MADELINE SOUCY (NPI# 1700417474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700417474 |
| Entity Type | Individual |
| Full Name | MADELINE SOUCY |
| Credential | APRN |
| Practice Address |
3655 Mitchell St Loris SC 29569-2827 |
| Mailing Address |
1053 Center St Ste 100 West Columbia SC 29169-6749 |
| Practice Telephone | 8437562122 |
| Mailing Telephone | 8004910909 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
23654 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3655 MITCHELL ST |
| City | LORIS |
| State | SC |
| Zip Code | 29569-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467441329 | James N Moore IIi | Family Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2005-10-13 |
| 1437785888 | Hunter Tyson Chestnut | Registered Nurse | 3655 Mitchell St, Loris, SC 29569-2827 | 2020-03-17 |
| 1730627712 | Chad Dewayne Buffkin | Emergency Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2017-02-09 |
| 1093172256 | Joann Hannah | Nurse Anesthetist, Certified Registered | 3655 Mitchell St, Loris, SC 29569-2827 | 2016-01-19 |
| 1699148569 | Horizon Emergency Physicians, LLC | Physician Assistant | 3655 Mitchell St, Loris, SC 29569-2827 | 2015-11-02 |
| 1376916114 | Symposium Emergency Physicians, LLC | Nurse Practitioner | 3655 Mitchell St, Loris, SC 29569-2827 | 2015-11-02 |
| 1497177216 | David Justin Guthrie | Registered Nurse | 3655 Mitchell St, Loris, SC 29569-2827 | 2014-01-14 |
| 1962753988 | Mohamed Bassiouny | Internal Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2012-10-01 |
| 1265708119 | Mcleod Loris Seacoast Hospital | Emergency Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2012-03-26 |
| 1306123344 | Mcleod Loris Seacoast Hospital | General Acute Care Hospital | 3655 Mitchell St, Loris, SC 29569-2827 | 2011-11-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427464247 | Denise Logan | Dietitian, Registered | 3811 Walnut St, Loris, SC 29569 | 2014-07-02 |
| 1801231634 | Melissa Ann Miara | Internal Medicine | 3617 Casey St Ste C, Loris, SC 29569 | 2013-05-07 |
| 1356684161 | Gwyn Gordon Mcgutchen | Dentist | 3681 Spivey St., Loris, SC 29569 | 2013-03-29 |
| 1336486174 | Winferd Dale Holt | Dentist | 3980 Main Street, Loris, SC 29569 | 2013-01-14 |
| 1528314325 | Southern Living Emergency Physicians LLC | Physician Assistant | 6988 Mitchell Street, Loris, SC 29569 | 2012-07-30 |
| 1124347604 | Regina F. Holmes | Nurse Practitioner | Agape Senior Primary Care Inc Dba Main Street Physician, 3612 Mitchell Street, Loris, SC 29569 | 2010-05-24 |
| 1801914122 | Dr Gwyn Gordon Mccutchen Inc | Dentist | 3681 Spivey Street, Loris, SC 29569 | 2007-03-26 |
| 1700911203 | Twin States Helping Hands | Home Health | 1620 Hwy 701 N, Loris, SC 29569 | 2007-02-23 |
| 1306922646 | Loris Community Hospital District | Clinic/Center | 3204 Casey St, Loris, SC 29569 | 2006-10-30 |
| 1619074119 | South Carolina Cvs Pharmacy LLC | Pharmacy | 4767 Broad St, Loris, SC 29569 | 2006-09-20 |
| Find all providers in zip 29569 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588819 | Natalia Milliken | Nurse Practitioner | 4921 Bluffton Pkwy Apt 534, Bluffton, SC 29910-4655 | 2020-11-04 |
| 1447851084 | Paris Gartmon | Nurse Practitioner | 630 Canalside St Unit 1016, Columbia, SC 29201-6030 | 2020-11-02 |
| 1881291722 | Margot Veronique Rabren | Nurse Practitioner | 109 Carter Park Dr # 3a, Seneca, SC 29678-1152 | 2020-10-05 |
| 1134736309 | Holly Leanne Poplin | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite C, Main Street Physicians/sc House Calls Inc, Little River, SC 29566 | 2020-09-30 |
| 1821649344 | Jacqueline G. Stephens | Nurse Practitioner | 406 S Railroad Ave, Lamar, SC 29069-2906 | 2019-09-25 |
| 1780241182 | Adrienne Lendsey Hinton | Nurse Practitioner | 201 Lake Front Dr, Columbia, SC 29212-2422 | 2019-05-22 |
| 1083278279 | Heather Michelle Martin | Nurse Practitioner | 115 Eagles Nest Dr Ste B, Seneca, SC 29678-2762 | 2019-04-24 |
| 1871055210 | Kelli Lane Evans | Nurse Practitioner | 260 W Coleman Blvd Ste A, Mount Pleasant, SC 29464-3666 | 2019-04-04 |
| 1255807087 | Jaclyn Blair Lucchese | Nurse Practitioner | 25 Hospital Center Blvd Ste 105, Hilton Head Island, SC 29926-2735 | 2018-10-19 |
| 1790297497 | Juliann Marie Trumpower | Nurse Practitioner | 9789 Charlotte Hwy Ste 1400, Fort Mill, SC 29707-7186 | 2017-11-02 |
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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.