DR. DAVID MACY VIDRINE (NPI# 1447293121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447293121 |
| Entity Type | Individual |
| Full Name | DR. DAVID MACY VIDRINE |
| Credential | M.D. |
| Practice Address |
15 Exchange Dr Lugoff SC 29078-9198 |
| Mailing Address |
Po Box 520 Lugoff SC 29078-0520 |
| Practice Telephone | 8034083277 |
| Practice Fax Number | 8034083282 |
| Mailing Telephone | 8034083277 |
| Mailing Fax Number | 8034083282 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
30117 | SC | Allopathic & Osteopathic Physicians |
| N | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
226983 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 301177 | 05 | |
| SC | UNSPECIFIED | DE5192 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952471252 | David L Vidrine | Physical Therapist | 1477 W Lasalle St, Ville Platte, LA 70586-2974 | 2006-11-08 |
| Street Address |
15 EXCHANGE DR |
| City | LUGOFF |
| State | SC |
| Zip Code | 29078-9198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861499618 | Robert Kabakjian Sr. | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2005-07-07 |
| 1760037360 | Maya Elizabeth James | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2019-08-09 |
| 1043716228 | Felicia Denise Harris | Nurse Practitioner | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2018-04-05 |
| 1952817835 | Rachel Chamberlin | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2017-12-14 |
| 1285174664 | Kaitlin Prizzia | Audiologist | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2017-03-03 |
| 1205247772 | Jason Paul Wigand | Audiologist | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2014-05-18 |
| 1073958989 | Jacob Patrick Ossoff | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2013-05-06 |
| 1447513643 | Valerie Alison Fritsch | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2012-06-21 |
| 1316214638 | Lynnette Glasscho Tomlin | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078 | 2011-12-01 |
| 1932499159 | Natalie Vercillo Sciarrino | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2011-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477006179 | Retireease Senior Services, Inc. | In Home Supportive Care | 12 Dooley Drive, Lugoff, SC 29078 | 2016-07-28 |
| 1770613515 | Claude Harold Varn Jr. | Dentist | P.0.box 325, Lugoff, SC 29078 | 2007-03-07 |
| 1316087364 | Ark Therapeutic Services, Inc | Speech-Language Pathologist | 862a Highway 1 South, Lugoff, SC 29078 | 2007-02-07 |
| 1326104837 | Allyson Varn Monferdini | Dentist | 25 Ward Road, Lugoff, SC 29078 | 2006-12-29 |
| 1275612269 | Wateree Plaza Drug Corp | Durable Medical Equipment & Medical Supplies | 1053 Hwy 1, Patterson Plaza, Lugoff, SC 29078 | 2006-11-02 |
| 1336589233 | Matthew Allen Nettles | Dentist | 25 Ward Road, Lugoff, SC 29078 | 2013-06-25 |
| 1013124429 | Debra C Lowsky | Speech-Language Pathologist | 862a Highway 1 South, Lugoff, SC 29078 | 2007-05-16 |
| 1285826396 | Durham Russell Maples | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-13 |
| 1508059403 | Dina Maples Blankenship | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-23 |
| 1104018852 | Wateree Chiropractic | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-16 |
| Find all providers in zip 29078 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134153083 | South Carolina Ent Allergy & Sleep Medicine Pa | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053474163 | Edward Benjamin Penn Jr. | Otolaryngology | 200 Patewood Dr Ste B400, Greenville, SC 29615-6306 | 2006-12-19 |
| 1609491737 | Starfish Pediatric Ent, LLC | Otolaryngology | 110b Springhall Dr, Goose Creek, SC 29445-5335 | 2020-06-15 |
| 1396189486 | Phayvanh Pecha | Otolaryngology | 171 Ashley Ave, Charleston, SC 29425 | 2013-04-19 |
| 1962638502 | Clarice Seifert Clemmens | Otolaryngology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2009-06-10 |
Please comment or provide details below to improve the information on DR. DAVID MACY VIDRINE.
| 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.