OTIS DONNELL SPEIGHT (NPI# 1629151550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629151550 |
| Entity Type | Individual |
| Full Name | OTIS DONNELL SPEIGHT |
| Credential | MD |
| Practice Address |
510 Thompson Street Dba Ltc Health Solutions Gaffney SC 29340 |
| Mailing Address |
1624 Main Street Agape Senior Primary Care Inc Dba Ltc Health Solutions Columbia SC 29201-2818 |
| Practice Telephone | 8004910909 |
| Practice Fax Number | 8433532581 |
| Mailing Telephone | 8037262350 |
| Mailing Fax Number | 8037539102 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2018-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 16053 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 160532 | 05 |
| Street Address |
510 THOMPSON STREET DBA LTC HEALTH SOLUTIONS |
| City | GAFFNEY |
| State | SC |
| Zip Code | 29340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982021770 | Susan M. Schaefer | Nurse Practitioner | 510 Thompson Street, Blue Ridge In Brookview Healthcare Center, Gaffney, SC 29340 | 2014-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116943 | Mark Reynolds | Nurse Practitioner | 840 West Floyd Baker Blvd, Gaffney, SC 29340 | 2019-07-24 |
| 1477805448 | Upstate Carolina Ems Inc | Ambulance | 145 Medical Center Dr., Gaffney, SC 29340 | 2012-10-15 |
| 1730439811 | Mickey Dean Bailey | Pharmacist | 229 West Buford Dtreet, Gaffney, SC 29340 | 2012-09-14 |
| 1780959825 | Mqp Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 115 W. Buford St., Gaffney, SC 29340 | 2012-03-21 |
| 1750448858 | Peachtree Centre Cherokee County Long Term Health | Assisted Living Facility | 1434 N. Limestone Street, Gaffney, SC 29340 | 2007-01-02 |
| 1881604965 | Andrew P Harakas Md Pa | Specialist | 1552 N Limestone St, Suite C, Gaffney, SC 29340 | 2006-08-09 |
| 1023026358 | Pamela Turner Boone | Pharmacist | 1530 N. Limestone St, Gaffney, SC 29340 | 2006-08-03 |
| 1831126606 | Bruce Douglas Mikota | Chiropractor | 111 West Rutledge Avenue, Gaffney, SC 29340 | 2006-06-27 |
| 1063469062 | John Colby Stowell | Surgery | 117 E Montgomery St, Gaffney, SC 29340 | 2006-05-27 |
| 1174594477 | Howard W Klickman | Internal Medicine | 139 Medical Center Dr, Gaffney, SC 29340 | 2006-01-27 |
| Find all providers in zip 29340 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174606073 | Cynthia E Buchanan | Emergency Medicine | 552 Hyatt St, Gaffney, SC 29341-2525 | 2006-10-23 |
| 1811312747 | Upstate Sc Emergency Physicians | Emergency Medicine | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2014-03-01 |
| 1689836751 | Sc Cherokee Emergency Physicians | Emergency Medicine | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2008-06-30 |
| 1902976426 | Upstate Emergency Service | Emergency Medicine | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2006-11-09 |
| 1164592671 | Paul Daniel Karns | Emergency Medicine | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628898 | Gary L. Rose | Emergency Medicine | 1755 Ashley Hall Rd Apt E2, Charleston, SC 29407-3815 | 2020-08-05 |
| 1528690377 | Novant Health, Inc. | Emergency Medicine | 1423 Red Ventures Dr, Fort Mill, SC 29707-5019 | 2020-02-10 |
| 1912541814 | Colonial Family Practice, LLC | Emergency Medicine | 327 Broad St, Sumter, SC 29150-4152 | 2019-11-04 |
| 1962061747 | Nathan Barr | Emergency Medicine | Musc Emergency Department 171 Ashley Ave, Charleston, SC 29425-0001 | 2019-06-06 |
| 1942867767 | Robert Lee Stanley | Emergency Medicine | Emergency Medicine Dept, 14 Medical Park, Ste 350, Columbia, SC 29203 | 2019-05-28 |
| 1790349355 | Romie Sarand Barnes | Emergency Medicine | Emergency Medicine Administration, 14 Medical Park, Ste 350, Columbia, SC 29203 | 2019-04-29 |
| 1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
| 1457825846 | Aiken Professional Association LLC | Emergency Medicine | 110 Sasanqua Drive, Graniteville, SC 29829-4136 | 2019-01-18 |
| 1104393214 | David Weitzman Md PC | Emergency Medicine | 2423 Highway 17 S, North Myrtle Beach, SC 29582-4343 | 2018-10-26 |
| 1629561089 | John Brenton Bushkar | Emergency Medicine | 169 Ashley Ave Rm Nt265, Charleston, SC 29425 | 2018-06-11 |
| Find all providers with the same taxonomy | ||||
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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.