SUSAN B PELC (NPI# 1649618018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649618018 |
| Entity Type | Individual |
| Full Name | SUSAN B PELC |
| Credential | RN |
| Practice Address |
255 E Pine Log Rd Aiken SC 29803-6159 |
| Practice Telephone | 8036412580 |
| Practice Fax Number | 8036412449 |
| Mailing Telephone | 8036412580 |
| Mailing Fax Number | 8036412449 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
68657 | SC | Nursing Service Providers |
| Street Address |
255 E PINE LOG RD |
| City | AIKEN |
| State | SC |
| Zip Code | 29803-6159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770982761 | Tomeka Williams | Speech-Language Pathologist | 255 E Pine Log Rd, Aiken, SC 29803-6159 | 2014-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871147454 | Augusta Oncology Associates, P.C. | Specialist | 222 University Parkway, Aiken, SC 29803 | 2019-07-31 |
| 1356804546 | Ebony Johnson | Home Health Aide | 942 C Dougherty Rd, Aiken, SC 29803 | 2019-04-13 |
| 1689144230 | Tabatha Lee Maddox | Occupational Therapist | 550 East Gate Dr, Aiken, SC 29803 | 2018-11-27 |
| 1962995100 | Pvd Internal Medicine Associates LLC | Internal Medicine | 440 Society Hill Dr Ste B, Aiken, SC 29803 | 2018-06-12 |
| 1689197691 | Trent David Yoder | Dentist | 174 Crepe Myrtle Drive, Aiken, SC 29803 | 2017-07-21 |
| 1770039331 | Lauren Reigot | Physical Therapist | 6140 Woodside Executive Ct., Aiken, SC 29803 | 2016-09-01 |
| 1851747190 | Umg Primary Care South Carolina, LLC | Family Medicine | 1023 Silver Bluff Road, Aiken, SC 29803 | 2016-05-05 |
| 1912375759 | Lisa G Browning | Nurse Practitioner | 550 E. Gate Drive, Aiken, SC 29803 | 2015-09-10 |
| 1346682754 | Tyresia Jovon White | Dentist | 440 Society Hill Dr Ste 201, Aiken, SC 29803 | 2013-07-25 |
| 1528327483 | Caresouth Hospice, LLC | Hospice Care, Community Based | 37 Varden Drive, Suite B, Aiken, SC 29803 | 2012-05-14 |
| Find all providers in zip 29803 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518399351 | Sherry Ann Eldredge | Registered Nurse | 274 E Pine Log Rd, Aiken, SC 29803-6158 | 2013-08-03 |
| 1346688769 | Stephanie Elizabeth Redd | Registered Nurse | 223 Old Wagener Rd, Aiken, SC 29801-8230 | 2013-06-07 |
| 1730524943 | Monica Mazzell | Registered Nurse | 1830 Chukker Creek Rd, Aiken, SC 29803-6828 | 2013-05-01 |
| 1013350305 | Amber Melissa Gretzner | Registered Nurse | 2050 Pine Log Rd, Aiken, SC 29803-5731 | 2013-04-17 |
| 1326389511 | Winter Scott | Registered Nurse | 3773 Charleston Hwy, Aiken, SC 29801-9591 | 2013-03-13 |
| 1710228507 | Catherine Stevens | Registered Nurse | 232 E Pine Log Rd, Aiken, SC 29803-6158 | 2013-03-05 |
| 1700353653 | Sara T Shealy | Registered Nurse | 1200 Toolebeck Rd, Aiken, SC 29803-8764 | 2018-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841400 | Tiffany Holcombe Price | Registered Nurse | 160 Ivory Key Rd, Saluda, SC 29138-8177 | 2020-11-05 |
| 1437759222 | Amy P Etheridge | Registered Nurse | 3650 Park Avenue Blvd, Mount Pleasant, SC 29466-7242 | 2020-10-29 |
| 1679187421 | Natalie Padgett | Registered Nurse | 1025 Sea Island Pkwy, Saint Helena Island, SC 29920-4399 | 2020-08-31 |
| 1316573678 | Amanda Kalinsky | Registered Nurse | 3100 Carner Ave, North Charleston, SC 29405-3001 | 2020-03-19 |
| 1396395588 | Elizabeth Fisher | Registered Nurse | 409 Airy Springs Rd, Easley, SC 29642-8702 | 2019-09-19 |
| 1194373639 | Opal Elaine Sobieszczyk | Registered Nurse | 42 Isle of Hope, Mt Pleasant, SC 29464-6634 | 2019-08-28 |
| 1740836139 | Kellie Elizabeth Baker | Registered Nurse | 1475 E Liberty St, York, SC 29745-6440 | 2019-08-13 |
| 1871148528 | Kelly Jo Childers | Registered Nurse | 1010 Devinney Rd, York, SC 29745-2127 | 2019-08-08 |
| 1003460668 | Laureen Mitchell | Registered Nurse | 2100 Bull St., Columbia, SC 29201-2104 | 2019-07-31 |
| 1578028791 | Brandi Hallman | Registered Nurse | 300 Matthews Drive, Saluda, SC 29138 | 2019-02-01 |
| 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.