MCLEOD PHYSICIAN ASSOCIATES II (NPI# 1396267340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396267340 |
Entity Type | Organization |
Organization Name | MCLEOD PHYSICIAN ASSOCIATES II |
Other Organization Name | MCLEOD MED SHARE SUMTER |
Practice Address |
540 Physicians Ln Sumter SC 29150-3370 |
Mailing Address |
Po Box 3239 Florence SC 29502-3239 |
Practice Telephone | 8437777010 |
Practice Fax Number | 8437777006 |
Mailing Telephone | 8437777712 |
Mailing Fax Number | 8437777102 |
Enumeration Date | 2017-07-12 |
Last Update Date | 2017-07-12 |
Authorized Official Name | DANE P. FICCO (SENIOR VICE PRESIDENT) |
Authorized Official Telephone | 8437777010 |
Is Organization Subpart | Y |
Parent Organization Name | MCLEOD HEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | SC | Physician Assistants & Advanced Practice Nursing Providers | |
Y | 208600000X | Surgery | SC | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
McLeod Med Share Sumter | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750999405 | Mcleod Physician Associates II | Family Medicine | 4237 River Hills Dr Ste 170, Little River, SC 29566-6446 | 2020-07-20 |
1831717693 | Mcleod Physician Associates II | Surgery | 690 Sunset Blvd N Ste 208, Sunset Beach, NC 28468-5332 | 2020-07-08 |
1588280747 | Mcleod Physician Associates II | Nurse Practitioner | 1126 Clarence Coker Hwy., Turbeville, SC 29162-8983 | 2020-06-23 |
1457977852 | Mcleod Physician Associates II | Internal Medicine | 800 E Cheves St Ste 400, Florence, SC 29506-2649 | 2020-06-22 |
1326672361 | Mcleod Physician Associates II | Family Medicine | 800 E Cheves St Ste 240, Florence, SC 29506-2652 | 2020-02-28 |
1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
1972014652 | Mcleod Physician Associates II | Clinic/Center | 1040 Marlboro Way Ste 1, Bennettsville, SC 29512-2494 | 2017-10-20 |
1508377284 | Mcleod Physician Associates II | Clinic/Center | 1076 Marlboro Way Ste 3, Bennettsville, SC 29512-2495 | 2017-10-20 |
1801326814 | Mcleod Physician Associates II | Dermatology | 401 E Cheves St Ste 302, Florence, SC 29506-2615 | 2017-06-13 |
1407393861 | Mcleod Physician Associates II | Radiology | 1116 W Evans St, Florence, SC 29501-3320 | 2017-01-24 |
Street Address |
540 PHYSICIANS LN |
City | SUMTER |
State | SC |
Zip Code | 29150-3370 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649201658 | Sumter Medical Consultants | Internal Medicine | 540 Physicians Ln, Sumter, SC 29150-3370 | 2006-07-06 |
1518591544 | Mcleod Occupational Health, LLC | Preventive Medicine | 540 Physicians Ln, Sumter, SC 29150-3370 | 2020-02-28 |
1326699885 | Mcleod Physician Associates II | Urology | 540 Physicians Ln, Sumter, SC 29150-3370 | 2019-09-26 |
1871882373 | Sumter Pulmonary Consultants LLC | Internal Medicine | 540 Physicians Ln, Sumter, SC 29150-3370 | 2011-04-05 |
1578865564 | Mcleod Physician Associates II | Internal Medicine | 540 Physicians Ln, Sumter, SC 29150-3370 | 2010-11-23 |
1356431589 | Kelly Elizabeth Maloney | Urology | 540 Physicians Ln, Sumter, SC 29150 | 2006-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
Find all providers in zip 29150 |
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 |
---|---|---|---|---|
1841254059 | Steven C Lauzon | Surgery | 115 N Sumter Street, Ste 300, Sumter, SC 29150-4967 | 2006-04-14 |
1689979726 | Tuomey Medical Professionals, Inc | Surgery | 115 N Sumter St, Suite 300, Sumter, SC 29150-4972 | 2011-01-21 |
1194984476 | Adam Gregory Przybyla | Surgery | 115 N Sumter St, Suite 300, Sumter, SC 29150-4972 | 2008-06-03 |
1801929971 | Robert Calvin Jones | Surgery | 115 N Sumter St, Suite 300, Sumter, SC 29150-4972 | 2007-03-14 |
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 |
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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.