MCLEOD PHYSICIAN ASSOCIATES II (NPI# 1407209117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407209117 |
| Entity Type | Organization |
| Organization Name | MCLEOD PHYSICIAN ASSOCIATES II |
| Other Organization Name | MPA ER PHYSICIANS CLARENDON |
| Practice Address |
10 E Hospital St Manning SC 29102-3153 |
| Mailing Address |
Po Box 3239 Florence SC 29502-3239 |
| Practice Telephone | 8034358463 |
| Practice Fax Number | 8034355288 |
| Mailing Telephone | 8437777120 |
| Mailing Fax Number | 8437777102 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |
| 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 |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | SC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MPA ER Physicians Clarendon | 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 |
10 E HOSPITAL ST |
| City | MANNING |
| State | SC |
| Zip Code | 29102-3153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477514925 | Edward Hussey Cornell | Occupational Therapist | 10 E Hospital St, Manning, SC 29102-3153 | 2006-03-31 |
| 1083150882 | Bellwood Park Emergency Physicians LLC | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2017-01-17 |
| 1740725464 | South Carolina Em-i Medical Services PC | Physician Assistant | 10 E Hospital St, Manning, SC 29102-3153 | 2017-01-04 |
| 1528518388 | Monique Lynnette Smith | Nurse Practitioner | 10 E Hospital St, Manning, SC 29102-3153 | 2016-10-05 |
| 1477008589 | Mcleod Physician Associates II | Nurse Practitioner | 10 E Hospital St, Suite 100, Manning, SC 29102-3153 | 2016-08-18 |
| 1669925624 | Mcleod Health Clarendon | Ambulance | 10 E Hospital St, Manning, SC 29102-3153 | 2016-07-26 |
| 1235582933 | Mcleod Physician Associates II | Hospitalist | 10 E Hospital St, Manning, SC 29102-3153 | 2016-07-18 |
| 1508218793 | Mcleod Health Clarendon | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2016-07-12 |
| 1316396377 | Mcleod Health Clarendon | Medicare Defined Swing Bed Unit | 10 E Hospital St, Manning, SC 29102-3153 | 2016-06-09 |
| 1205284411 | Mcleod Health Clarendon | General Acute Care Hospital | 10 E Hospital St, Manning, SC 29102-3153 | 2016-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720546138 | Dental Wellness Center of Manning, LLC | Clinic/Center | 1988 Paxille Hwy, Ste 613-01, Manning, SC 29102 | 2019-03-05 |
| 1982148433 | Allison Elaine Saran | Registered Nurse | Mcleod Women's Health, 50 East Hospital Street Suite 4a, Manning, SC 29102 | 2016-12-16 |
| 1629529698 | Clarendon Behavioral Health | Health Maintenance Organization | 14 N. Church Street, Manning, SC 29102 | 2016-10-14 |
| 1396158200 | Monica Ploetzke | Obstetrics & Gynecology | 50 E Hospital St Ste 4a, Manning, SC 29102 | 2014-06-09 |
| 1336567239 | Marian Moody | Registered Nurse | 110 Boyce Street, Dhec Clarendon County Health Dept, Manning, SC 29102 | 2014-03-29 |
| 1700212420 | Southern Lakes Therapy,llc | Physical Therapist | 297 W Boyce St, Manning, SC 29102 | 2013-09-26 |
| 1902190473 | Professional Care of Manning, LLC | In Home Supportive Care | 220 West Boyce St, Manning, SC 29102 | 2011-06-02 |
| 1275789810 | Vital Care Ambulance Service, LLC. | Ambulance | 3662 Greeleyville Hwy, Manning, SC 29102 | 2008-08-14 |
| 1831384015 | Ramona J Howard | Registered Nurse | 10 E. Hospital Street, Hospitalist Department, Manning, SC 29102 | 2007-09-11 |
| 1619098670 | H P Bozard Dds Pa | Dentist | 17 East Hospital Street, Manning, SC 29102 | 2007-04-03 |
| Find all providers in zip 29102 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700987054 | Pee Dee Emergency Medical Associates | Emergency Medicine | 410 New St, Manning, SC 29102-3311 | 2006-09-26 |
| 1730125303 | Jeffrey Stephen Anderson | Emergency Medicine | 215 S Brooks St, Manning, SC 29102-3113 | 2006-06-21 |
| 1225014004 | Robert W Rhame Jr. | Emergency Medicine | 10 E Hospital Street, Emergency Department, Manning, SC 29102 | 2005-12-22 |
| 1467999326 | Colonial Family Practice, LLC | Emergency Medicine | 1013 Professional Ct, Suite A, Manning, SC 29102-2827 | 2017-01-30 |
| 1083150882 | Bellwood Park Emergency Physicians LLC | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2017-01-17 |
| 1508218793 | Mcleod Health Clarendon | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2016-07-12 |
| 1992027817 | Southern Emergency Physicians LLP | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2010-02-19 |
| 1710057336 | John J Maskell | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2006-11-09 |
| 1013008705 | Michael S Kitchen | Emergency Medicine | 410 New St, Manning, SC 29102-3311 | 2006-09-27 |
| 1205937521 | Michael K Chandler | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2006-09-26 |
| Find all providers in MANNING | ||||
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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.