JORDAN FUST (NPI# 1477191294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477191294 |
| Entity Type | Individual |
| Full Name | JORDAN FUST |
| Practice Address |
1304 W Bobo Newsom Hwy Hartsville SC 29550-4710 |
| Mailing Address |
106 Live Oak Dr Searcy AR 72143-4511 |
| Practice Telephone | 5018279935 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
8762 | SC | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 106 Live Oak Dr, Searcy, AR 721434511 | 5018279935 |
| Street Address |
1304 W BOBO NEWSOM HWY |
| City | HARTSVILLE |
| State | SC |
| Zip Code | 29550-4710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285624023 | Sally Webb Regan | Radiology | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2005-10-24 |
| 1700433976 | Jennifer L Olszowy | Physical Therapist | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2019-08-22 |
| 1487200382 | Bridget Dix | Physical Therapist | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2019-08-15 |
| 1063066801 | Margaret Ashleigh Evans | Physician Assistant | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2019-07-30 |
| 1114582954 | James August Newman Jr. | Physical Therapist | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2019-05-07 |
| 1093274235 | Prestwood Radiology, LLP | Radiology | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2019-03-18 |
| 1154848786 | App of South Carolina Hm Pllc | Hospitalist | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2017-08-24 |
| 1457878084 | App of South Carolina Ed Pllc | Emergency Medicine | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2017-08-24 |
| 1881055309 | Gray Phelps | Physician Assistant | 1304 W Bobo Newsom Hwy, Carolina Pines Regional Medical Center, Hartsville, SC 29550-4710 | 2016-03-10 |
| 1265824809 | Kenneth Carl Staples Jr. | Emergency Medicine | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2015-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391456 | Empire Audiology, LLC | Audiologist | 3536 W Bobo Newsom Hwy, Hartsville, SC 29550 | 2020-09-18 |
| 1386125797 | Caresouth Hha Holdings of Washington, LLC | Hospice Care, Community Based | 696 Medical Park Dr Ste 2, Hartsville, SC 29550 | 2018-08-23 |
| 1740760735 | Danna Dubose Coe | Home Health | 1575 Winding Ridge Drive, Hartsville, SC 29550 | 2018-08-18 |
| 1548748452 | Samantha Elizabeth Kieffer | Counselor | 510 Carolina Ave, Hartsville, SC 29550 | 2018-08-02 |
| 1790277879 | Katarina K Epps | Counselor | 628 E Carolina Ave, Hartsville, SC 29550 | 2018-06-04 |
| 1497245328 | Mary Alice King | Counselor | 513 Woodland Drive, Hartsville, SC 29550 | 2018-05-16 |
| 1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
| 1902347677 | William H Long LLC | Family Medicine | 420a W Carolina Ave, Hartsville, SC 29550 | 2017-03-15 |
| 1821459470 | April S Crawley | Nurse Practitioner | 1 N 2nd St # C05, Hartsville, SC 29550 | 2016-03-10 |
| 1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
| Find all providers in zip 29550 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336376581 | Tony Skorput Pa | Clinic/Center | 701 Medical Park Dr, Suite 102, Hartsville, SC 29550-4777 | 2009-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426907 | Firefly Therapy Clinic LLC | Clinic/Center | 2103 Hartness Dr, Greenville, SC 29615-5497 | 2020-10-29 |
| 1457961963 | Midlands Physical Therapy and Wellness LLC. | Clinic/Center | 115 Pettus Ln, Newberry, SC 29108-7719 | 2020-08-10 |
| 1568071017 | Pt Dispatch, LLC | Clinic/Center | 81 Pointe Cir Ste D-18, Greenville, SC 29615-3505 | 2020-07-29 |
| 1356974067 | Mastering Milestones, LLC | Clinic/Center | 1564 Red Tide Rd, Mount Pleasant, SC 29466-9406 | 2020-02-20 |
| 1306480702 | Palmetto Primary Care Physicians, LLC | Clinic/Center | 119 Springhall Dr Ste A2, Goose Creek, SC 29445-5368 | 2019-10-30 |
| 1477197945 | Greene Physical Therapy LLC | Clinic/Center | 824 Farnham Rd, Charleston, SC 29412-4806 | 2019-10-29 |
| 1962045500 | Bright Physical Therapy, LLC | Clinic/Center | 4010 E North St Ste 4, Greenville, SC 29615-6208 | 2019-10-28 |
| 1841848991 | Holistic Therapeutic Services of Sc LLC | Clinic/Center | 3810 Masters Cir, Florence, SC 29501-8514 | 2019-09-03 |
| 1447806518 | Turner Sports Performance, LLC | Clinic/Center | 407 Long Forest Cir, Anderson, SC 29625-1103 | 2019-08-14 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
| City | HARTSVILLE |
| Zip Code | 29550 |
Please comment or provide details below to improve the information on JORDAN FUST.
| 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.