MARK JOSEPH GALLOWAY (NPI# 1518965375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518965375 |
| Entity Type | Individual |
| Full Name | MARK JOSEPH GALLOWAY |
| Credential | PA-C |
| Practice Address |
2185 N Fraser St Georgetown SC 29440-6418 |
| Practice Telephone | 8435271800 |
| Practice Fax Number | 8435276528 |
| Mailing Telephone | 8435271800 |
| Mailing Fax Number | 8435276528 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2013-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA100036000 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7089519 | 05 | |
| WA | LABOR AND INDUSTRIES | 137313 | 01 |
| Street Address |
2185 N FRASER ST |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440-6418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699311019 | Brittany Mccall Dieffenbach | Physician Assistant | 2185 N Fraser St, Georgetown, SC 29440-6418 | 2019-11-20 |
| 1912401399 | Georgetown Physician Associates, LLC | Orthopaedic Surgery | 2185 N Fraser St, Georgetown, SC 29440 | 2018-03-21 |
| 1053764977 | Mark Edward Boulden Jr. | Specialist/Technologist | 2185 N Fraser St, Georgetown, SC 29440-6418 | 2016-07-15 |
| 1043574882 | Earl James Han | Orthopaedic Surgery | 2185 N Fraser St, Georgetown, SC 29440-6418 | 2012-06-26 |
| 1548549017 | Georgetown Orthopaedics, LLC | Orthopaedic Surgery | 2185 N Fraser St, Georgetown, SC 29440-6418 | 2011-08-15 |
| 1922194257 | Mark Andrew Rowley | Orthopaedic Surgery | 2185 N Fraser St, Georgetown, SC 29440 | 2006-10-05 |
| 1689647588 | Mark E Triana | Orthopaedic Surgery | 2185 N Fraser St, Georgetown, SC 29440-6418 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
| 1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
| 1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
| 1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
| 1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
| 1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
| Find all providers in zip 29440 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734072 | Triple A Surgical Assistants, Pllc | Physician Assistant | 723 W University Ave # 301, Georgetown, TX 78626-6607 | 2019-01-17 |
| 1134631450 | Meredith Rollins Hatcher | Physician Assistant | 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 | 2017-10-26 |
| 1487178299 | Heath Martin Gibson | Physician Assistant | 1138 Lexington Rd Ste 140, Georgetown, KY 40324-9672 | 2017-08-02 |
| 1508316647 | Nichole Gudgeon | Physician Assistant | 900 N Austin Ave Ste 105, Georgetown, TX 78626-4349 | 2016-10-13 |
| 1922468370 | Caryn Michelle Mosier | Physician Assistant | 1509 Naranjo Dr, Georgetown, TX 78628-4007 | 2016-02-28 |
| 1265783989 | Virginia Irene Magee | Physician Assistant | 28 Londonderry Ln, Georgetown, MA 01833-2312 | 2012-09-20 |
| 1033435656 | Amanda Marie Moore | Physician Assistant | 8 N Race St, Georgetown, DE 19947 | 2010-04-08 |
| 1245441179 | Holly M Mayer | Physician Assistant | 1150 Lexington Rd Ste 102, Georgetown, KY 40324 | 2007-05-24 |
| 1952515926 | Mercedes Banigan | Physician Assistant | 4426 Williams Drive, Georgetown, TX 78628-1341 | 2007-05-09 |
| 1972569747 | Julia L. Pickel | Physician Assistant | 1904 Railroad St, Georgetown, TX 78626-7718 | 2006-04-21 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 29440 |
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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.