MCLEOD PHYSICIAN ASSOCIATES II (NPI# 1477008589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477008589 |
Entity Type | Organization |
Organization Name | MCLEOD PHYSICIAN ASSOCIATES II |
Other Organization Name | MCLEOD CLARENDON CLINIC |
Practice Address |
10 E Hospital St Suite 100 Manning SC 29102-3153 |
Mailing Address |
Po Box 3239 Florence SC 29502-3239 |
Practice Telephone | 8034355212 |
Practice Fax Number | 8034353030 |
Mailing Telephone | 8034355270 |
Mailing Fax Number | 8034330154 |
Enumeration Date | 2016-08-18 |
Last Update Date | 2016-08-20 |
Authorized Official Name | DANE 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 |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SC | Physician Assistants & Advanced Practice Nursing Providers | |
N | 207Q00000X | Family Medicine | SC | Allopathic & Osteopathic Physicians | |
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
SC | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
McLeod Clarendon Clinic | 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 SUITE 100 |
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 |
1669925624 | Mcleod Health Clarendon | Ambulance | 10 E Hospital St, Manning, SC 29102-3153 | 2016-07-26 |
1407209117 | Mcleod Physician Associates II | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2016-07-18 |
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 |
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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 | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144578113 | Clarendon Memorial Hospital | Clinic/Center | 10 E Hospital St., Suite 100, Manning, SC 29102-3153 | 2012-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
1841847423 | Healthworks Med Group of South Carolina P C | Clinic/Center | 9051 Palmetto Commerce Pkwy, Ladson, SC 29456-6705 | 2019-08-20 |
1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
1447758032 | Crs Eyecare Services, Inc. | Clinic/Center | 112 Rutledge Ave Ste A, Charleston, SC 29401-1333 | 2018-01-29 |
1316477060 | Lake City Medical Associates 2017, LLC | Clinic/Center | 130 S Acline St, Lake City, SC 29560-2633 | 2017-06-15 |
1417483355 | New Beginnings Health Services | Clinic/Center | 176 Dermis Ave, Hardeeville, SC 29927-4161 | 2017-05-11 |
1669919007 | Hypertension and Diabetes Prevention and Treatment Center Inc | Clinic/Center | 1812 Malden Drive, Hdpt Center Inc, Florence, SC 29505-3128 | 2017-01-24 |
1093262511 | Quad/med, LLC | Clinic/Center | 224a Harbor Freight Rd, Dillon, SC 29536-8501 | 2016-09-01 |
1649623653 | Woods Bay Family Care LLC | Clinic/Center | 128 E Baker St, Olanta, SC 29114-9101 | 2016-07-14 |
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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.