STEPHANIE K BEACHAM (NPI# 1346558822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346558822 |
| Entity Type | Individual |
| Full Name | STEPHANIE K BEACHAM |
| Credential | PA-C |
| Practice Address |
309 E 1st Ave Easley SC 29640-3040 |
| Practice Telephone | 8648596331 |
| Practice Fax Number | 8648551045 |
| Mailing Telephone | 8648596331 |
| Enumeration Date | 2010-09-19 |
| Last Update Date | 2014-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1458 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
309 E 1ST AVE |
| City | EASLEY |
| State | SC |
| Zip Code | 29640-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476321 | Henry D. Salter IIi | Specialist | 309 E 1st Ave, Easley, SC 29640-3040 | 2005-06-10 |
| 1952704017 | Linda Faust | Nurse Practitioner | 309 E 1st Ave, Easley, SC 29640-3040 | 2014-10-03 |
| 1588000681 | Dori Leigh Mccall | Nurse Practitioner | 309 E 1st Ave, Easley, SC 29640-3040 | 2013-05-15 |
| 1710249958 | Gabriella Ode | Orthopaedic Surgery | 309 E 1st Ave, Easley, SC 29640-3040 | 2012-06-13 |
| 1528299732 | Baptist Easley Hospital | Family Medicine | 309 E 1st Ave, Easley, SC 29640-3040 | 2009-08-05 |
| 1447469846 | Teresa M Pritchett | Specialist/Technologist | 309 E 1st Ave, Easley, SC 29640-3040 | 2007-05-22 |
| 1487608287 | Patricia A Landry | Family Medicine | 309 E 1st Ave, Easley, SC 29640-3040 | 2006-05-19 |
| 1417900267 | Larry R Winn | Family Medicine | 309 E 1st Ave, Easley, SC 29640-3040 | 2006-05-19 |
| 1043262868 | Jerome H Waller Jr. | Family Medicine | 309 E 1st Ave, Easley, SC 29640-3040 | 2006-05-17 |
| 1295787471 | Jony M Bolinger | Family Medicine | 309 E 1st Ave, Easley, SC 29640-3040 | 2006-05-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063935773 | Mary Kathryn Henderson | Speech-Language Pathologist | 1400 Griffin Mill Road, Easley, SC 29640 | 2017-07-25 |
| 1417309451 | Ashby Park Pediatric Dentistry Easley | Dentist | 708 North A Street, Easley, SC 29640 | 2016-07-01 |
| 1548696990 | Phuong T Tran | Pharmacist | 309 Rolling Hills Circle, Easley, SC 29640 | 2013-09-17 |
| 1538593017 | Baptist Easley Hospital | Clinic/Center | 200 Fleet Wood Dr 3 Rd Floor, Easley, SC 29640 | 2013-09-03 |
| 1942507173 | Joanne Mason Wilkinson | Occupational Therapist | 1807a East Main St, Easley, SC 29640 | 2011-02-24 |
| 1861793911 | Ark Pharmacy Services LLC | Pharmacy | 5119- A Calhoun Memorial Hwy, Easley, SC 29640 | 2010-11-05 |
| 1659507952 | Sarah Elizabeth Proulx | Dentist | 227 South Pendleton Street, Suita A, Easley, SC 29640 | 2009-06-02 |
| 1508030503 | Jean Claire Palmour | Massage Therapist | 404 South Fifth Street, Jj & Company Salon & Spa, Easley, SC 29640 | 2008-04-22 |
| 1760685143 | Cannon Memorial Hospital | Family Medicine | 111 W. Roper Rd., Easley, SC 29640 | 2007-06-06 |
| 1942419171 | William Kent Hammond | Dentist | 298 Enterprise Dr, Easley, SC 29640 | 2007-05-22 |
| Find all providers in zip 29640 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306310883 | Taylor H Fitch | Physician Assistant | 832 Powdersville Rd, Easley, SC 29642-3706 | 2019-01-17 |
| 1619367109 | Emily Dugger Hersel | Physician Assistant | 115 Whitmire Rd, Easley, SC 29640 | 2015-02-04 |
| 1033453618 | Sheridan Emergency Physician Services of South Carolina, Pa | Physician Assistant | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2012-11-20 |
| 1205161957 | Ellen Young | Physician Assistant | 764 Saco Lowell Rd, Easley, SC 29640-3880 | 2009-10-14 |
| 1073747028 | Easley Physician Partners Pllc | Physician Assistant | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2009-05-06 |
| 1376584524 | Sharon Delois Coggin | Physician Assistant | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2006-06-09 |
| 1073569950 | Stephanie Fisher | Physician Assistant | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2006-05-25 |
| 1831142231 | Tricia Mccrea | Physician Assistant | 200 Fleetwood Dr, Easley, SC 29640-2022 | 2006-05-18 |
| 1265483069 | Derek Thomas Roper | Physician Assistant | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770712 | Hannah Jenkins | Physician Assistant | 780 Windrow Dr, Sumter, SC 29150-5318 | 2020-11-04 |
| 1255931283 | Sterling Simmons Capotosti | Physician Assistant | 1813 Joseph Cir, Florence, SC 29501-6339 | 2020-10-28 |
| 1538768098 | Hristos Stamatopoulos | Physician Assistant | 149 Independent Ln, Walterboro, SC 29488-6218 | 2020-10-25 |
| 1053910596 | Sarah Xiao Jing Jarema | Physician Assistant | 1211 Hadley Cir Unit 4301, Myrtle Beach, SC 29577-8219 | 2020-10-24 |
| 1063011062 | Sara Chmielewski | Physician Assistant | 283 Blvd De France, Parris Island, SC 29905 | 2020-10-21 |
| 1487252367 | Hannah Beddingfield | Physician Assistant | 200 Drury Ln, Mauldin, SC 29662-2228 | 2020-10-13 |
| 1275131054 | Ethan Brody Clontz | Physician Assistant | 1953 Pinehurst Ave, Charleston, SC 29414-6483 | 2020-10-13 |
| 1790383719 | Kaytlin Blake Hollingsworth | Physician Assistant | 2774 Shadow Ln, North Charleston, SC 29406-9065 | 2020-10-12 |
| 1487261509 | Reilly Kilpatrick | Physician Assistant | 1518 Blaze Ln, Charleston, SC 29412-8652 | 2020-09-24 |
| 1144836461 | Michael Joseph Haven | Physician Assistant | 221 Bayfront Dr Unit 224, Mount Pleasant, SC 29464-1825 | 2020-09-22 |
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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.