BRENT J BAROODY (NPI# 1558355958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558355958 |
| Entity Type | Individual |
| Full Name | BRENT J BAROODY |
| Credential | MD |
| Practice Address |
1523 Heritage Ln Florence SC 29505-3197 |
| Mailing Address |
1523 Heritage Ln Suite A Florence SC 29505-3197 |
| Practice Telephone | 8436739992 |
| Practice Fax Number | 8436739996 |
| Mailing Telephone | 8436739992 |
| Mailing Fax Number | 8436739996 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2019-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 23624 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP2348 | 05 |
| Street Address |
1523 HERITAGE LN |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-3197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366909434 | Lisa Renee Poston | Nurse Practitioner | 1523 Heritage Ln, Florence, SC 29505-3197 | 2019-02-25 |
| 1912218066 | Alecia R Anyim | Internal Medicine | 1523 Heritage Ln, Florence, SC 29505-3197 | 2010-06-23 |
| 1255305280 | Genesis Health Care, Inc | Clinic/Center | 1523 Heritage Ln, Florence, SC 29505-3197 | 2006-02-15 |
| 1417941667 | Bonita F. Mccray | Nurse Practitioner | 1523 Heritage Ln, Unit B, Florence, SC 29505-3197 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447631387 | Jenna Jones Maclennan | Obstetrics & Gynecology | 101 William H Johnson St Ste 500, Florence, SC 29506-2769 | 2015-06-16 |
| 1083042709 | Shoals Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 3115 Northington Ct Ste 138, Florence, AL 35630-6352 | 2013-10-15 |
| 1447537840 | Robert Stephen Adams Sr. | Obstetrics & Gynecology | 819 S Whitehall Cir, Florence, SC 29501-8927 | 2011-11-14 |
| 1255629275 | Jennifer Christy Patchett | Obstetrics & Gynecology | 1590 Freedom Blvd Ste B, Florence, SC 29505-6071 | 2011-07-11 |
| 1508077199 | Brent J Hurd | Obstetrics & Gynecology | 1751 Veterans Drive, Suite 205, Florence, AL 35630 | 2007-05-24 |
| 1356567986 | Tiffany Katease Boyd | Obstetrics & Gynecology | 805 Pamplico Hwy Ste A, Florence, SC 29505-6047 | 2007-04-18 |
| 1336275627 | Mary Robbins | Obstetrics & Gynecology | 328 W Tennessee St, Florence, AL 35630-5421 | 2007-02-23 |
| 1881731644 | J. Marshall Dent,iii,m.d.,p.c. | Obstetrics & Gynecology | 410 S Coit St, Florence, SC 29501-4715 | 2007-01-31 |
| 1568517407 | Anu Chaudhry | Obstetrics & Gynecology | 101 William H Johnson St, Ste 360, Florence, SC 29506-2769 | 2007-01-23 |
| 1609962117 | Stephen Daniel Keith Jr. | Obstetrics & Gynecology | 541 W College St Ste 2600, Florence, AL 35630-5365 | 2006-10-04 |
| Find all providers in FLORENCE | ||||
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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.