MCLEOD PHYSICIAN ASSOCIATES II (NPI# 1760860258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760860258 |
| Entity Type | Organization |
| Organization Name | MCLEOD PHYSICIAN ASSOCIATES II |
| Other Organization Name | MCLEOD SURGERY BENNETTSVILLE |
| Practice Address |
1040 Marlboro Way Suite 7 Bennettsville SC 29512-2494 |
| Mailing Address |
Po Box 3239 Florence SC 29502-3239 |
| Practice Telephone | 8434795858 |
| Practice Fax Number | 8434792306 |
| Mailing Telephone | 8437777162 |
| Mailing Fax Number | 8437777102 |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-22 |
| Authorized Official Name | DANE P. FICCO (SENIOTR VICE PRESIDENT) |
| Authorized Official Telephone | 8437777010 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCLEOD HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | SC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| McLeod Surgery Bennettsville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999405 | Mcleod Physician Associates II | Family Medicine | 4237 River Hills Dr Ste 170, Little River, SC 29566-6446 | 2020-07-20 |
| 1831717693 | Mcleod Physician Associates II | Surgery | 690 Sunset Blvd N Ste 208, Sunset Beach, NC 28468-5332 | 2020-07-08 |
| 1588280747 | Mcleod Physician Associates II | Nurse Practitioner | 1126 Clarence Coker Hwy., Turbeville, SC 29162-8983 | 2020-06-23 |
| 1457977852 | Mcleod Physician Associates II | Internal Medicine | 800 E Cheves St Ste 400, Florence, SC 29506-2649 | 2020-06-22 |
| 1326672361 | Mcleod Physician Associates II | Family Medicine | 800 E Cheves St Ste 240, Florence, SC 29506-2652 | 2020-02-28 |
| 1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
| 1972014652 | Mcleod Physician Associates II | Clinic/Center | 1040 Marlboro Way Ste 1, Bennettsville, SC 29512-2494 | 2017-10-20 |
| 1508377284 | Mcleod Physician Associates II | Clinic/Center | 1076 Marlboro Way Ste 3, Bennettsville, SC 29512-2495 | 2017-10-20 |
| 1801326814 | Mcleod Physician Associates II | Dermatology | 401 E Cheves St Ste 302, Florence, SC 29506-2615 | 2017-06-13 |
| 1407393861 | Mcleod Physician Associates II | Radiology | 1116 W Evans St, Florence, SC 29501-3320 | 2017-01-24 |
| Street Address |
1040 MARLBORO WAY SUITE 7 |
| City | BENNETTSVILLE |
| State | SC |
| Zip Code | 29512-2494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219637 | Marlboro Clinic Corp | Surgery | 1040 Marlboro Way, Suite 7, Bennettsville, SC 29512-2494 | 2005-07-18 |
| 1497134852 | Mcleod Physician Associates II | Nurse Practitioner | 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512-2494 | 2015-05-19 |
| 1417335902 | Mcleod Physician Associates II | Obstetrics & Gynecology | 1040 Marlboro Way, Suite 7, Bennettsville, SC 29512-2494 | 2015-05-15 |
| 1013221589 | Gopalbhai K Vaghela | Family Medicine | 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512-2494 | 2010-07-27 |
| 1407978190 | Chesterfield Marlboro Lp | Clinic/Center | 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512-2494 | 2007-04-04 |
| 1134281793 | Janice Susan Miller | Family Medicine | 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512-2494 | 2006-12-13 |
| 1275692501 | Marlboro Clinic Corp | Internal Medicine | 1040 Marlboro Way, Suite 8, Bennettsville, SC 29512-2494 | 2006-12-06 |
| 1033294285 | Chi Dai Chen | Surgery | 1040 Marlboro Way, Suite 7, Bennettsville, SC 29512-2494 | 2006-10-26 |
| 1174630826 | Julia Veretta James | Nurse Practitioner | 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512-2494 | 2006-08-25 |
| 1508876863 | Chesterfield-marlboro, Lp | Family Medicine | 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512-2494 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861841371 | Anna Paige Paul | Counselor | 1035 Cherau St, Bennettsville, SC 29512 | 2016-06-06 |
| 1821468679 | Kristen Dana Oliver | Social Worker | 1035 Cherow St., Bennettsville, SC 29512 | 2015-10-05 |
| 1285022749 | 3-points Coastal Care,llc | Community/Behavioral Health | 1300 West Main St, Bennettsville, SC 29512 | 2015-01-06 |
| 1437572328 | Terri Cardenas Woodham | Pharmacist | 336 Highway 9 West, Bennettsville, SC 29512 | 2014-01-28 |
| 1851712533 | Amy Kessler | Pharmacist | 336 Hwy 9 West, Bennettsville, SC 29512 | 2013-12-23 |
| 1346677184 | Daniel Louis Lockamy | Counselor | 284 Tatum Rd, Bennettsville, SC 29512 | 2013-10-10 |
| 1164772596 | Melissa Irene Pletan | Pharmacist | 1085 Cottingham Blvd, Ste 3, Bennettsville, SC 29512 | 2012-09-13 |
| 1730440769 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 2094 Marlboro Rd, Bennettsville, SC 29512 | 2012-06-06 |
| 1649572710 | Ingram Health Service/manna House.inc | Case Management | 211 N Market Street, Bennettsville, SC 29512 | 2010-11-23 |
| 1952564387 | Gregory Wayne Alford | Community Health Worker | 610 State Street Ext, Bennettsville, SC 29512 | 2008-07-07 |
| Find all providers in zip 29512 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219637 | Marlboro Clinic Corp | Surgery | 1040 Marlboro Way, Suite 7, Bennettsville, SC 29512-2494 | 2005-07-18 |
| 1598143620 | Scotland Memorial Hospital, Inc. | Surgery | 1007 Cheraw St, Bennettsville, SC 29512-2422 | 2015-05-08 |
| 1033294285 | Chi Dai Chen | Surgery | 1040 Marlboro Way, Suite 7, Bennettsville, SC 29512-2494 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785282 | Christopher James Levy | Surgery | Prisma Health Medical Group General Surgery, 2 Medical Park, Ste 300, Collumbia, SC 29203 | 2020-06-18 |
| 1881219137 | Meredith Elizabeth Taylor | Surgery | 96 Jonathan Lucas St # 613, Charleston, SC 29425-8900 | 2020-06-12 |
| 1073136511 | Trey Jeffrey Mathews | Surgery | 101 E. Wood St, Spartanburg, SC 29303-3098 | 2020-05-19 |
| 1356984322 | Katelyn Tuley | Surgery | 210 Village Center Blvd Ste 140, Myrtle Beach, SC 29579-6706 | 2019-10-23 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1104485648 | Gregory Tyler Rives | Surgery | 96 Jonathan Lucas St Csb 423-a / Msc 613, Charleston, SC 29425-0001 | 2019-06-09 |
| 1396220554 | Spartanburg Medical Center | Surgery | 840 W Floyd Baker Blvd Ste B, Gaffney, SC 29341-1845 | 2018-10-03 |
| 1659853596 | Roper Saint Francis Physicians Network | Surgery | 300 Callen Blvd, Summerville, SC 29486-2809 | 2018-09-06 |
| 1336633569 | Lytani Wilson | Surgery | 96 Jonathan Lucas St # 423, Charleston, SC 29425 | 2018-06-20 |
| 1609360890 | Alicia Marie Stafford | Surgery | 169 Ashley Avenue Rm 202 Main Hospital, Msc333, Charleston, SC 29425 | 2018-06-20 |
| Find all providers with the same taxonomy | ||||
| City | BENNETTSVILLE |
| Zip Code | 29512 |
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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.