RUSSELL G. GADDY M.D. (NPI# 1417146127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417146127 |
| Entity Type | Organization |
| Organization Name | RUSSELL G. GADDY M.D. |
| Other Organization Name | WINCHESTER FAMILY MEDICINE |
| Practice Address |
10 Winchester Ct Mauldin SC 29662-2627 |
| Practice Telephone | 8644589999 |
| Practice Fax Number | 8642347652 |
| Mailing Telephone | 8644589999 |
| Mailing Fax Number | 8642347652 |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2013-01-07 |
| Authorized Official Name | DR. RUSSELL G. GADDY (DR) |
| Authorized Official Telephone | 8644589999 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
007870 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE RAILROAD | CM7824 | 01 |
| SC | 007870 | 05 | |
| SC | TAXONOMY CODE | 207QG0300X | 01 |
| Other Name | Type Code |
|---|---|
| WINCHESTER FAMILY MEDICINE | Doing Business As Name - Organization |
| Street Address |
10 WINCHESTER CT |
| City | MAULDIN |
| State | SC |
| Zip Code | 29662-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154862399 | Connie Painter | Behavior Technician | 103 Miller Rd, Mauldin, SC 29662 | 2017-03-20 |
| 1073061610 | Lisa Rist | Counselor | 400 South Main St Suite C, Mauldin, SC 29662 | 2016-09-12 |
| 1285181347 | Jennifer Wise | Specialist/Technologist | 310 Neely Ferry Road, Mauldin, SC 29662 | 2016-09-07 |
| 1467908236 | Maan Aziz Kerzzo | Pharmacist | 129 West Butler Road, Mauldin, SC 29662 | 2016-08-31 |
| 1083011357 | Southeast Transportation Services LLC | Non-emergency Medical Transport (VAN) | 411 N. Main St., Mauldin, SC 29662 | 2014-12-02 |
| 1174926471 | Holly Christine Waite | Chiropractor | 785 E Butler Rd, Ste D, Mauldin, SC 29662 | 2014-09-30 |
| 1194138701 | Vanessa Vance-logan | Case Manager/Care Coordinator | 400 West Butler Road; Suite B-1, Mauldin, SC 29662 | 2014-06-11 |
| 1265771984 | Connie Mae Lenagh | Nurse Practitioner | 924 E. Butler Rd, Mauldin, SC 29662 | 2013-02-01 |
| 1679823918 | Linda W Gerhart | Pharmacist | 224 East Butler Rd, Mauldin, SC 29662 | 2012-09-13 |
| 1114277894 | David Merz Banks | Pharmacist | 315 West Butler Rd, Mauldin, SC 29662 | 2012-09-11 |
| Find all providers in zip 29662 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487031001 | Charleston Geriatrics and Post - Acute Care LLC | Family Medicine | 930 Tall Pine Rd, Mount Pleasant, SC 29464-2910 | 2015-05-04 |
| 1699041160 | Sarah E Whitehead | Family Medicine | Paris View Family Medicine, 1028 North Church Street, Greenville, SC 29601-1639 | 2012-03-28 |
| 1376854406 | Liberty Doctors, LLC | Family Medicine | 8761 Dorchester Rd, Suite 230, North Charleston, SC 29420-7322 | 2010-06-23 |
| 1720310055 | Green Ridge Group Inc | Family Medicine | 100 Forum Dr, Ste 3-255, Columbia, SC 29229-7944 | 2010-02-11 |
| 1306076542 | Veena G Naidu | Family Medicine | 203 Sapphire Vly, Anderson, SC 29621-4285 | 2009-07-22 |
| 1922236751 | Roper Saint Francis Physicians Network | Family Medicine | 4959 Highway 17, Murrells Inlet, SC 29576 | 2009-07-01 |
| 1265696439 | St. Andrews Surgical Assoc. PC | Family Medicine | 1006 Old Chapin Rd, Lexington, SC 29072-9549 | 2008-07-16 |
| 1982724241 | Mark J. Meiler, Md | Family Medicine | 124 Live Oak Rd, Aiken, SC 29803-2663 | 2007-03-30 |
| 1518090901 | Andres Felix Leone | Family Medicine | 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 | 2007-03-14 |
| 1013057520 | Upstate Homecare Md, LLC | Family Medicine | 212 Horse Head Point Dr, Seneca, SC 29672-8010 | 2007-02-07 |
| 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.