JOHN EVERETT WORTHINGTON JR. (NPI# 1407825565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407825565 |
| Entity Type | Individual |
| Full Name | JOHN EVERETT WORTHINGTON JR. |
| Credential | MD |
| Practice Address |
298 Memorial Dr Seneca SC 29672-9443 |
| Mailing Address |
132 Poplar Ridge Dr Westminster SC 29693-3220 |
| Practice Telephone | 8648823351 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2016-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 2015-02379 | NC | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
017963 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE PTAN | NCS025A194 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942283593 | John J Worthington | Psychiatry & Neurology | 715 Twining Road, Suite 201, Dresher, PA 19025-1833 | 2005-11-28 |
| 1487284980 | John Clarendon Worthington | Registered Nurse | 546 S Main St, Fort Bragg, CA 95437-5107 | 2020-01-23 |
| 1801047303 | John H Worthington | Dentist | 1314 Ne Grand Ave, Portland, OR 97232-1127 | 2008-10-02 |
| 1871559542 | John Walter Worthington | Internal Medicine | 877 W Faris Rd, Ste B, Greenville, SC 29605-5608 | 2006-04-21 |
| 1164490512 | John J Worthington IIi | Psychiatry & Neurology | 15 Parkman St, Wac 815, Boston, MA 02114-3117 | 2006-03-10 |
| Street Address |
298 MEMORIAL DR |
| City | SENECA |
| State | SC |
| Zip Code | 29672-9443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821097825 | Keowee Radiology P A | Radiology | 298 Memorial Dr, Seneca, SC 29672-9443 | 2005-07-20 |
| 1912420795 | Hayli Grace Evans | Physician Assistant | 298 Memorial Dr, Seneca, SC 29672-9443 | 2017-07-24 |
| 1235666371 | Joshua Padgett | Physician Assistant | 298 Memorial Dr, Seneca, SC 29672-9443 | 2017-05-19 |
| 1063968196 | Prisma Health-upstate | General Acute Care Hospital | 298 Memorial Dr, Seneca, SC 29672-9443 | 2016-08-29 |
| 1689120784 | Upstate Affiliate Organization | Home Health | 298 Memorial Dr, Seneca, SC 29672-9443 | 2016-08-29 |
| 1295188704 | Prisma Health-upstate | Ambulance | 298 Memorial Dr, Seneca, SC 29672-9443 | 2016-07-20 |
| 1033580444 | Greenville Health System | Emergency Medicine | 298 Memorial Dr, Seneca, SC 29672-9443 | 2015-10-12 |
| 1578964649 | Greenville Health System | Home Health | 298 Memorial Dr, Seneca, SC 29672-9443 | 2014-09-09 |
| 1164821831 | Greenville Health System | General Acute Care Hospital | 298 Memorial Dr, Seneca, SC 29672-9443 | 2014-08-19 |
| 1720487481 | Greenville Health System | Pharmacy | 298 Memorial Dr, Seneca, SC 29672-9443 | 2014-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790308955 | Pooja Kamboj | Student in an Organized Health Care Education/Training Program | 139 Lila Doyle Dr., Seneca, SC 29672 | 2020-05-22 |
| 1578126785 | Johanna Marie Scarino Lemons | Lactation Consultant, Non-RN | 504 Willow Branch Ln, Seneca, SC 29672 | 2019-04-15 |
| 1982067971 | Marthe Melanie Bryant Connah | Family Medicine | 139 Lila Doyle Drive, Family Medicine Residency - Oconee, Seneca, SC 29672 | 2016-03-29 |
| 1558733220 | Alyssa K. Locke | Occupational Therapist | 101 S-37-349, Seneca, SC 29672 | 2015-10-21 |
| 1497857742 | Pulmonary Critical Care & Sleep Associates Pa | Clinic/Center | 107 Omni Drive, Suite A, Seneca, SC 29672 | 2006-09-05 |
| 1659381440 | Timothy Aaron Zeller | Family Medicine | 139 Lila Doyle Dr, Seneca, SC 29672 | 2006-08-08 |
| 1871546978 | Samuel Thomas Drake | Specialist | 103 Omni Dr Ste A, Seneca, SC 29672 | 2006-05-18 |
| 1235123878 | Nancy Matz Thiel | Chiropractor | 355 Katelynn Lane, Seneca, SC 29672 | 2005-09-09 |
| 1265439954 | David E Heape | Emergency Medicine | 298 Memoral Drive, Oconee Memorial Hospital, Seneca, SC 29672 | 2005-07-07 |
| 1407345846 | Prisma Health-upstate | Clinic/Center | 139 Lila Doyle Drive, Seneca, SC 29672 | 2018-05-01 |
| Find all providers in zip 29672 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063457158 | Blue Ridge Emergency Physicians, Pa | Emergency Medicine | 298 Memorial Dr, Seneca, SC 29672-9443 | 2006-06-20 |
| 1386613065 | Michael D Scott | Emergency Medicine | 298 Memorial Dr, Seneca, SC 29672-9443 | 2006-03-16 |
| 1366410490 | Greg E Cromer | Emergency Medicine | 298 Memorial Dr, Seneca, SC 29672-9443 | 2006-03-14 |
| 1194793661 | Miles D Mcguff | Emergency Medicine | 298 Memorial Dr, Seneca, SC 29672-9443 | 2006-03-10 |
| 1255309746 | Bill R Chiles | Emergency Medicine | 298 Memorial Dr, Seneca, SC 29672-9443 | 2006-03-09 |
| 1457328924 | Patrick Michael Johannes | Emergency Medicine | 298 Memorial Dr, Oconee Medical Center, Seneca, SC 29672-9443 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164999744 | Joseph Simmons Jr. | Emergency Medicine | 3300 W Brewington Rd, Sumter, SC 29153-8336 | 2018-10-31 |
| 1053720417 | Ralph Mckeetha Shealy | Emergency Medicine | 2719 Coddell Ct, Mount Pleasant, SC 29466-7930 | 2014-08-10 |
| 1508158296 | Toni Nmi Manos | Emergency Medicine | 1742 E. Ashley Ave., Folly Beach, SC 29439-0049 | 2011-05-12 |
| 1104096619 | Steve W. Schwartz | Emergency Medicine | 671 Jamestown Dr Ste 203, Murrells Inlet, SC 29576-7507 | 2008-03-11 |
| 1629294798 | Clara Elisabeth Gulyas | Emergency Medicine | 202 Wall St, Piedmont, SC 29673-6754 | 2007-04-17 |
| 1598897951 | Stephen A Harvey | Emergency Medicine | 3655 Mitchell St # 690001, Loris, SC 29569-2827 | 2007-03-12 |
| 1285776674 | Cox Medical Response Inc | Emergency Medicine | 312 S Pine St, Marion, SC 29571 | 2007-02-13 |
| 1285706747 | Malcolm Keith Sale | Emergency Medicine | 20 Balmoral Pl, Hilton Head Island, SC 29926-2270 | 2006-11-13 |
| 1629169867 | James D Dunda | Emergency Medicine | 1011 Ella St, Anderson, SC 29621-4807 | 2006-09-27 |
| 1518068873 | Marva Denise Williams | Emergency Medicine | 107 Sunset Dr, Manning, SC 29102-2904 | 2006-09-26 |
| 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.