UPSTATE PODIATRY GROUP, PA (NPI# 1619479342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619479342 |
| Entity Type | Organization |
| Organization Name | UPSTATE PODIATRY GROUP, PA |
| Practice Address |
1012 Medical Ridge Rd Clinton SC 29325-4542 |
| Mailing Address |
801 Se Main St Simpsonville SC 29681-7150 |
| Practice Telephone | 8648339274 |
| Mailing Telephone | 8643999070 |
| Mailing Fax Number | 8643999664 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2020-04-08 |
| Authorized Official Name | STEPHANIE THOMAS (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8643999070 |
| Is Organization Subpart | Y |
| Parent Organization Name | UPSTATE PODIATRY GROUP, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144660036 | Upstate Podiatry Group, Pa | Podiatrist | 801 Se Main St, Simpsonville, SC 29681 | 2013-06-25 |
| 1609415751 | Upstate Podiatry Group, Pa | Podiatrist | 105 Mimosa Dr, Greer, SC 29650-1737 | 2020-01-06 |
| Street Address |
1012 MEDICAL RIDGE RD |
| City | CLINTON |
| State | SC |
| Zip Code | 29325-4542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699774752 | Rufus W Watkins | Surgery | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 | 2005-07-20 |
| 1336439314 | Lchcs Dba Wilson and Mccormack Surgical Services | Surgery | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 | 2011-04-12 |
| 1285751107 | Mark David Herndon | Surgery | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 | 2007-03-24 |
| 1447213079 | Raymond Michael Wiggins | Specialist | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 | 2006-04-06 |
| 1609844653 | Samuel Mayhew Wilson | Surgery | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 | 2006-03-08 |
| 1710970520 | Carter Jameson Mccormack | Surgery | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 | 2005-08-26 |
| 1578564688 | Bruce A Marshall | Surgery | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353100 | Mason Paige Gambrell | Student in an Organized Health Care Education/Training Program | 107 Shellcreek Ct, Clinton, SC 29325 | 2020-07-07 |
| 1386207975 | Tammy Binger | Registered Nurse | 22725 U.S. 76, Clinton, SC 29325 | 2019-04-18 |
| 1154828945 | Lillian Smith | Physical Therapy Assistant | Nhc Clinton, 304 Jacobs Highway, Clinton, SC 29325 | 2018-04-09 |
| 1134519366 | Nora Pace | Specialist/Technologist | 18132 Hwy 72 E, Clinton, SC 29325 | 2015-01-26 |
| 1497186845 | John M. Griz | Orthopaedic Surgery | 22971 Hwy 76e, Clinton, SC 29325 | 2013-12-11 |
| 1992131171 | Sharon Kay Stoia | Occupational Therapist | 600 Plaza Circle, Clinton, SC 29325 | 2013-09-19 |
| 1578800256 | Hayes Ambulance Service LLC | Ambulance | 2143 Torrington Road, Clinton, SC 29325 | 2013-01-14 |
| 1083943518 | Margaret Estelle Shreve | Chiropractor | 209 Musgrove St, Clinton, SC 29325 | 2009-12-11 |
| 1750556213 | Piedmont Regional Urology | Urology | 300 Plantation Plaza, Suite F, Clinton, SC 29325 | 2008-04-25 |
| 1285821587 | Assisted Living Concepts Inc | Assisted Living Facility | 939 Springdale Drive, Clinton, SC 29325 | 2007-10-01 |
| Find all providers in zip 29325 | ||||
| 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 |
|---|---|---|---|---|
| 1154942654 | Priority Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 517 S 30th St, Clinton, OK 73601-3632 | 2020-05-06 |
| 1952864266 | Roy C Patton | Durable Medical Equipment & Medical Supplies | 305 Clinton Blvd, Clinton, MS 39056-5217 | 2019-04-12 |
| 1811427214 | Pause The Pain | Durable Medical Equipment & Medical Supplies | 637 N 1260 W, Clinton, UT 84015-9305 | 2017-06-18 |
| 1730538885 | Medworx Home Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 988 S Broad St, Clinton, SC 29325-2866 | 2016-06-09 |
| 1386011278 | St. Regis Medical Equipment Corp. | Durable Medical Equipment & Medical Supplies | 8195 Seneca Tpke, Clinton, NY 13323-1100 | 2015-08-26 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1770826158 | Mississippi Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 801 Highway 80 E, Clinton, MS 39056-5252 | 2013-04-03 |
| 1649512260 | Recovery Sports Inc | Durable Medical Equipment & Medical Supplies | 143 Navajo Cir, Clinton, MS 39056-3110 | 2013-03-21 |
| 1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
| 1235483777 | Excel Health Systems LLC | Durable Medical Equipment & Medical Supplies | 10735 Roosevelt Street, Clinton, LA 70722 | 2012-11-06 |
| Find all providers in CLINTON | ||||
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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.