | DR. CARY NELSON DAVIS FISHBURNE JR. |
Credential | MD |
Practice Address |
295a Midland Pkwy Ste 130 Summerville SC 29485 |
Mailing Address |
295a Midland Pkwy Ste 130 Summerville SC 29485-5901 |
Practice Telephone | 8438739690 |
Practice Fax Number | 8438750368 |
Mailing Telephone | 8438739690 |
Mailing Fax Number | 8438750368 |
Enumeration Date | 2005-10-24 |
Last Update Date | 2018-06-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | 9601608 | NC | Allopathic & Osteopathic Physicians |
Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
40796 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 891332Y | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
10220 Prosperity Park Dr Ste 300, Charlotte, NC 282691106 | 7043161120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669464988 | Cary Nelson Fishburne | Pediatrics | 7363 Walker Ave, Gloucester, VA 23061-6119 | 2005-08-23 |
Street Address |
295A MIDLAND PKWY STE 130 |
City | SUMMERVILLE |
State | SC |
Zip Code | 29485 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
Find all providers in zip 29485 |
Taxonomy Code | 207VF0040X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Female Pelvic Medicine and Reconstructive Surgery |
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396221248 | St. Francis Physician Services, Inc | Obstetrics & Gynecology | 2 Innovation Dr Ste 180, Greenville, SC 29607-5265 | 2018-07-13 |
City | SUMMERVILLE |
Zip Code | 29485 |
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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.