JONATHAN P BACON (NPI# 1366506388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366506388 |
| Entity Type | Individual |
| Full Name | JONATHAN P BACON |
| Credential | M.D. |
| Practice Address |
78 Dolphin Point Dr Beaufort SC 29907-1715 |
| Practice Telephone | 2537224909 |
| Mailing Telephone | 2537224909 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2018-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD00021515 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1016591 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811336142 | Jonathan Patrick Bacon | Dentist | 2700 Quarry Lake Dr Ste 190, Baltimore, MD 21209-3743 | 2013-06-20 |
| 1386924348 | Jonathan Mark Bacon | Pharmacist | 1533 South Blvd, Charlotte, NC 28203-4723 | 2011-08-23 |
| Street Address |
78 DOLPHIN POINT DR |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29907-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285069856 | Smiles By Wyles, LLC | Dentist | 27 A Kemmerlin Lane, Beaufort, SC 29907 | 2013-09-13 |
| 1578803847 | Earthfit Pt LLC | Clinic/Center | 39 Sams Point Rd, Beaufort, SC 29907 | 2013-02-25 |
| 1205130630 | Jane Shinder | Speech-Language Pathologist | 12 Sheridan Road, Beaufort, SC 29907 | 2010-12-28 |
| 1114109618 | Earl Bostick,sr. D.m.d & Assoc. P.a. | Dentist | 102 Sea Island Pwky, Suite J, Beaufort, SC 29907 | 2007-11-27 |
| 1568534782 | Jack M Mcgill Jr. | Dentist | 65 Sams Point Road, Beaufort, SC 29907 | 2006-11-14 |
| 1881612810 | Bruce Kevin Wyles | Dentist | 134 D Ladys Island Drive, Beaufort, SC 29907 | 2006-07-17 |
| 1295767572 | Philip A Cusumano | Internal Medicine | 117 Sea Island Parkway, Beaufort, SC 29907 | 2006-07-07 |
| 1255315024 | Julia B Hetherington | Occupational Therapist | 18 Professional Village Circle, Beaufort, SC 29907 | 2005-12-05 |
| 1780675603 | Heather Riessland Allen | Physician Assistant | 242 Ladys Island Dr, Beaufort, SC 29907 | 2005-10-31 |
| 1528547502 | David P. Babb, Dmd, LLC | Dentist | 109 Sea Island Pkwy, Beaufort, SC 29907 | 2018-08-09 |
| Find all providers in zip 29907 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043545965 | Douglas A Scott | Orthopaedic Surgery | 1076 Ribaut Rd Ste 101, Beaufort, SC 29902-5477 | 2009-10-09 |
| 1568556264 | Thomas Pasteur Harden | Orthopaedic Surgery | 121 Sunset Blvd, Beaufort, SC 29907-1417 | 2006-10-03 |
| 1740219013 | James Amlicke | Orthopaedic Surgery | 300 Midtown Drive, Beaufort, SC 29906-0001 | 2006-06-30 |
| 1841237138 | Howell K. Jones | Orthopaedic Surgery | 1251 Ribaut Rd, Beaufort, SC 29902-6185 | 2006-06-02 |
| 1699035378 | Carson L Sanders | Orthopaedic Surgery | 1076 Ribaut Rd Ste 101, Beaufort, SC 29902-5477 | 2012-05-29 |
| 1053647164 | Beaufort County Memorial Hospital | Orthopaedic Surgery | 300 Midtown Dr, Beaufort, SC 29906-5200 | 2009-10-23 |
| 1083754923 | Reed M Heckert | Orthopaedic Surgery | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2007-02-08 |
| 1861531394 | Low Country Bone and Joint | Orthopaedic Surgery | 1251 Ribaut Rd, Beaufort, SC 29902-6185 | 2007-02-05 |
| 1356411599 | Edward Riley Blocker | Orthopaedic Surgery | 300 Midtown Dr, Suite 20, Beaufort, SC 29906-5200 | 2006-11-08 |
| 1073683207 | Leland Crumpton Stoddard Jr. | Orthopaedic Surgery | Beaufort Memorial Orthopaedic Specialists, 300 Midtown Dr, Beaufort, SC 29906-5200 | 2006-11-08 |
| Find all providers in BEAUFORT | ||||
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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.