OCONEE PHYSICIAN PRACTICES (NPI# 1407034127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407034127 |
Entity Type | Organization |
Organization Name | OCONEE PHYSICIAN PRACTICES |
Other Organization Name | BETWEEN THE LAKES PRIMARY CARE |
Practice Address |
106 Ram Cat Aly Seneca SC 29678-3244 |
Mailing Address |
123 Lila Doyle Dr Seneca SC 29672-9495 |
Practice Telephone | 8648884445 |
Practice Fax Number | 8648884345 |
Mailing Telephone | 8648857989 |
Mailing Fax Number | 8648857945 |
Enumeration Date | 2008-02-05 |
Last Update Date | 2008-02-05 |
Authorized Official Name | MR. MATTHEW G HEDTKE (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8648857673 |
Authorized Official Credential | MHA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
261QR1300X | SC | Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Between the Lakes Primary Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780926675 | Oconee Physician Practices | Clinic/Center | 106 Ram Cat Aly, Seneca, SC 29678-3244 | 2013-03-19 |
1528302783 | Oconee Physician Practices | Clinic/Center | 208 Frontage Rd, Suite 1, Clemson, SC 29631-1691 | 2012-11-12 |
1831375856 | Oconee Physician Practices | Clinic/Center | 109 Omni Dr, Seneca, SC 29672-9448 | 2008-01-22 |
1356527352 | Oconee Physician Practices | Clinic/Center | 106 Ram Cat Aly, Seneca, SC 29678-3244 | 2008-01-21 |
1154507473 | Oconee Physician Practices | Nurse Practitioner | 109 Omni Dr, Suite B, Seneca, SC 29672-9448 | 2008-01-16 |
1992910210 | Oconee Physician Practices | Contractor | 301 Memorial Dr, Suite G, Seneca, SC 29672-9491 | 2007-05-11 |
Street Address |
106 RAM CAT ALY |
City | SENECA |
State | SC |
Zip Code | 29678-3244 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356312995 | Between The Lakes Family Practice, Pa | Family Medicine | 106 Ram Cat Aly, Seneca, SC 29678-3244 | 2006-01-31 |
1992142566 | Omotola Aduke Adebayo | Physician Assistant | 106 Ram Cat Aly, Seneca, SC 29678-3244 | 2013-05-23 |
1780926675 | Oconee Physician Practices | Clinic/Center | 106 Ram Cat Aly, Seneca, SC 29678-3244 | 2013-03-19 |
1356527352 | Oconee Physician Practices | Clinic/Center | 106 Ram Cat Aly, Seneca, SC 29678-3244 | 2008-01-21 |
1831255447 | Linda Claire Booth | Family Medicine | 106 Ram Cat Aly, Seneca, SC 29678-3244 | 2006-12-28 |
1295801355 | Earl Clinton Wood IIi | Family Medicine | 106 Ram Cat Aly, Seneca, Seneca, SC 29678-3244 | 2006-11-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649803313 | Synergy Spine Center, Pa | Pain Medicine | 457 U.S. Highway 123, Suite D, Seneca, SC 29678 | 2020-02-20 |
1437630746 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 10708 Clemson Blvd, Seneca, SC 29678 | 2018-08-24 |
1497233415 | Southern Telco, Inc. | Emergency Response System Companies | 15879 Wells Hwy, Seneca, SC 29678 | 2018-08-01 |
1598252199 | Chana Ashlan Land | Counselor | 530 By Pass 123 Ste E2, Seneca, SC 29678 | 2018-04-18 |
1679972632 | Anesthesia At Synergy Spine | Nurse Anesthetist, Certified Registered | 457 E Bypass 123, Seneca, SC 29678 | 2014-08-15 |
1548683303 | Carolina Counseling Professionals, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr, Seneca, SC 29678 | 2014-01-30 |
1144658170 | Changing Strides Counseling, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr., Seneca, SC 29678 | 2013-10-30 |
1417383811 | Martha Williams | Registered Nurse | 101 Honeybee Ln, Seneca, SC 29678 | 2013-09-18 |
1073867404 | The Upstate's Golden Corner of Psychiatry | Psychiatry & Neurology | 450 B Bypass 123, Seneca, SC 29678 | 2012-11-07 |
1043569916 | Amanda Lee Simpson | Pharmacist | 105 Foothills Center Drive, West Union, SC 29678 | 2012-09-06 |
Find all providers in zip 29678 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881291722 | Margot Veronique Rabren | Nurse Practitioner | 109 Carter Park Dr # 3a, Seneca, SC 29678-1152 | 2020-10-05 |
1083278279 | Heather Michelle Martin | Nurse Practitioner | 115 Eagles Nest Dr Ste B, Seneca, SC 29678-2762 | 2019-04-24 |
1154507473 | Oconee Physician Practices | Nurse Practitioner | 109 Omni Dr, Suite B, Seneca, SC 29672-9448 | 2008-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710588819 | Natalia Milliken | Nurse Practitioner | 4921 Bluffton Pkwy Apt 534, Bluffton, SC 29910-4655 | 2020-11-04 |
1447851084 | Paris Gartmon | Nurse Practitioner | 630 Canalside St Unit 1016, Columbia, SC 29201-6030 | 2020-11-02 |
1134736309 | Holly Leanne Poplin | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite C, Main Street Physicians/sc House Calls Inc, Little River, SC 29566 | 2020-09-30 |
1821649344 | Jacqueline G. Stephens | Nurse Practitioner | 406 S Railroad Ave, Lamar, SC 29069-2906 | 2019-09-25 |
1780241182 | Adrienne Lendsey Hinton | Nurse Practitioner | 201 Lake Front Dr, Columbia, SC 29212-2422 | 2019-05-22 |
1871055210 | Kelli Lane Evans | Nurse Practitioner | 260 W Coleman Blvd Ste A, Mount Pleasant, SC 29464-3666 | 2019-04-04 |
1255807087 | Jaclyn Blair Lucchese | Nurse Practitioner | 25 Hospital Center Blvd Ste 105, Hilton Head Island, SC 29926-2735 | 2018-10-19 |
1790297497 | Juliann Marie Trumpower | Nurse Practitioner | 9789 Charlotte Hwy Ste 1400, Fort Mill, SC 29707-7186 | 2017-11-02 |
1841700259 | Lyn Ivy Lipat | Nurse Practitioner | 9221 University Blvd Ste C, North Charleston, SC 29406-9148 | 2017-10-11 |
1205383551 | Mary June Torreon | Nurse Practitioner | 680 Millstream Dr, Rock Hill, SC 29732-3582 | 2016-09-03 |
Find all providers with the same taxonomy |
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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.