CHESTERFIELD CLINIC CORP (NPI# 1346262961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346262961 |
| Entity Type | Organization |
| Organization Name | CHESTERFIELD CLINIC CORP |
| Other Organization Name | CAROLINA PEDIATRICS |
| Practice Address |
309 Clyde Ave Cheraw SC 29520-3029 |
| Practice Telephone | 8439211211 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-09-20 |
| Authorized Official Name | DEBBIE T BREWER (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 6154657626 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHESTERFIELD CLINIC CORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4534 | 05 |
| Other Name | Type Code |
|---|---|
| Carolina Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546903 | Chesterfield Clinic Corp | Obstetrics & Gynecology | 721 Chesterfield Hwy, Cheraw, SC 29520-7002 | 2005-05-27 |
| 1295007672 | Chesterfield Clinic Corp | Clinic/Center | 723 S Doctors Dr, Cheraw, SC 29520-7108 | 2012-02-01 |
| 1326232919 | Chesterfield Clinic Corp | Orthopaedic Surgery | 715 S Doctors Dr, Ste F, Cheraw, SC 29520-7113 | 2007-08-28 |
| 1578622478 | Chesterfield Clinic Corp | Surgery | 715 S Doctors Dr, Suite C, Cheraw, SC 29520-7113 | 2006-12-06 |
| 1154489706 | Chesterfield Clinic Corp | Family Medicine | 34 Foundry Hill Rd, Cheraw, SC 29520-2500 | 2006-12-05 |
| 1093883001 | Chesterfield Clinic Corp | Orthopaedic Surgery | 715 S Doctors Dr, Suite F, Cheraw, SC 29520-7113 | 2006-11-30 |
| 1164454435 | Chesterfield Clinic Corp | Internal Medicine | 715 S Doctors Dr, Suite B, Cheraw, SC 29520-7113 | 2006-07-07 |
| 1013986405 | Chesterfield Clinic Corp | Family Medicine | 715 S Doctors Dr, Suite B, Cheraw, SC 29520-7113 | 2006-03-16 |
| Street Address |
309 CLYDE AVE |
| City | CHERAW |
| State | SC |
| Zip Code | 29520-3029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811541824 | Gloria Curtis | Nurse's Aide | 2912 Wire 1 Rd, Cheraw, SC 29520 | 2019-07-29 |
| 1427419175 | New Perspective Life Center LLC | Case Management | 319 Chesterfiled Hwy #9, Cheraw, SC 29520 | 2016-03-09 |
| 1306203310 | Highly Favored LLC | Counselor | 65 Sanders Ln, Cheraw, SC 29520 | 2016-01-21 |
| 1962880690 | Butterfly Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1562 Fred Davis Road, Cheraw, SC 29520 | 2015-05-14 |
| 1912304387 | Wrights Care Services LLC | Community/Behavioral Health | 319 East Chesterfield Hwy, Cheraw, SC 29520 | 2014-12-01 |
| 1386994762 | Stefanie Deese | Pharmacist | 901 Market St., Cheraw, SC 29520 | 2012-09-13 |
| 1699952218 | Chesterfield Marlboro, Lp | General Acute Care Hospital | Highway 9 West, Cheraw, SC 29520 | 2008-01-25 |
| 1174678411 | Carolina Eye Associates, Inc. | Ophthalmology | 705 Chesterfield Hwy, Cheraw, SC 29520 | 2007-01-25 |
| 1619030855 | Horton Chiropractic Clinic of Cheraw, Pa | Chiropractor | 601 Diane Dr, Cheraw, SC 29520 | 2006-12-19 |
| 1700947835 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 104 Grace Lane, Cheraw, SC 29520 | 2006-12-13 |
| Find all providers in zip 29520 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447340211 | Agnes S Schultz | Pediatrics | 119 Chesterfield Highway, Cheraw, SC 29520 | 2006-10-13 |
| 1295160554 | Jude M. Thomas | Pediatrics | 723 S Doctors Dr, Cheraw, SC 29520-7108 | 2013-09-05 |
| 1063635571 | Cheraw Pediatrics, P.a. | Pediatrics | 715 S Doctors Dr, Suite E, Cheraw, SC 29520-7113 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981833 | Kaitlyn Marie Skelston | Pediatrics | 2828 Bayboro St, Loris, SC 29569-2710 | 2020-10-28 |
| 1518571421 | Carolinas Physicians Network Inc | Pediatrics | 1154 Carolina Pl, Fort Mill, SC 29708-7063 | 2020-09-08 |
| 1952911075 | Medical University Hospital Authority | Pediatrics | 838 W Meeting St Ste E, Lancaster, SC 29720-6261 | 2020-08-04 |
| 1134738644 | Medical University Hospital Authority | Pediatrics | 1 Medical Park Dr Ste A, Chester, SC 29706-9769 | 2020-07-30 |
| 1023632809 | Caitlin Marie Stoll | Pediatrics | 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414-6168 | 2020-06-08 |
| 1972128742 | Emily Anne Cloessner | Pediatrics | Prisma Health Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-06-08 |
| 1134743420 | Elizabeth Alden Mccants | Pediatrics | 125 Doughty St Ste 520d, Charleston, SC 29403-5736 | 2020-06-02 |
| 1043833890 | Lauren F. Cook | Pediatrics | Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-27 |
| 1619598158 | Zeel Hiren Patel | Pediatrics | Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-06 |
| 1265066658 | Sahar Alavi | Pediatrics | 1439 Cambridge Lakes Dr, Mount Pleasant, SC 29464-7301 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHESTERFIELD CLINIC CORP.
| 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.