DR. MARK ANTHONY WALDROP (NPI# 1689657264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689657264 |
Entity Type | Individual |
Full Name | DR. MARK ANTHONY WALDROP |
Credential | DPT |
Practice Address |
2515 Evans St Newberry SC 29108-2939 |
Practice Telephone | 8032767370 |
Mailing Telephone | 8032767370 |
Enumeration Date | 2005-11-28 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
2102 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
X | 2251S0007X |
Physical Therapist Specialization: Sports |
2102 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
X | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2102 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | TH0650 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043869209 | Mark Waldrop | Pharmacist | 16750 Westgrove Dr, Addison, TX 75001-5688 | 2019-09-10 |
1952766149 | Mark Waldrop II | Counselor | 2730 S Val Vista Dr, Suites 146 & 137, Gilbert, AZ 85295-1675 | 2015-12-15 |
Street Address |
2515 EVANS ST |
City | NEWBERRY |
State | SC |
Zip Code | 29108-2939 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851930549 | Christine Davenport | Physical Therapist | 2515 Evans St, Newberry, SC 29108-2939 | 2019-12-30 |
1184283046 | Lukas Daniel | Physical Therapist | 2515 Evans St, Newberry, SC 29108-2939 | 2019-06-13 |
1538632831 | Caleen Nicole Hawkins | Physical Therapist | 2515 Evans St, Newberry, SC 29108-2939 | 2019-01-09 |
1598920811 | Mathew Whitaker | Physical Therapist | 2515 Evans St, Newberry, SC 29108-2939 | 2008-07-25 |
1477746253 | Jennifer Frick Amick | Physical Therapist | 2515 Evans St, Newberry, SC 29108-2939 | 2007-08-24 |
1871716514 | Newberry Physical Therapy and Sports Medicine Clinic Inc | Physical Therapist | 2515 Evans St, Newberry, SC 29108-2939 | 2007-04-11 |
1861510372 | Jeremy Nichols | Physical Therapist | 2515 Evans St, Newberry, SC 29108-2939 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104472109 | Palmetto Bone and Joint | Pain Medicine | Palmetto Bone and Joint, 2605 Kinard St Suite 105, Newberry, SC 29108 | 2019-08-15 |
1922578582 | Joni Seibert Chapman | Registered Nurse | 3419 Main Street, Newberry, SC 29108 | 2018-11-27 |
1235652967 | Stephanie M Fulmer | Nurse Practitioner | 2351 Evans Street, Suite A, Newberry, SC 29108 | 2017-07-25 |
1497152177 | Frances Diane Martin | Registered Nurse | 9307 Sc Highway 34, Newberry, SC 29108 | 2014-11-25 |
1528463254 | Lauren Flynn | Registered Nurse | 3419 Main St, Newberry, SC 29108 | 2014-10-23 |
1689017998 | Charlene Kneece | Registered Nurse | 255 Hawkins Road, Newberry, SC 29108 | 2013-04-17 |
1952642423 | Allison Kyzer Gardner | Chiropractor | 3218 College Street, Newberry, SC 29108 | 2013-03-08 |
1972853372 | Dipa Mcgee | Pharmacist | 1210 Wilson Road, Newberry, SC 29108 | 2012-09-12 |
1730339060 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 2850 Kinard St, Newberry, SC 29108 | 2008-09-23 |
1508042201 | Newberry Oncology Associates | Radiology | 298 Commerce Dr., Newberry, SC 29108 | 2008-01-14 |
Find all providers in zip 29108 |
Taxonomy Code | 2251G0304X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Geriatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770931172 | Alida Mcgann | Physical Therapist | 206 Robinson St, Greenville, SC 29609-5433 | 2016-05-26 |
1992178644 | Michael Gerard Brophy | Physical Therapist | 811 Woodstone Dr, Apt G, Florence, SC 29501-5502 | 2015-11-03 |
1366833279 | Cindy Matthews-long | Physical Therapist | 828 Beltline Blvd, Columbia, SC 29205-2063 | 2015-02-13 |
1114321965 | Teresa Marie Jemming | Physical Therapist | 3300 Butterworth Cir, Sumter, SC 29154-9475 | 2014-10-21 |
1750784138 | Patrice Hazan | Physical Therapist | 845 Ne Main St, Simpsonville, SC 29681-2041 | 2014-09-30 |
1396007407 | Michele Acejo Bucayan | Physical Therapist | 335 Midland Pkwy, Summerville, SC 29485-8138 | 2012-06-14 |
1972885754 | Jacob Pierce Fleming | Physical Therapist | 27 Barnwood Cir, Greenville, SC 29607-5486 | 2011-09-16 |
1942594544 | Tp Holdings, LLC | Physical Therapist | 1795 N Highway 17, Suite 5, Mount Pleasant, SC 29464-3631 | 2011-06-01 |
1659518975 | Visio Perspectives Neuro Rehab Services LLC | Physical Therapist | 115 S Morris St, Lake City, SC 29560-2459 | 2009-01-08 |
1538329941 | Joshua J Canfield | Physical Therapist | 112 Tanglesworth Rd, Irmo, SC 29063-7905 | 2008-06-10 |
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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.