FAIRFIELD MEDICAL ASSOCIATES,PA (NPI# 1427242031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427242031 |
| Entity Type | Organization |
| Organization Name | FAIRFIELD MEDICAL ASSOCIATES,PA |
| Other Organization Name | BLYTHEWOOD MEDICAL ASSOCIATES |
| Practice Address |
428 2 Mcnulty Road Blythewood SC 29016 |
| Mailing Address |
Po Box 1218 Winnsboro SC 29180-5218 |
| Practice Telephone | 8037548941 |
| Practice Fax Number | 8036354200 |
| Mailing Telephone | 8036356461 |
| Mailing Fax Number | 8036354200 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-10-22 |
| Authorized Official Name | DR. HARMON F PATRICK (PRESIDENT) |
| Authorized Official Telephone | 8037548941 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PA3996 | 05 |
| Other Name | Type Code |
|---|---|
| Blythewood Medical Associates | Doing Business As Name - Organization |
| Street Address |
428 2 MCNULTY ROAD |
| City | BLYTHEWOOD |
| State | SC |
| Zip Code | 29016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151870 | Soo Ji Mun | Student in an Organized Health Care Education/Training Program | 3049 Gedney Circle, Blythewood, SC 29016 | 2020-07-09 |
| 1427600196 | Josie Gandy Drew Britt | Speech-Language Pathologist | Langford Elementary, 480 Langford Road, Blythewood, SC 29016 | 2019-07-12 |
| 1740843093 | Helping Hearts Development Corporation | In Home Supportive Care | 311 Blythewood Road, Blythewood, SC 29016 | 2019-04-22 |
| 1063933125 | Shawn Tyler | Registered Nurse | 1017 Fulmer Road, Blythewood, SC 29016 | 2017-06-29 |
| 1497290852 | Carolina Roses of Blythewood LLC | Community Based Residential Treatment Facility, Mental Illness | 5338 Hardscrabble Rd, Blythewood, SC 29016 | 2016-12-21 |
| 1598129512 | Brooke L. Green | Physical Therapy Assistant | 428-3 Mcnulty Road, Blythewood, SC 29016 | 2016-04-06 |
| 1922468909 | Prince George Transport | Ambulance | 200 Louthian Way, Blythewood, SC 29016 | 2016-03-03 |
| 1760849459 | Sherry Macaluso | Counselor | 2008 Old Birch Drive, Blythewood, SC 29016 | 2016-01-26 |
| 1851559629 | John C Cosby Jr Dmd Pa | Dentist | 745 University Village Drive, Blythewood, SC 29016 | 2008-05-29 |
| 1124247754 | Brian E. Gray | Physical Therapist | 420-b Mcnulty Road, Blythewood, SC 29016 | 2007-04-24 |
| Find all providers in zip 29016 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245675859 | Lakoya Gratic Craig | Specialist | 132 Osprey Nest Ct, Blythewood, SC 29016-8024 | 2013-05-08 |
| 1780658559 | Koshy O Abraham | Specialist | 100 Columbia Club Dr W, Blythewood, SC 29016-9458 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457977902 | Angela Bussey Washington | Specialist | 109 W Buena Vista Ave, North Augusta, SC 29841-3832 | 2020-06-21 |
| 1821630492 | Renell Nesbitt | Specialist | 818 Tom Hall St Ste 110, Fort Mill, SC 29715-2046 | 2019-10-15 |
| 1871147454 | Augusta Oncology Associates, P.C. | Specialist | 222 University Parkway, Aiken, SC 29803 | 2019-07-31 |
| 1689135584 | Carmelita Voncille Mcdaniels | Specialist | 108 Columbia Northeast Dr, Columbia, SC 29223-6433 | 2019-03-26 |
| 1770049801 | Medical Revenue Services | Specialist | 82 Monte Sano Dr Ste 2, Hanahan, SC 29410-8618 | 2019-02-13 |
| 1902381692 | Ig Medical Billing & Consulting LLC | Specialist | 2320 E North St Ste Rr 108, Greenville, SC 29607-1271 | 2018-09-27 |
| 1801307483 | Stacy Phillips | Specialist | 3015 Scuba Dr, Charleston, SC 29414-5696 | 2017-10-23 |
| 1245768415 | Jacquelyn Clark | Specialist | 2000 N Beltline Blvd Apt 102e, Columbia, SC 29204-3976 | 2017-05-31 |
| 1942741087 | James P Ceglie | Specialist | 400 Se Main St, Simpsonville, SC 29681-2689 | 2017-03-08 |
| 1003356213 | Jillian Jenay Mays | Specialist | 75 Old Trolley Rd Unit 8, Summerville, SC 29485-4900 | 2017-03-07 |
| Find all providers with the same taxonomy | ||||
| City | BLYTHEWOOD |
| Zip Code | 29016 |
Please comment or provide details below to improve the information on FAIRFIELD MEDICAL ASSOCIATES,PA.
| 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.