SELF REGIONAL HEALTHCARE PARTNERS (NPI# 1508340795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508340795 |
| Entity Type | Organization |
| Organization Name | SELF REGIONAL HEALTHCARE PARTNERS |
| Practice Address |
300 Ridge Medical Plaza Rd Edgefield SC 29824-4525 |
| Mailing Address |
1325 Spring St Greenwood SC 29646-3860 |
| Practice Telephone | 8036373174 |
| Practice Fax Number | 8036370200 |
| Mailing Telephone | 8647254111 |
| Mailing Fax Number | 8647257424 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Authorized Official Name | JAMES A PFEIFFER (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8647254252 |
| Is Organization Subpart | Y |
| Parent Organization Name | SELF REGIONAL HEALTHCARE PARTNERS |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ECH Professional Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780168971 | Self Regional Healthcare Partners | Medicare Defined Swing Bed Unit | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2018-09-24 |
| 1053929208 | Self Regional Healthcare Partners | Internal Medicine | 155 Ridge Medical Plaza Rd, Edgefield, SC 29824-4531 | 2020-07-14 |
| 1790332468 | Self Regional Healthcare Partners | Respite Care | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2019-08-19 |
| 1639653751 | Self Regional Healthcare Partners | General Acute Care Hospital | 155 Ridge Medical Plaza Rd, Edgefield, SC 29824-4531 | 2018-09-25 |
| 1922582105 | Self Regional Healthcare Partners | Emergency Medicine | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2018-09-24 |
| Street Address |
300 RIDGE MEDICAL PLAZA RD |
| City | EDGEFIELD |
| State | SC |
| Zip Code | 29824-4525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780168971 | Self Regional Healthcare Partners | Medicare Defined Swing Bed Unit | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2018-09-24 |
| 1790332468 | Self Regional Healthcare Partners | Respite Care | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2019-08-19 |
| 1922582105 | Self Regional Healthcare Partners | Emergency Medicine | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2018-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386993483 | Kim Massey Holsomback | Pharmacist | 230 Apple Square Plaza, Edgefield, SC 29824 | 2012-09-05 |
| 1093962359 | Edgefield County Senior Citizens Council | Voluntary or Charitable | 15 Center Spring Road, Edgefield, SC 29824 | 2008-08-19 |
| 1114108735 | Banks Pharmacy | Clinic/Center | 100 Ridge Medical Plaza, Suite 101, Edgefield, SC 29824 | 2007-11-26 |
| 1255525648 | Carolina Youth Combat Systems | Counselor | 722 Augusta Rd, Edgefield, SC 29824 | 2007-08-29 |
| 1972663763 | Tami Y Massey | Family Medicine | 155 Ridge Medical Plaza Rd, Suite A, Edgefield, SC 29824 | 2006-12-11 |
| 1093166514 | Self Medical Group | Family Medicine | 155 Ridge Medical Plaza Rd, Suite A, Edgefield, SC 29824 | 2016-06-27 |
| 1376960955 | Carla Dorn | Licensed Practical Nurse | 21 Star Rd, Edgefield, SC 29824 | 2014-03-21 |
| 1487904819 | Julian Thomas Rushin | Pharmacist | 230 Apple Square Plaza, Edgefield, SC 29824 | 2012-09-13 |
| 1134478225 | Marvin Gene Cason | Pharmacist | 230 Apple Square Plaza, Edgefield, SC 29824 | 2012-09-05 |
| 1205197019 | Robert Brightharp | Family Medicine | 155 Ridge Medical Plaza, Suite 102, Edgefield, SC 29824 | 2012-06-07 |
| Find all providers in zip 29824 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922582105 | Self Regional Healthcare Partners | Emergency Medicine | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2018-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628898 | Gary L. Rose | Emergency Medicine | 1755 Ashley Hall Rd Apt E2, Charleston, SC 29407-3815 | 2020-08-05 |
| 1528690377 | Novant Health, Inc. | Emergency Medicine | 1423 Red Ventures Dr, Fort Mill, SC 29707-5019 | 2020-02-10 |
| 1912541814 | Colonial Family Practice, LLC | Emergency Medicine | 327 Broad St, Sumter, SC 29150-4152 | 2019-11-04 |
| 1962061747 | Nathan Barr | Emergency Medicine | Musc Emergency Department 171 Ashley Ave, Charleston, SC 29425-0001 | 2019-06-06 |
| 1942867767 | Robert Lee Stanley | Emergency Medicine | Emergency Medicine Dept, 14 Medical Park, Ste 350, Columbia, SC 29203 | 2019-05-28 |
| 1790349355 | Romie Sarand Barnes | Emergency Medicine | Emergency Medicine Administration, 14 Medical Park, Ste 350, Columbia, SC 29203 | 2019-04-29 |
| 1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
| 1457825846 | Aiken Professional Association LLC | Emergency Medicine | 110 Sasanqua Drive, Graniteville, SC 29829-4136 | 2019-01-18 |
| 1104393214 | David Weitzman Md PC | Emergency Medicine | 2423 Highway 17 S, North Myrtle Beach, SC 29582-4343 | 2018-10-26 |
| 1629561089 | John Brenton Bushkar | Emergency Medicine | 169 Ashley Ave Rm Nt265, Charleston, SC 29425 | 2018-06-11 |
| 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.