MARTA ANDRADA


Address: 1608 Main St, Conway, SC 29526-3572
Phone: 8432484700

MARTA ANDRADA (NPI# 1790821908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790821908
Entity Type Individual
Full Name MARTA ANDRADA
Credential CNM
Practice Address 1608 Main St
Conway
SC 29526-3572
Mailing Address Po Box 2100
Conway
SC 29528-2100
Practice Telephone 8432484700
Practice Fax Number 8432483145
Mailing Telephone 8434886363
Mailing Fax Number 8432483145
Enumeration Date 2007-01-29
Last Update Date 2017-02-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
26NO07889600 NJ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC MW0244 05

Office Location

Street Address 1608 MAIN ST
City CONWAY
State SC
Zip Code 29526-3572

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073518528 Joseph Hamilton Odom Pharmacist 1608 Main St, Conway, SC 29526-3572 2005-06-20
1568083210 Kristen Mottey Social Worker 1608 Main St, Conway, SC 29526-3572 2020-05-05
1942832050 Stephanie Jayne Ball Social Worker 1608 Main St, Conway, SC 29526-3572 2020-02-06
1295229656 Kaitlin Elizabeth Hojnowski Social Worker 1608 Main St, Conway, SC 29526-3572 2018-06-19
1245742782 Linda Leeko Hudson Nurse Practitioner 1608 Main St, Conway, SC 29526-3572 2017-10-24
1306382304 Lindsey Brooke Jernigan Nurse Practitioner 1608 Main St, Conway, SC 29526-3572 2017-01-13
1144637166 Amanda Gerrald Nurse Practitioner 1608 Main St, Conway, SC 29526-3572 2014-07-22
1518238591 Lina Abdelmajid Hajar Specialist 1608 Main St, 15c, Box No 87, Conway, SC 29526-3572 2012-01-23
1336423193 Health Care Partners of South Carolina, Inc. Clinical Medical Laboratory 1608 Main St, Conway, SC 29526-3572 2011-09-28
1609106392 Shalini Gates Nurse Practitioner 1608 Main St, Conway, SC 29526-3572 2010-01-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457975237 Terri L Champion Massage Therapist 172 Waccamaw Medical Park Court, Conway, SC 29526 2020-06-08
1689204398 Alayna Defalco Clinical Exercise Physiologist 1320 501 Business, Unit E, Conway, SC 29526 2020-01-22
1124672662 Proxsys Rx - Sc, LLC Pharmacy 300 Singelton Ridge Road, Conway, SC 29526 2019-08-01
1598227431 Surgery Center of Conway Inc Clinic/Center 1405 Main Street, Conway, SC 29526 2019-04-01
1801374962 Trevor James Hess Specialist/Technologist 905 One Landon Loop, Conway, SC 29526 2018-08-01
1851800817 Katherine Ann Nimphius Behavioral Analyst 105 Timberline Dr, Conway, SC 29526 2017-09-21
1922544253 William Houck Specialist/Technologist 925 One Landon Loop, Conway, SC 29526 2017-01-10
1952857278 Courtney Jeanette Smith Counselor 164 Waccamaw Medical Park Dr., Conway, SC 29526 2016-08-28
1336502632 Jebediah S. Christy, D.d.s - Conway, Pllc Dentist 2756 Church St, Conway, SC 29526 2016-04-04
1447615208 Abl Enterprises, LLC Optometrist 113 Citadel Drive, Conway, SC 29526 2015-12-22
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508864406 Charlene N Bunger Nurse Practitioner 620 Singleton Ridge Rd Ste 385, Conway, SC 29526-9154 2005-07-13
1902104995 Sonya Dawn Harden Nurse Practitioner 620 Singleton Ridge Rd, Conway, SC 29526-9154 2011-03-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295130839 Mary Elizabeth Lane Nurse Practitioner 1350a Cleveland St, Greenville, SC 29607-2408 2014-10-24
1134242456 Debra Ann Moynihan Nurse Practitioner 4017 Bypass 17, Murrells Inlet, SC 29576-2674 2007-04-10
1104927334 Deborah Jenkins Nurse Practitioner 401 Guess Street, Suite 100, Greenville, SC 29605-4155 2006-09-26
1548290331 Lorraine Hansen Hensley Nurse Practitioner 531 Lafayette Cir, Georgetown, SC 29440-2569 2006-07-04
1235128141 Susan Annette West Hallman Nurse Practitioner 471 University Pkwy, Aiken, SC 29801-6389 2005-10-14
1396732111 Janet C Poole Nurse Practitioner 1410 S Kings Hwy, Myrtle Beach, SC 29577-4509 2005-10-06
1104812403 Jean T Isherwood Nurse Practitioner 811 W Main St Ste 209, Lexington, SC 29072-2500 2005-09-22
1790789519 Cynthia Anne Dodd Nurse Practitioner 112 Hospital Dr W, West Columbia, SC 29169-3406 2005-06-09
1366071474 Cynthia S Koli Nurse Practitioner 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 2020-04-02
1023582681 Janette Figueroa Nurse Practitioner 1120 Grove Rd, Greenville, SC 29605-4656 2019-01-17
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Competitor

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City CONWAY
Zip Code 29526

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Dataset Information

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.

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