PEE DEE EMERGENCY MEDICAL ASSOCIATES (NPI# 1700987054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700987054 |
Entity Type | Organization |
Organization Name | PEE DEE EMERGENCY MEDICAL ASSOCIATES |
Practice Address |
410 New St Manning SC 29102-3311 |
Practice Telephone | 8034358710 |
Mailing Telephone | 8034358710 |
Enumeration Date | 2006-09-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. GERALD KENNETH JOHNSON (PRESIDENT, OWNER) |
Authorized Official Telephone | 8034358710 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | ZIP CODE | ZIP CODE | 01 |
Street Address |
410 NEW ST |
City | MANNING |
State | SC |
Zip Code | 29102-3311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013008705 | Michael S Kitchen | Emergency Medicine | 410 New St, Manning, SC 29102-3311 | 2006-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720546138 | Dental Wellness Center of Manning, LLC | Clinic/Center | 1988 Paxille Hwy, Ste 613-01, Manning, SC 29102 | 2019-03-05 |
1982148433 | Allison Elaine Saran | Registered Nurse | Mcleod Women's Health, 50 East Hospital Street Suite 4a, Manning, SC 29102 | 2016-12-16 |
1629529698 | Clarendon Behavioral Health | Health Maintenance Organization | 14 N. Church Street, Manning, SC 29102 | 2016-10-14 |
1396158200 | Monica Ploetzke | Obstetrics & Gynecology | 50 E Hospital St Ste 4a, Manning, SC 29102 | 2014-06-09 |
1336567239 | Marian Moody | Registered Nurse | 110 Boyce Street, Dhec Clarendon County Health Dept, Manning, SC 29102 | 2014-03-29 |
1700212420 | Southern Lakes Therapy,llc | Physical Therapist | 297 W Boyce St, Manning, SC 29102 | 2013-09-26 |
1902190473 | Professional Care of Manning, LLC | In Home Supportive Care | 220 West Boyce St, Manning, SC 29102 | 2011-06-02 |
1275789810 | Vital Care Ambulance Service, LLC. | Ambulance | 3662 Greeleyville Hwy, Manning, SC 29102 | 2008-08-14 |
1831384015 | Ramona J Howard | Registered Nurse | 10 E. Hospital Street, Hospitalist Department, Manning, SC 29102 | 2007-09-11 |
1619098670 | H P Bozard Dds Pa | Dentist | 17 East Hospital Street, Manning, SC 29102 | 2007-04-03 |
Find all providers in zip 29102 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730125303 | Jeffrey Stephen Anderson | Emergency Medicine | 215 S Brooks St, Manning, SC 29102-3113 | 2006-06-21 |
1225014004 | Robert W Rhame Jr. | Emergency Medicine | 10 E Hospital Street, Emergency Department, Manning, SC 29102 | 2005-12-22 |
1467999326 | Colonial Family Practice, LLC | Emergency Medicine | 1013 Professional Ct, Suite A, Manning, SC 29102-2827 | 2017-01-30 |
1083150882 | Bellwood Park Emergency Physicians LLC | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2017-01-17 |
1407209117 | Mcleod Physician Associates II | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2016-07-18 |
1508218793 | Mcleod Health Clarendon | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2016-07-12 |
1992027817 | Southern Emergency Physicians LLP | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2010-02-19 |
1710057336 | John J Maskell | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2006-11-09 |
1013008705 | Michael S Kitchen | Emergency Medicine | 410 New St, Manning, SC 29102-3311 | 2006-09-27 |
1205937521 | Michael K Chandler | Emergency Medicine | 10 E Hospital St, Manning, SC 29102-3153 | 2006-09-26 |
Find all providers in MANNING |
Please comment or provide details below to improve the information on PEE DEE EMERGENCY MEDICAL ASSOCIATES.
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.