DR. PETER C BONDY (NPI# 1316917057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316917057 |
| Entity Type | Individual |
| Full Name | DR. PETER C BONDY |
| Credential | M.D. |
| Practice Address |
808 Farrar Dr Conway SC 29526-8747 |
| Mailing Address |
Po Box 2180 Conway SC 29528-2180 |
| Practice Telephone | 8433477300 |
| Practice Fax Number | 8433478459 |
| Mailing Telephone | 8433477300 |
| Mailing Fax Number | 8432346990 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2016-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
33079 | SC | Allopathic & Osteopathic Physicians |
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
32375 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4505 | 05 | |
| SC | 330797 | 05 |
| Street Address |
808 FARRAR DR |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124543756 | Marissa Lynn Levy | Audiologist | 808 Farrar Dr, Conway, SC 29526-8747 | 2017-08-04 |
| 1386178523 | Alexandria Paige Potratz Lee | Audiologist | 808 Farrar Dr, Conway, SC 29526-8747 | 2017-04-14 |
| 1770692808 | Rivertown Primary Medical | Family Medicine | 808 Farrar Dr, Conway, SC 29526-8747 | 2006-08-30 |
| 1760459028 | Conway Hospital Inc | Otolaryngology | 808 Farrar Dr, Conway, SC 29526-8747 | 2006-03-07 |
| 1285606350 | Darin V Sutton | Otolaryngology | 808 Farrar Dr, Conway, SC 29526-8747 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386989028 | Coastal Carolina Ent, Do, Pa | Otolaryngology | 110 Highway 17 S, Suite 112 - Sundial Center, North Myrtle Beach, SC 29582-3118 | 2012-12-06 |
| 1194144493 | Charleston Facial Plastic Surgery LLC | Otolaryngology | 67 Broad St, Suite 200, Charleston, SC 29401-2936 | 2014-04-15 |
| 1043471394 | Stephen J. Kroll, M.d. Pa | Otolaryngology | 338 Harbison Blvd, Columbia, SC 29212-2248 | 2008-06-19 |
| 1063687325 | David Watson Rodwell IIi | Otolaryngology | 67 Broad St, Suite 200, Charleston, SC 29401-2936 | 2008-04-28 |
| 1487857272 | Patrick Constantine Angelos | Otolaryngology | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2007-06-07 |
| 1629299375 | Drew V Collins | Otolaryngology | 105 Carter Park Dr, Suite B, Seneca, SC 29678-1152 | 2007-05-01 |
| 1518181148 | Daniel Frederick Boxwell | Otolaryngology | 105 Carter Park Dr, Suite B, Seneca, SC 29678-1152 | 2007-04-13 |
| 1679594261 | Carolina Facial Plastic Surgery Pa | Otolaryngology | 1714 Gregg Ave, Florence, SC 29501-4120 | 2006-07-21 |
| 1386698165 | Seacoast Ent & Facial Plastic Surgery, Pa | Otolaryngology | 4000 Highway 9 E, Suite 270, Little River, SC 29566-7833 | 2006-05-19 |
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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.