ABBEVILLE COUNTY MEMORIAL HOSPITAL (NPI# 1356570147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356570147 |
| Entity Type | Organization |
| Organization Name | ABBEVILLE COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | ABBEVILLE SURGICAL |
| Practice Address |
901 W Greenwood St Ste 1 Abbeville SC 29620-5727 |
| Mailing Address |
Po Box 887 Abbeville SC 29620-0887 |
| Practice Telephone | 8643669681 |
| Practice Fax Number | 8663665410 |
| Mailing Telephone | 8643669681 |
| Mailing Fax Number | 8643665600 |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | MR. LUCIEN ST. ONGE (CFO) |
| Authorized Official Telephone | 8643663289 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PC3126 | 05 | |
| SC | RHC210 | 05 |
| Other Name | Type Code |
|---|---|
| Abbeville Surgical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649816216 | Abbeville County Memorial Hospital | Social Worker | 131 Holiday Rd, Mc Cormick, SC 29835-3402 | 2019-11-19 |
| 1871694620 | Abbeville County Memorial Hospital | Home Health | 104 W Pickens St, Abbeville, SC 29620-2427 | 2006-09-26 |
| 1376641282 | Abbeville County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 818 W Greenwood St, Abbeville, SC 29620-2515 | 2006-09-21 |
| 1598799017 | Abbeville County Memorial Hospital | Clinic/Center | 905 W Greenwood St, Abbeville, SC 29620-5678 | 2006-07-10 |
| 1063449361 | Abbeville County Memorial Hospital | Pharmacy | 420 Thomson Cir, Abbeville, SC 29620 | 2006-06-26 |
| 1285618132 | Abbeville County Memorial Hospital | Clinic/Center | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5717 | 2005-12-05 |
| 1578175170 | Abbeville County Memorial Hospital | Podiatrist | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2020-08-17 |
| 1497238927 | Abbeville County Memorial Hospital | Pharmacy | 818 W Greenwood St, Abbeville, SC 29620-2515 | 2018-09-11 |
| 1083156004 | Abbeville County Memorial Hospital | Surgery | 901 W Greenwood St, Suite 8b, Abbeville, SC 29620-5717 | 2016-11-08 |
| 1689048464 | Abbeville County Memorial Hospital | Family Medicine | 6 College St, Due West, SC 29639-9554 | 2015-11-17 |
| Street Address |
901 W GREENWOOD ST STE 1 |
| City | ABBEVILLE |
| State | SC |
| Zip Code | 29620-5727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285618132 | Abbeville County Memorial Hospital | Clinic/Center | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5717 | 2005-12-05 |
| 1578175170 | Abbeville County Memorial Hospital | Podiatrist | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2020-08-17 |
| 1437780053 | Sarah Rudder | Nurse Practitioner | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2020-02-01 |
| 1831557149 | Jennifer Wright | Nurse Practitioner | 901 W Greenwood St Ste 1, Abbeville, SC 29620 | 2016-02-01 |
| 1346610524 | Kayla Peterson Tavernier | Physician Assistant | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2015-10-01 |
| 1659710440 | Blake M Hodges | Family Medicine | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2013-06-14 |
| 1225305345 | Rebecca G Botts | Physician Assistant | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2011-11-17 |
| 1629371661 | Abbeville County Memorial Hospital | Clinic/Center | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5717 | 2010-12-14 |
| 1275848020 | Julie Moore | Social Worker | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2010-08-17 |
| 1124194451 | Heidi Enejosa Rodillo | Internal Medicine | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851893325 | Janet Nancy Phelps | Registered Nurse | 486 Highway 72 E, Abbeville, SC 29620 | 2018-03-01 |
| 1467961128 | Marisol Palacios-cruz | Assisted Living Facility | 294 Highway 28 Bypass, Abbeville, SC 29620 | 2017-09-26 |
| 1740599703 | Larry Darnell Tompkins | Pharmacist | 763 Highway 28 Bypass, Fred's Pharmacy #1028, Abbeville, SC 29620 | 2010-09-24 |
| 1780861765 | Dixon Chiropractic | Chiropractor | 131-1 Highland Terrace, Abbeville, SC 29620 | 2008-01-22 |
| 1306999636 | Carolina Bone and Joint Clinic | Specialist | 2526 Highway 72 East, Abbeville, SC 29620 | 2007-01-19 |
| 1891877221 | Abbeville Urology | Specialist | 420 Thomson Circle, Abbeville, SC 29620 | 2006-10-19 |
| 1285747949 | Ashley Medical Transport Service | Ambulance | 940 Stevenson Rd, Abbeville, SC 29620 | 2006-08-16 |
| 1699707026 | Mark Marion Horton | Family Medicine | 92 Highway 72 West, Abbeville, SC 29620 | 2006-07-07 |
| 1063449361 | Abbeville County Memorial Hospital | Pharmacy | 420 Thomson Cir, Abbeville, SC 29620 | 2006-06-26 |
| 1265404743 | Abbeville County School District | Clinic/Center | 400 Greenville St., Abbeville, SC 29620 | 2006-02-07 |
| Find all providers in zip 29620 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083156004 | Abbeville County Memorial Hospital | Surgery | 901 W Greenwood St, Suite 8b, Abbeville, SC 29620-5717 | 2016-11-08 |
| 1770661555 | Christopher Michael Ceraldi | Surgery | 901 W Greenwood St Ste 1, Abbeville, SC 29620-5727 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785282 | Christopher James Levy | Surgery | Prisma Health Medical Group General Surgery, 2 Medical Park, Ste 300, Collumbia, SC 29203 | 2020-06-18 |
| 1881219137 | Meredith Elizabeth Taylor | Surgery | 96 Jonathan Lucas St # 613, Charleston, SC 29425-8900 | 2020-06-12 |
| 1073136511 | Trey Jeffrey Mathews | Surgery | 101 E. Wood St, Spartanburg, SC 29303-3098 | 2020-05-19 |
| 1356984322 | Katelyn Tuley | Surgery | 210 Village Center Blvd Ste 140, Myrtle Beach, SC 29579-6706 | 2019-10-23 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1104485648 | Gregory Tyler Rives | Surgery | 96 Jonathan Lucas St Csb 423-a / Msc 613, Charleston, SC 29425-0001 | 2019-06-09 |
| 1396220554 | Spartanburg Medical Center | Surgery | 840 W Floyd Baker Blvd Ste B, Gaffney, SC 29341-1845 | 2018-10-03 |
| 1659853596 | Roper Saint Francis Physicians Network | Surgery | 300 Callen Blvd, Summerville, SC 29486-2809 | 2018-09-06 |
| 1336633569 | Lytani Wilson | Surgery | 96 Jonathan Lucas St # 423, Charleston, SC 29425 | 2018-06-20 |
| 1609360890 | Alicia Marie Stafford | Surgery | 169 Ashley Avenue Rm 202 Main Hospital, Msc333, Charleston, SC 29425 | 2018-06-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ABBEVILLE COUNTY MEMORIAL HOSPITAL.
| 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.