MARY BLACK PHYSICIANS GROUP LLC (NPI# 1518187228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518187228 |
| Entity Type | Organization |
| Organization Name | MARY BLACK PHYSICIANS GROUP LLC |
| Practice Address |
500 Squires Pt Suite B Duncan SC 29334-8867 |
| Mailing Address |
Po Box 277827 Atlanta GA 30384-7827 |
| Practice Telephone | 8644338980 |
| Mailing Telephone | 8642538080 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | DONNA L MATTSON (SENIOR CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2144737043 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164667283 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 5229 Hwy 221, Roebuck, SC 29376-3305 | 2008-12-03 |
| 1427276203 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 170 Camelot Dr, Spartanburg, SC 29301-2650 | 2007-04-24 |
| 1235357260 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 145 Dillon Dr # B, Spartanburg, SC 29307-1017 | 2007-04-23 |
| 1619339660 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 2995 Reidville Rd, Spartanburg, SC 29301-5628 | 2016-03-28 |
| 1093171332 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 722 Hyatt St, Suite D, Gaffney, SC 29341-2643 | 2015-12-31 |
| 1053556191 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 2995 Reidville Rd, Spartanburg, SC 29301-5628 | 2008-12-03 |
| 1053511766 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 2995 Reidville Rd, Ste 290, Spartanburg, SC 29301-5628 | 2007-07-20 |
| 1669672358 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 5470 N Main St, Cowpens, SC 29330-9705 | 2007-07-20 |
| 1336344852 | Mary Black Physicians Group LLC | Clinic/Center | 5229 Highway 221, Roebuck, SC 29376-3305 | 2007-06-15 |
| 1457555120 | Mary Black Physicians Group LLC | Clinic/Center | 108 W Rutherford St, Landrum, SC 29356-1526 | 2007-06-14 |
| Street Address |
500 SQUIRES PT SUITE B |
| City | DUNCAN |
| State | SC |
| Zip Code | 29334-8867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306872080 | Edward J Mea | Family Medicine | 500 Squires Pt, Duncan, SC 29334 | 2006-06-24 |
| 1235572298 | Vinay Jay Patidar | Family Medicine | 500 Squires Pt, Duncan, SC 29334-8867 | 2013-04-09 |
| 1487899969 | Mary Black Physicians Group, LLC | Pediatrics | 500 Squires Pt, Suite A, Duncan, SC 29334-8867 | 2008-12-11 |
| 1952546426 | Mary Black Physicians Group, LLC | Family Medicine | 500 Squires Pt, Suite B, Duncan, SC 29334-8867 | 2008-12-11 |
| 1629272331 | Antoinette Denise Rhynes | Family Medicine | 500 Squires Pt, Duncan, SC 29334-8867 | 2007-06-14 |
| 1093933855 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 500 Squires Pt, Suite A, Duncan, SC 29334-8867 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487032272 | Polly Wright Rector | Specialist | 120 S Spencer St, Duncan, SC 29334 | 2015-05-12 |
| 1417343286 | Rubina Batool Baksh | Pediatrics | 500 Squires Pt Ste A, Duncan, SC 29334 | 2015-04-08 |
| 1922274463 | Joseph Brandon Chadwell | Dentist | 705 Squires Pt, Duncan, SC 29334 | 2008-05-05 |
| 1306068127 | Worth Family Chiropractic | Chiropractor | 1531 E Main St #2, Duncan, SC 29334 | 2007-05-02 |
| 1912031717 | Laura Ann Gray | Speech-Language Pathologist | 407 Caperton Way, Duncan, SC 29334 | 2007-03-15 |
| 1457429078 | Spartanburg County School District No. 5 | Registered Nurse | 100 N. Danzler Rd, Duncan, SC 29334 | 2006-12-01 |
| 1003913328 | World Class Healthcare Pa | Chiropractor | 700 Squire's Pt, Ste. B, Duncan, SC 29334 | 2006-09-20 |
| 1245348242 | Craig Bernard Pruitt | Optometrist | Vision Plus 1955 E Main St, 1955 East Main St. Suite C., Duncan, SC 29334 | 2006-08-29 |
| 1861415085 | Mary Black Health System LLC | Family Medicine | 500 Squires Pointe, Duncan, SC 29334 | 2006-07-26 |
| 1982622585 | Derek T Dunlap | Dentist | 700 Squire's Pointe Drive, Suite A, Duncan, SC 29334 | 2006-07-18 |
| Find all providers in zip 29334 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902340763 | R&s Drug Store 3 LLC | Durable Medical Equipment & Medical Supplies | 3117 N 81 Hwy, Duncan, OK 73533-9283 | 2016-12-13 |
| 1871935767 | Oklahoma Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1520 W Elk Ave, Duncan, OK 73533-3763 | 2013-07-22 |
| 1477866960 | On Call Medical LLC | Durable Medical Equipment & Medical Supplies | 535 Forest Shoals Ln, Duncan, SC 29334-8841 | 2010-07-26 |
| 1407189921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2196 E Main St, Duncan, SC 29334-9456 | 2009-09-16 |
| 1477677532 | Robert Dale Rochell | Durable Medical Equipment & Medical Supplies | 1206 N Highway 81 Ste 61, Duncan, OK 73533-1795 | 2007-03-16 |
| 1427107689 | Med Tech Express | Durable Medical Equipment & Medical Supplies | 1845 N Highway 81, Duncan, OK 73533-1413 | 2007-01-09 |
| 1891806139 | Medical Technologies LLC | Durable Medical Equipment & Medical Supplies | 919 W Willow Ave, Duncan, OK 73533-4921 | 2006-08-31 |
| 1245245216 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1100 N Highway 81, Duncan, OK 73533-1718 | 2006-07-29 |
| 1538183611 | Duncan Medical Supply | Durable Medical Equipment & Medical Supplies | 20 South 9th Street, Duncan, OK 73533-9999 | 2006-07-26 |
| 1407874175 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3393 N 81 Hwy, Duncan, OK 73533-8925 | 2006-07-18 |
| Find all providers in DUNCAN | ||||
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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.