MR. CARLETON A MENTZER III (NPI# 1679540587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679540587 |
| Entity Type | Individual |
| Full Name | MR. CARLETON A MENTZER III |
| Credential | PA-C |
| Practice Address |
64 Bluffton Rd Bluffton SC 29910-7621 |
| Mailing Address |
1818 Henderson St Columbia SC 29201-2619 |
| Practice Telephone | 8437570676 |
| Practice Fax Number | 8437570779 |
| Mailing Telephone | 8037582600 |
| Mailing Fax Number | 8032538896 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2014-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1652 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA.200003 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1380PA | 05 |
| Street Address |
64 BLUFFTON RD |
| City | BLUFFTON |
| State | SC |
| Zip Code | 29910-7621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629489869 | Annette Thacker | Physical Therapist | 64 Bluffton Rd, Bluffton, SC 29910-7621 | 2014-05-09 |
| 1144663105 | Christine Marie Scheemaker | Physician Assistant | 64 Bluffton Rd, Bluffton, SC 29910-7621 | 2013-04-09 |
| 1407195407 | Doctors Care Sc, Pa | Emergency Medicine | 64 Bluffton Rd, Bluffton, SC 29910-7621 | 2013-02-11 |
| 1023373438 | Christopher Ivanic | Physical Therapist | 64 Bluffton Rd, Bluffton, SC 29910-7621 | 2012-07-11 |
| 1548535230 | Progressive Physical Therapy, Pa | Occupational Therapist | 64 Bluffton Rd, Bluffton, SC 29910-7621 | 2012-03-14 |
| 1841502978 | Elizabeth Anne Rose | Physician Assistant | 64 Bluffton Rd, Bluffton, SC 29910-7621 | 2010-07-06 |
| 1629116389 | Steven Ehrlich | Physical Therapist | 64 Bluffton Rd, Bluffton, SC 29910-7621 | 2007-02-02 |
| 1972567840 | Robert C Lusik | Family Medicine | 64 Bluffton Rd, Bluffton, SC 29910-7621 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912444 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2501 May River Crossing, Bluffton, SC 29910 | 2020-11-03 |
| 1447873815 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 4812 Bluffton Parkway, Bluffton, SC 29910 | 2020-05-20 |
| 1831682327 | Tattnall Hospital Company LLC | Occupational Therapist | 8201 Pinellas Dr, Bluffton, SC 29910 | 2018-06-11 |
| 1437647070 | Health Performance Systems LLC | Massage Therapist | 20 Towne Dr Ste 102, Bluffton, SC 29910 | 2018-04-30 |
| 1659880540 | Jessica Partain | Assistant Behavior Analyst | 254 Red Cedar St Ste 11, Bluffton, SC 29910 | 2017-09-24 |
| 1760901177 | Thomas Ross Miller | Specialist/Technologist | 7 Independence Place, Bluffton, SC 29910 | 2017-09-18 |
| 1982124400 | Caitlin Diane Harvey | Behavioral Analyst | 4 Oliver Ct Ste 105, Bluffton, SC 29910 | 2017-06-26 |
| 1770011041 | Michael Ross Reeves | Physical Therapist | 38 Sheridan Park Cir Ste C, Bluffton, SC 29910 | 2017-05-31 |
| 1982141750 | Jebediah S. Christy, D.d.s. - Blufton, Pllc | Dentist | 1135 Fording Island Rd, Bluffton, SC 29910 | 2017-01-31 |
| 1225589377 | Kathryn Hope | Occupational Therapist | 31 Innovation Dr Ste 100, Bluffton, SC 29910 | 2016-10-24 |
| Find all providers in zip 29910 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376073080 | Erin Marina Pournaras | Physician Assistant | 198 Okatie Village Dr Ste 103-110, Bluffton, SC 29909-7527 | 2017-06-14 |
| 1174944755 | Alyssa Marli Anderson | Physician Assistant | 38 Sheridan Park Cir Ste F, Bluffton, SC 29910-7023 | 2013-12-26 |
| 1306819735 | Juanita E Bryan | Physician Assistant | 125 E Cherry St, Bluffton, IN 46714 | 2006-02-08 |
| 1922564822 | Nicholas W Cassel | Physician Assistant | 350 Fording Island Rd Ste 100, Bluffton, SC 29910-5168 | 2019-02-15 |
| 1821562232 | Karen Vejano | Physician Assistant | 7 Mallett Way, Bluffton, SC 29910-6064 | 2019-01-18 |
| 1598143810 | Caitlin Cleland | Physician Assistant | 350 Fording Island Rd, Suite 100, Bluffton, SC 29910-5168 | 2015-05-07 |
| 1144663105 | Christine Marie Scheemaker | Physician Assistant | 64 Bluffton Rd, Bluffton, SC 29910-7621 | 2013-04-09 |
| 1841502978 | Elizabeth Anne Rose | Physician Assistant | 64 Bluffton Rd, Bluffton, SC 29910-7621 | 2010-07-06 |
| 1609052471 | Kristine Sue Germann | Physician Assistant | 18 Oak Forest Rd Ste A, Bluffton, SC 29910-4990 | 2008-01-11 |
| 1538279005 | Amanda Bobb Medlin | Physician Assistant | 350 Fording Island Road, Suite 100, Bluffton, SC 29910-4989 | 2006-08-30 |
| Find all providers in BLUFFTON | ||||
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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.