DRIFTWOOD EMERGENCY PHYSICIANS, LLC (NPI# 1730552639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730552639 |
| Entity Type | Organization |
| Organization Name | DRIFTWOOD EMERGENCY PHYSICIANS, LLC |
| Practice Address |
501 Robertson Blvd Walterboro SC 29488-2787 |
| Mailing Address |
Po Box 80098 Philadelphia PA 19101-0098 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-17 |
| Authorized Official Name | TENNA BEHM (OFFICER) |
| Authorized Official Telephone | 4694012386 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
501 ROBERTSON BLVD |
| City | WALTERBORO |
| State | SC |
| Zip Code | 29488-2787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354888 | Kimberly D Rakes-stephens | Internal Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2005-05-31 |
| 1114482726 | Rachel Mcniesh | Dietitian, Registered | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2019-02-07 |
| 1386120301 | Kara A Ott | Nurse Practitioner | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2018-07-12 |
| 1386143311 | Andrew S Cook | Physician Assistant | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2018-02-05 |
| 1780057505 | Boxwood Emergency Physicians, LLC | Physician Assistant | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2015-11-02 |
| 1326446584 | Katherine Heacock | Dietitian, Registered | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2014-12-19 |
| 1265841134 | Greylock Emergency Physicians LLC | Emergency Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2014-08-05 |
| 1265841126 | Half Dome Inpatient Services LLC | Internal Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2014-08-05 |
| 1225440951 | Cheryl Dunlop | Physician Assistant | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2014-05-29 |
| 1144669524 | South Carolina Em-i Medical Services, PC | Nurse Practitioner | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2013-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996880 | Tamela Johnson | Counselor | 1439 Thunderbolt Drive Walterboro, Sc 29488, 1439 Thunderbolt Drive Walterboro, Sc 29488, Walterboro, SC 29488 | 2020-09-15 |
| 1558727941 | Amber Henderson | Counselor | 2004 Jefferies Hwyv, Walterbori, SC 29488 | 2016-01-14 |
| 1710130471 | George's Clearvision | Optometrist | 1009 Bells Hwy, Walterboro, SC 29488 | 2008-10-28 |
| 1992965503 | Colleton Chiropractic, LLC | Chiropractor | 211 Eddie Chasteen Drive, Walterboro, SC 29488 | 2008-06-17 |
| 1083885867 | Lowcountry Imaging Associates, LLC | Clinic/Center | 211 Meadow Street, Walterboro, SC 29488 | 2008-03-19 |
| 1215106794 | Lowcountry Center for Diabetes & Endocrinology Pa | Specialist | 16 Northside Dr., Walterboro, SC 29488 | 2008-02-28 |
| 1649399445 | Dan Russell Yarbrough | Dentist | 100a Commerce Drive, Walterboro, SC 29488 | 2007-03-29 |
| 1902931355 | Colleton County School District | Speech-Language Pathologist | 611 Colletonloop, Walterboro, SC 29488 | 2007-02-23 |
| 1477616555 | Samuel Michael Hazel | Dentist | 415a Robertson Blvd, One Professional Plaza, Walterboro, SC 29488 | 2006-12-19 |
| 1245243823 | Landrum Rescue Squad | Ambulance | 203 B Eddie Chasteen Blvd, Walterborough, SC 29488 | 2006-08-14 |
| Find all providers in zip 29488 | ||||
| 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 |
|---|---|---|---|---|
| 1265841134 | Greylock Emergency Physicians LLC | Emergency Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2014-08-05 |
| 1700225166 | Carya Emergency Physicians, LLC | Emergency Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2013-06-19 |
| 1407083512 | Justin Norris | Emergency Medicine | 501 Robertson Blvd, Department of Emergency Medicine, Walterboro, SC 29488-2787 | 2009-06-16 |
| 1033350962 | Westin Gregory Horne | Emergency Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2009-03-24 |
| 1013066752 | Robertson Emergency Physicians | Emergency Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2007-01-10 |
| 1255480901 | South Carolina Em-i Medical Services, PC | Emergency Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2007-01-10 |
| 1912989740 | Strand Physician Specialists | Emergency Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2005-11-17 |
| 1336132349 | Daniel E Lewis | Emergency Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2005-08-24 |
| 1548269442 | Hildegard H Holman | Emergency Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2005-07-21 |
| 1639178064 | Timothy B Beatty | Emergency Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2005-07-19 |
| Find all providers in WALTERBORO | ||||
| City | WALTERBORO |
| Zip Code | 29488 |
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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.