DR. THOMAS VINCENT DISTEFANO (NPI# 1598768830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598768830 |
| Entity Type | Individual |
| Full Name | DR. THOMAS VINCENT DISTEFANO |
| Credential | M.D. |
| Practice Address |
710 Chesterfield Hwy Cheraw SC 29520-7001 |
| Mailing Address |
Po Box 3239 Florence SC 29502-3239 |
| Practice Telephone | (843) 573-0010 |
| Practice Fax Number | 8435370009 |
| Mailing Telephone | 8437777092 |
| Mailing Fax Number | 8437777102 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2017-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 51607 | SC | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 119582 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 516070 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538327200 | Thomas V Distefano | Dentist | 25 Mountainview Blvd Ste 205, Basking Ridge, NJ 07920-3453 | 2008-05-29 |
| 1437218104 | Thomas Distefano | Counselor | 5 Market Sq Ste B5, Amesbury, MA 01913-2430 | 2006-12-08 |
| Street Address |
710 CHESTERFIELD HWY |
| City | CHERAW |
| State | SC |
| Zip Code | 29520-7001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306470448 | Mcleod Occupational Health, LLC | Preventive Medicine | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 | 2020-02-27 |
| 1649818253 | Mcleod Health Cheraw | Clinic/Center | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 | 2019-12-13 |
| 1326509324 | Eric Mclaine | Family Medicine | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 | 2019-03-31 |
| 1942710009 | Miranda Renee Gainey | Nurse Practitioner | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 | 2017-10-03 |
| 1063956704 | Holly Byrd Copeland | Nurse Practitioner | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 | 2016-12-15 |
| 1073960654 | Mcleod Physician Associates II | Orthopaedic Surgery | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 | 2016-05-24 |
| 1518349158 | Garrett Barton | Family Medicine | 710 Chesterfield Hwy, Cheraw, SC 29520 | 2015-06-19 |
| 1346632817 | Mcleod Physician Associates II | Family Medicine | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 | 2015-02-20 |
| 1942629944 | Patricia N. Moore | Nurse Practitioner | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 | 2014-04-08 |
| 1518395151 | Mcleod Physician Associates II | Internal Medicine | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 | 2013-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811541824 | Gloria Curtis | Nurse's Aide | 2912 Wire 1 Rd, Cheraw, SC 29520 | 2019-07-29 |
| 1427419175 | New Perspective Life Center LLC | Case Management | 319 Chesterfiled Hwy #9, Cheraw, SC 29520 | 2016-03-09 |
| 1306203310 | Highly Favored LLC | Counselor | 65 Sanders Ln, Cheraw, SC 29520 | 2016-01-21 |
| 1962880690 | Butterfly Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1562 Fred Davis Road, Cheraw, SC 29520 | 2015-05-14 |
| 1912304387 | Wrights Care Services LLC | Community/Behavioral Health | 319 East Chesterfield Hwy, Cheraw, SC 29520 | 2014-12-01 |
| 1386994762 | Stefanie Deese | Pharmacist | 901 Market St., Cheraw, SC 29520 | 2012-09-13 |
| 1699952218 | Chesterfield Marlboro, Lp | General Acute Care Hospital | Highway 9 West, Cheraw, SC 29520 | 2008-01-25 |
| 1174678411 | Carolina Eye Associates, Inc. | Ophthalmology | 705 Chesterfield Hwy, Cheraw, SC 29520 | 2007-01-25 |
| 1619030855 | Horton Chiropractic Clinic of Cheraw, Pa | Chiropractor | 601 Diane Dr, Cheraw, SC 29520 | 2006-12-19 |
| 1700947835 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 104 Grace Lane, Cheraw, SC 29520 | 2006-12-13 |
| Find all providers in zip 29520 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081375 | Farooq Hussain Qureshi | Orthopaedic Surgery | 715 S Doctors Dr, Ste F, Cheraw, SC 29520-7113 | 2005-05-27 |
| 1073960654 | Mcleod Physician Associates II | Orthopaedic Surgery | 710 Chesterfield Hwy, Cheraw, SC 29520-7001 | 2016-05-24 |
| 1083058564 | Cheraw General Practice & Orthopedics LLC | Orthopaedic Surgery | 715 S Doctors Dr, Ste F, Cheraw, SC 29520-7113 | 2013-04-26 |
| 1326232919 | Chesterfield Clinic Corp | Orthopaedic Surgery | 715 S Doctors Dr, Ste F, Cheraw, SC 29520-7113 | 2007-08-28 |
| 1093883001 | Chesterfield Clinic Corp | Orthopaedic Surgery | 715 S Doctors Dr, Suite F, Cheraw, SC 29520-7113 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139919 | Orthosc LLC | Orthopaedic Surgery | 3620 Walton Dr Unit C-5c6, Myrtle Beach, SC 29577-6781 | 2020-09-17 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1912523085 | Julia Anne Prodoehl | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Surgery, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-24 |
| 1447873815 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 4812 Bluffton Parkway, Bluffton, SC 29910 | 2020-05-20 |
| 1285253336 | Providence Physician Practices LLC | Orthopaedic Surgery | 114 Gateway Corporate Blvd Ste 220a, Columbia, SC 29203-9785 | 2020-04-09 |
| 1528627346 | John Charles Sharpe | Orthopaedic Surgery | Orthopaedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2019-06-06 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1003373820 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 325 Folly Rd Ste 200, Charleston, SC 29412-2507 | 2019-02-28 |
| 1316416415 | Spartanburg Medical Center | Orthopaedic Surgery | 1650 Skylyn Dr Ste 120, Spartanburg, SC 29307-1069 | 2018-11-19 |
| 1134608805 | Optim Orthopedics, LLC | Orthopaedic Surgery | 25 Hospital Center Blvd Ste 100, Hilton Head, SC 29926 | 2018-08-13 |
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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.