AIKEN PEDIATRICS, P.A. (NPI# 1821098310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821098310 |
| Entity Type | Organization |
| Organization Name | AIKEN PEDIATRICS, P.A. |
| Practice Address |
74 Physician Dr Aiken SC 29801-6388 |
| Practice Telephone | 8036492925 |
| Practice Fax Number | 8036492788 |
| Mailing Telephone | 8036492925 |
| Mailing Fax Number | 8036492788 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. PAULA C. GODWIN (OFFICE MANAGER) |
| Authorized Official Telephone | 8036492925 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0505068 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PC1388 | 05 |
| Street Address |
74 PHYSICIAN DR |
| City | AIKEN |
| State | SC |
| Zip Code | 29801-6388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487107660 | Emily Cyr | Audiologist | 74 Physician Dr, Aiken, SC 29801-6388 | 2016-07-25 |
| 1679945661 | Augusta Ent PC | Otolaryngology | 74 Physician Dr, Aiken, SC 29801-6388 | 2015-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003457557 | Edwin Knight | Technician | 458 Wheat Rd, Aiken, SC 29801 | 2019-10-07 |
| 1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
| 1457820433 | Catherine Reddish | Home Health | 245 Hancock Rd Reddish Health Care Agency, Aiken, SC 29801 | 2018-11-19 |
| 1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
| 1932649654 | Vageo Inc | Clinic/Center | 227 Chesterfiled St S, Aiken, SC 29801 | 2017-02-28 |
| 1629472550 | Andrea Ellis | Nurse Practitioner | 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 | 2014-10-21 |
| 1699177782 | Joyce Walker Pompey | Registered Nurse | 471 University Parkway, Box 11, Aiken, SC 29801 | 2014-09-19 |
| 1578973251 | Rehab Without Walls, Inc. | Clinic/Center | 104 Florence St. Sw, Suite A, Aiken, SC 29801 | 2014-05-02 |
| 1609297571 | Katherine Delucas Duke | Counselor | 1135 Gregg Highway, Aiken, SC 29801 | 2013-12-19 |
| 1811328149 | Lynda Renee Green | Speech-Language Pathologist | 100 Bears Rock Rd., Aiken, SC 29801 | 2013-12-12 |
| Find all providers in zip 29801 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730272410 | Jose A Luis | Pediatrics | 74 Physician Dr., Aiken Pediatrics, P.a., Aiken, SC 29801-6388 | 2006-10-02 |
| 1295743631 | Aiken Regional Medical Centers LLC | Pediatrics | 60 Physician Dr, Aiken, SC 29801-6388 | 2006-08-03 |
| 1386616084 | John Burton Tiffany | Pediatrics | 215 Town Creek Rd, Aiken, SC 29803-5843 | 2006-02-06 |
| 1720080104 | Victoria M. Stoeppler | Pediatrics | 1000 Clyburn Pl, Aiken, SC 29801-4193 | 2005-08-15 |
| 1588119556 | Liberty Doctors, LLC | Pediatrics | 215 Town Creek Rd, Aiken, SC 29803-5843 | 2016-08-19 |
| 1639592934 | Colonial Family Practice Aiken | Pediatrics | 191 Centre South Blvd, Aiken, SC 29803 | 2014-01-23 |
| 1790021392 | Aysha Syed | Pediatrics | 215 Town Creek Rd, Aiken, SC 29803-5843 | 2012-12-31 |
| 1518221464 | Maya Ereyna Fields | Pediatrics | 1000 Clyburn Pl, Aiken, SC 29801-4193 | 2012-06-26 |
| 1558327478 | Paula Anne Luther | Pediatrics | 206 Centre South Blvd, Aiken, SC 29803-6319 | 2006-04-21 |
| 1245202217 | Southside Pediatrics of Aiken, LLC | Pediatrics | 206 Centre South Blvd, Aiken, SC 29803-6319 | 2006-02-03 |
| Find all providers in AIKEN | ||||
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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.