MR. ALEXANDR MICHAL FEDERER (NPI# 1700896453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700896453 |
| Entity Type | Individual |
| Full Name | MR. ALEXANDR MICHAL FEDERER |
| Credential | PH.D. |
| Practice Address |
323 S. Mcqueen St Florence SC 29501 |
| Practice Telephone | 8439922149 |
| Practice Fax Number | 8439922149 |
| Mailing Telephone | 8439922149 |
| Mailing Fax Number | 8436615588 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2014-12-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 569 | SC | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
569 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PS0173 | 05 |
| Street Address |
323 S. MCQUEEN ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093299299 | Kallye Joanah Renner | Psychologist | 7426 Us 42 Ste 106, Florence, KY 41042-2056 | 2018-09-24 |
| 1396235263 | Lorraine Mangione | Psychologist | 21 W Parsons Ln, Florence, MA 01062-3668 | 2018-05-15 |
| 1548757412 | Kathleen E Schroeder | Psychologist | 4374 E Butte Ave., Florence, AZ 85132-8513 | 2018-04-17 |
| 1275849614 | David Alexander Reince | Psychologist | 466 W Cheves St, Florence, SC 29501-4436 | 2010-08-24 |
| 1184938524 | Nicole Taylor | Psychologist | 321 N. Bailey Street, #d, Florence, AZ 85132 | 2010-07-27 |
| 1508192378 | William Glenn Clingempeel | Psychologist | 1505-b Heritage Lane, Florence, SC 29505 | 2009-10-28 |
| 1457580896 | Andrea Lea Pritchard-boone | Psychologist | 314 S Mcqueen St, Florence, SC 29501-4723 | 2009-07-07 |
| 1851547335 | Alexis Sanders | Psychologist | 1516 S Langley Dr, Florence, SC 29501-6149 | 2008-08-15 |
| 1104088038 | Good Shepherd Institute, Inc. | Psychologist | 7103 Turfway Rd, Suite 101, Florence, KY 41042-2094 | 2008-07-01 |
| 1750550992 | Ronald Murphy | Psychologist | 1112 Gregg Ave, Florence, SC 29501-4327 | 2008-02-21 |
| Find all providers in FLORENCE | ||||
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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.