MCLEOD MEDICAL CENTER DILLON (NPI# 1720033988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720033988 |
| Entity Type | Organization |
| Organization Name | MCLEOD MEDICAL CENTER DILLON |
| Other Organization Name | MCLEOD DILLON EMERGENCY |
| Practice Address |
301 E Jackson St Dillon SC 29536-2509 |
| Mailing Address |
Po Box 100567 Florence SC 29501-0567 |
| Practice Telephone | 8437744111 |
| Practice Fax Number | 8437775035 |
| Mailing Telephone | 8437775802 |
| Mailing Fax Number | 8437775035 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | SAMUEL FULTON ERVIN III (SR VP AND CFO) |
| Authorized Official Telephone | 8437772910 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCLEOD HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP1977 | 05 |
| Other Name | Type Code |
|---|---|
| MCLEOD DILLON EMERGENCY | Doing Business As Name - Organization |
| Street Address |
301 E JACKSON ST |
| City | DILLON |
| State | SC |
| Zip Code | 29536-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014891 | Paul M. Alexander | Emergency Medicine | 301 E Jackson St, Dillon, SC 29536-2509 | 2005-06-24 |
| 1376183251 | Helga Regina Floyd | Registered Nurse | 301 E Jackson St, Dillon, SC 29536-2509 | 2020-01-08 |
| 1245878487 | Haley E Jones | Registered Nurse | 301 E Jackson St, Dillon, SC 29536-2509 | 2019-12-18 |
| 1487177895 | Justin Osean | Nurse Practitioner | 301 E Jackson St, Dillon, SC 29536-2509 | 2017-07-18 |
| 1366970741 | Tammy Gainey Huckabee | Nurse Practitioner | 301 E Jackson St, Dillon, SC 29536-2509 | 2017-05-30 |
| 1881145696 | Elizabeth Blakey | Dietitian, Registered | 301 E Jackson St, Dillon, SC 29536-2509 | 2016-10-17 |
| 1124487541 | Mcleod Medical Center-dillon | Medicare Defined Swing Bed Unit | 301 E Jackson St, Dillon, SC 29536-2509 | 2016-02-12 |
| 1265805030 | Symphony Emergency Physicians, LLC | Physician Assistant | 301 E Jackson St, Dillon, SC 29536-2509 | 2015-11-03 |
| 1801271739 | Raymond Brown | Physician Assistant | 301 E Jackson St, Dillon, SC 29536-2509 | 2015-07-21 |
| 1811382849 | Jimmi Lynette Jones | Nurse Practitioner | 301 E Jackson St, Dillon, SC 29536-2509 | 2015-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648858 | Melanie Daniels Smith | Registered Nurse | 1803 Joan Drive, Dillon, SC 29536 | 2020-10-26 |
| 1740888197 | Ashlyn Syvanna Arnette | Registered Nurse | 1001 West Calhoun Street, Dillon, SC 29536 | 2020-10-16 |
| 1245846179 | Chasity Nichole Chavis | Registered Nurse | 2159 Hwy 9 West, Dillon, SC 29536 | 2020-09-16 |
| 1376047811 | Medysis Healthcare | Home Health | 1000 N. Us 301, Dillon, SC 29536 | 2018-03-20 |
| 1548768278 | Medysis Healthcare | Home Health | 1000 N. Us-301, Dillon, SC 29536 | 2018-01-29 |
| 1639547565 | Tynia S Thomas | Counselor | 1324 Commerce, Dillon, SC 29536 | 2015-09-09 |
| 1528457967 | David Brown | Pharmacist | 804 Enterprise Rd, Dillon, SC 29536 | 2015-01-22 |
| 1891103701 | Fairlynn Grooms | Pharmacist | 611 U.S. 301 Highway, Dillon, SC 29536 | 2014-07-24 |
| 1790035483 | Lindsay Elizabeth Hyduke | Pharmacist | 1211 Hwy 301 North, Dillon, SC 29536 | 2012-09-11 |
| 1386932838 | Nardin Nabil Khalil | Family Medicine | 603 North 6th Avenue, Dillon, SC 29536 | 2011-07-19 |
| Find all providers in zip 29536 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548495518 | Jamie L Koett | Hospitalist | 600 Hwy 91 South, Dillon, MT 59725 | 2009-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750708046 | Kirsten Karoline Graff | Hospitalist | 591 Tribeca Ct, Charleston, SC 29414-9024 | 2014-03-25 |
| 1396028205 | Anmed Health | Hospitalist | 2000 E Greenville Street, Anderson, SC 29621-5702 | 2011-09-27 |
| 1518039189 | Sandra Jo Hoffmann | Hospitalist | 6 Braddock Bluff Dr Unit 1672, Hilton Head Island, SC 29928-8015 | 2006-11-15 |
| 1376141317 | Ovsanna Gallo | Hospitalist | 4000 Highway 9 E, Little River, SC 29566-7833 | 2020-10-13 |
| 1144877655 | 24 On Physicians of Sc LLC | Hospitalist | 316 Calhoun St, Charleston, SC 29401-1113 | 2019-08-20 |
| 1184285496 | Jatha John Mathew | Hospitalist | 701 Grove Rd Fl 5, Greenville, SC 29605-4295 | 2019-06-26 |
| 1114406600 | Valerie D Dendy | Hospitalist | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2018-08-07 |
| 1871080283 | Prisma Health Medical Group-midlands | Hospitalist | 115 N Sumter St Ste 400, Sumter, SC 29150-4971 | 2018-04-20 |
| 1154848786 | App of South Carolina Hm Pllc | Hospitalist | 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | 2017-08-24 |
| 1093244824 | South Carolina Post Acute Medical Services 1 PC | Hospitalist | 1114 E Georgia Rd, Woodruff, SC 29388-9350 | 2017-06-06 |
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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.