JOHN M IAQUINTO (NPI# 1720020639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720020639 |
Entity Type | Individual |
Full Name | JOHN M IAQUINTO |
Credential | MD |
Practice Address |
3 Medical Park Ste. 330 Columbia SC 29203 |
Mailing Address |
Po Box 370 Fortson GA 31808-0370 |
Practice Telephone | 8032967305 |
Mailing Fax Number | 7064943008 |
Enumeration Date | 2006-06-12 |
Last Update Date | 2020-06-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 2005010201 | MO | Allopathic & Osteopathic Physicians |
Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
30693 | SC | Allopathic & Osteopathic Physicians |
N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
2005010201 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | BCBS(PHP) MIDWEST TRAUMA | 35477025 | 01 |
MO | HEALTHCARE USA-MIDWEST LO | 56779 | 01 |
MO | HUMANA | 76-0726650 | 01 |
KS | 200326830B | 05 | |
SC | 306939 | 05 | |
MO | BCBS(PHP) RMC LOCATION | 35477015 | 01 |
KS | 200326830A | 05 | |
MO | COVENTRY | 01-0838370 | 01 |
MO | 207429408 | 05 | |
MO | FIRST GUARD-RMC LOCATION | 925760 | 01 |
MO | AETNA | 4403943 | 01 |
Street Address |
3 MEDICAL PARK STE. 330 |
City | COLUMBIA |
State | SC |
Zip Code | 29203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811968654 | Vincent J Lloyd | Emergency Medicine | 3 Medical Park, Suite 350, Columbia, SC 29203 | 2006-01-30 |
1447800958 | Javan Bozard Vaughn | Nurse Practitioner | 3 Medical Park, Suite 120, Columbia, SC 29203 | 2019-09-17 |
1417321597 | Brittany Rachel Buchanan | Nurse Practitioner | 3 Medical Park, Suite 330, Columbia, SC 29203 | 2015-11-30 |
1790745701 | Russell H G Louis Jr. | Emergency Medicine | 3 Medical Park, Suite 350, Columbia, SC 29203 | 2006-03-24 |
1285607689 | James I Raymond | Emergency Medicine | 3 Medical Park, Ste 350 Palmetto Health Richland Dept of Emergency Med, Columbia, SC 29203 | 2006-02-08 |
1609847375 | Ronnie S Fuerst | Emergency Medicine | 3 Medical Park, Ste 350, Columbia, SC 29203 | 2006-01-30 |
1780655456 | Gary D Hals | Emergency Medicine | 3 Medical Park, Suite 350, Columbia, SC 29203 | 2006-01-30 |
1831160506 | William H Richardson | Emergency Medicine | 3 Medical Park, Ste 350 Palmetto Health Richland Dept of Emergency Med, Columbia, SC 29203 | 2006-01-30 |
1124099890 | Jeter P Taylor | Emergency Medicine | 3 Medical Park, Ste 350 Palmetto Health Richland Dept of Emergency Med, Columbia, SC 29203 | 2006-01-30 |
1598736340 | Terrance P Mchugh | Emergency Medicine | 3 Medical Park, Palmetto Health Richland, Dept of Emergency Medicine, Columbia, SC 29203 | 2006-01-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
Find all providers in zip 29203 |
Taxonomy Code | 207XX0801X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Trauma |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083907125 | Kevin Murr | Orthopaedic Surgery | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2011-05-23 |
1447251483 | Coleman Deane Fowble | Orthopaedic Surgery | 1910 Blanding St, Columbia, SC 29201 | 2005-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043452741 | James Clinton Black | Orthopaedic Surgery | 480 Floyd Rd Ste A, Spartanburg, SC 29307-1518 | 2009-03-27 |
1184828808 | Charleston Bone & Joint Pa | Orthopaedic Surgery | 767 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3027 | 2007-06-14 |
1407050123 | Charlestone Bone & Joint Pa | Orthopaedic Surgery | 730 Stoney Landing Rd Ste 100, Moncks Corner, SC 29461-2948 | 2007-06-14 |
1922555739 | Mcleod Physician Associates II | Orthopaedic Surgery | 1005 E Cheves St, Florence, SC 29506-2707 | 2016-09-09 |
1063968055 | Jessica Roberson Strickland | Orthopaedic Surgery | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2016-08-30 |
1073799433 | Michael Srinivasa Sridhar | Orthopaedic Surgery | 105 Doctors Dr, Greenville, SC 29605-5608 | 2008-01-16 |
1992900286 | Charleston Bone & Joint Pa | Orthopaedic Surgery | 2097 Henry Tecklenburg Dr, Ste 316, Charleston, SC 29414-5740 | 2007-06-18 |
1790989416 | Charleston Bone & Joint Pa | Orthopaedic Surgery | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2007-06-14 |
1841227220 | Thomas Michael Schaller | Orthopaedic Surgery | 200 Patewood Drive, Suite C100, Greenville, SC 29615-3557 | 2006-06-28 |
1811947419 | Kyle James Jeray | Orthopaedic Surgery | 105 Doctors Dr, Greenville, SC 29605-5608 | 2006-05-12 |
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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.