ANDERSON DIAGNOSTIC IMAGING, INC (NPI# 1407026545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407026545 |
| Entity Type | Organization |
| Organization Name | ANDERSON DIAGNOSTIC IMAGING, INC |
| Other Organization Name | CLEMSON IMAGING |
| Practice Address |
1011 Tiger Blvd Suite 500 Clemson SC 29631-1497 |
| Mailing Address |
1011 Ella St Anderson SC 29621-4807 |
| Practice Telephone | 7703000101 |
| Practice Fax Number | 7703000429 |
| Mailing Telephone | 7703000101 |
| Mailing Fax Number | 7703000429 |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |
| Authorized Official Name | MR. DANIEL J SCHAEFER (COO) |
| Authorized Official Telephone | 7703000101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clemson Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770753816 | Anderson Diagnostic Imaging, Inc | Radiology | 2110 N Hwy 81, Anderson, SC 29621-1532 | 2008-03-05 |
| 1346208832 | Anderson Diagnostic Imaging, Inc | Radiology | 2110 North Highway 81, Anderson, SC 29621-1532 | 2006-05-03 |
| 1861450199 | Anderson Diagnostic Imaging, Inc | Radiology | 111 Carter Park Dr, Suite B, Seneca, SC 29678-1152 | 2006-05-03 |
| Street Address |
1011 TIGER BLVD SUITE 500 |
| City | CLEMSON |
| State | SC |
| Zip Code | 29631-1497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265500417 | Ricardo C Hood | Family Medicine | 1011 Tiger Blvd, Suite 400, Clemson, SC 29631-2915 | 2006-12-04 |
| 1255753372 | Southern Solace Counseling, PC | Community/Behavioral Health | 1011 Tiger Blvd, Suite 610, Clemson, SC 29631-2915 | 2014-01-08 |
| 1912333626 | St Francis Physician Services Inc | Obstetrics & Gynecology | 1011 Tiger Blvd, Suite 100, Clemson, SC 29631-2915 | 2013-09-26 |
| 1407139959 | Sena Seats Shirley | Nurse Practitioner | 1011 Tiger Blvd, Clemson, SC 29631-2915 | 2011-09-21 |
| 1467734558 | Carolina Integrative Medicine, Pa | Family Medicine | 1011 Tiger Blvd, Suite 300, Clemson, SC 29631-2915 | 2011-09-14 |
| 1053609644 | Manju Lakra | Family Medicine | 1011 Tiger Blvd, Suite 400, Clemson, SC 29631-2915 | 2011-07-16 |
| 1629229612 | Carolina Prosthetics & Orthotics Inc. | Prosthetic/Orthotic Supplier | 1011 Tiger Blvd, Suite 500, Clemson, SC 29631-2915 | 2008-10-08 |
| 1740442565 | Arrhythmia Consultants P.a. | Internal Medicine | 1011 Tiger Blvd, Suite 400 Upstate Professional Bldg, Clemson, SC 29631-2915 | 2008-07-02 |
| 1811192008 | Mary S Cumming | Counselor | 1011 Tiger Blvd, Suite 610, Clemson, SC 29631-2915 | 2007-06-18 |
| 1093916090 | Clemson Counseling Center, Inc. | Counselor | 1011 Tiger Blvd, Suite 610, Clemson, SC 29631-2915 | 2007-05-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059038 | James Ryan Small | Specialist/Technologist | 212 Vista Cir, Clemson, SC 29631 | 2019-12-09 |
| 1811559883 | Cheyenne Leigh Reynolds | Specialist/Technologist | 100 Reeves Way, Clemson, SC 29631 | 2019-07-01 |
| 1912474792 | Andrea Bagley Stokes | Physical Therapist | 500-1 Old Greenville Hwy # 1, Clemson, SC 29631 | 2018-10-30 |
| 1114426178 | Intouch Pharmacy LLC | Pharmacy | 105 Wall Street, Suite 10b, Clemson, SC 29631 | 2018-02-06 |
| 1881117695 | Community Pharmacy Group, Inc. | Pharmacy | 143 Thomas Green Blvd, Clemson, SC 29631 | 2017-07-24 |
| 1295286276 | James Matthew Mills | Occupational Therapist | 101 Chapman Rd, Clemson, SC 29631 | 2016-10-14 |
| 1558769141 | Virginia Bridges Gaulin | Counselor | 209 Pendleton Rd Ste C, Clemson, SC 29631 | 2014-12-12 |
| 1437580628 | Amanda Martin Eubanks | Speech-Language Pathologist | 101 Chapman Road Suite 202, Clemson, SC 29631 | 2013-12-12 |
| 1437408499 | Fort Hill Family Dentistry, Pa | Clinic/Center | 124 Strode Circle, Clemson, SC 29631 | 2012-09-06 |
| 1942511738 | Theresa S Ritter | Counselor | 386 College Avenue, Suite A, Clemson, SC 29631 | 2010-06-25 |
| Find all providers in zip 29631 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063610160 | Terence Mather Clark | Radiology | 100 Satula Ln, Clemson, SC 29631-1830 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486786 | Tara Noone | Radiology | 545 Planters Loop, Mount Pleasant, SC 29464-2743 | 2020-08-04 |
| 1447728795 | Island Imaging, LLC | Radiology | 40 Palmetto Parkway, Hilton Head Island, SC 29926 | 2018-11-05 |
| 1417423088 | Bon Secours Diagnostic Imaging | Radiology | 1 Marcus Dr Ste 100, Greenville, SC 29615-4818 | 2018-10-22 |
| 1700352374 | Bon Secours Diagnostic Imaging | Radiology | 2 Innovation Dr Ste 350, Greenville, SC 29607-5269 | 2018-10-22 |
| 1548797533 | Gregory S Connor, Md, Pa | Radiology | 628 W Home Ave, Hartsville, SC 29550-4430 | 2017-05-22 |
| 1407393861 | Mcleod Physician Associates II | Radiology | 1116 W Evans St, Florence, SC 29501-3320 | 2017-01-24 |
| 1932651908 | Long Bay Diagnostic Imaging Murrells Inlet, LLC | Radiology | 4407 Highway 17 Bypass, Murrells Inlet, SC 29576-5097 | 2016-10-26 |
| 1245687540 | John Frederick Hughes | Radiology | 96 Jonathan Lucas St # 323, Charleston, SC 29425-3230 | 2016-05-17 |
| 1295104073 | Arthur Knight Walter | Radiology | 737 River Rd, Columbia, SC 29212-8809 | 2015-09-22 |
| 1386030021 | Shawn Hobby | Radiology | 96 Jonathan Lucas St Charleston Sc 29425, Charleston, SC 29425-0001 | 2015-04-09 |
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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.