TIMOTHY ANDREW GAJEWSKI (NPI# 1841239233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841239233 |
| Entity Type | Individual |
| Full Name | TIMOTHY ANDREW GAJEWSKI |
| Credential | MD |
| Practice Address |
3600 Sea Mountain Hwy Suite B Little River SC 29566-8161 |
| Mailing Address |
3600 Sea Mountain Hwy Ste B Little River SC 29566-8161 |
| Practice Telephone | 8433999696 |
| Practice Fax Number | 8433999596 |
| Mailing Telephone | 8433478600 |
| Mailing Fax Number | 8433478702 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 10957A | WY | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | TL37911 | SC | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 39425 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | UNITED HEALTHCARE | 1099192 | 01 |
| SC | WELLCARE | 1111886 | 01 |
| NC | INDIVIDUAL RAILROAD MCR # | 340016946 | 01 |
| NC | INDIVIDUAL BC/BS NC # | 34311 | 01 |
| FL | RAILROAD MEDICARE | P01487390 | 01 |
| NC | 1841239233 | 05 | |
| NC | 7934311 | 05 | |
| SC | CIGNA | 2607136 | 01 |
| SC | AETNA | 4129749 | 01 |
| SC | N39425 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962517581 | Timothy Gajewski | Orthopaedic Surgery | 105 Yadkin St, Ste 101, Albemarle, NC 28001-3449 | 2006-08-21 |
| Street Address |
3600 SEA MOUNTAIN HWY SUITE B |
| City | LITTLE RIVER |
| State | SC |
| Zip Code | 29566-8161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780660456 | Kenneth H. Mincey | Surgery | 3600 Sea Mountain Hwy, Suite A, Little River, SC 29566-8161 | 2005-12-15 |
| 1841615283 | Sc Pain & Spine Specialists, LLC | Psychiatry & Neurology | 3600 Sea Mountain Hwy, Suite - B, Little River, SC 29566-8161 | 2014-02-21 |
| 1295165579 | Waterway Primary Care,llc | Family Medicine | 3600 Sea Mountain Hwy, Little River, SC 29566-8161 | 2013-11-22 |
| 1346674371 | Southern Surgical Group, LLC | Surgery | 3600 Sea Mountain Hwy, Suite A, Little River, SC 29566-8161 | 2013-08-27 |
| 1740493485 | Ann Renee Caugh | Physician Assistant | 3600 Sea Mountain Hwy, Suite C, Little River, SC 29566-8161 | 2007-05-08 |
| 1699859355 | Southern Surgical, Pa | Specialist | 3600 Sea Mountain Hwy, Suite A, Little River, SC 29566-8161 | 2006-10-25 |
| 1366455206 | Kenneth Ray Warrick | Dermatology | 3600 Sea Mountain Hwy, Suite A, Little River, SC 29566-8161 | 2006-08-14 |
| 1750351706 | Melanie A Hopkins | Pathology | 3600 Sea Mountain Hwy, Little River, SC 29566-8161 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736309 | Holly Leanne Poplin | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite C, Main Street Physicians/sc House Calls Inc, Little River, SC 29566 | 2020-09-30 |
| 1619534112 | Mcleod Loris Seacoast Hospital | Pharmacy | 4000 Hwy 9 East, Outpatient Pharmacy, Little River, SC 29566 | 2019-05-21 |
| 1366960585 | Sasha Hayes | Dentist | 1247 Highway 17 S, Little River, SC 29566 | 2017-09-07 |
| 1639557531 | Mary Lucille Harding | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite, Main Street Physicians, Little River, SC 29566 | 2015-05-12 |
| 1770900771 | Dottie Randall-cox | Registered Nurse | 107 Hwy 57-north, Little River, SC 29566 | 2014-03-27 |
| 1689091688 | Carolyn Howe | Registered Nurse | 107 Highway 57 North, Dhec, Little River, SC 29566 | 2014-03-27 |
| 1376977884 | Southern Surgical Group, LLC | Specialist | 3600 Sea Mountain Hwy Suite A, Little River, SC 29566 | 2013-09-03 |
| 1144570888 | Laura Gore | Pharmacist | 2492 Hwy 9 East, Little River, SC 29566 | 2012-09-10 |
| 1255611406 | Belliams Home Health Services | Home Health | 687c Williamson Rd, Longs, SC 29566 | 2011-08-19 |
| 1083878813 | Lacie E. Edmison | Internal Medicine | 3980 Highway 9 E Ste 320, Little River, SC 29566 | 2008-07-10 |
| Find all providers in zip 29566 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393098 | Christopher William Ritchie | Urology | 135 Rutledge Ave Fl 5, Charleston, SC 29425-8903 | 2019-06-05 |
| 1780248211 | Spartanburg Medical Center | Urology | 2755 S Highway 14 Ste 2050a, Greer, SC 29650-4902 | 2019-04-30 |
| 1609345982 | Spartanburg Medical Center | Urology | 1552 N Limestone St Ste A, Gaffney, SC 29340-4750 | 2018-11-16 |
| 1942775952 | Roper Saint Francis Physicians Network | Urology | 300 Callen Blvd Ste 220, Summerville, SC 29486-2809 | 2018-10-05 |
| 1790131522 | Urology Clinic At Carolinas | Urology | 1594 Freedom Blvd Ste 203, Florence, SC 29505-6046 | 2016-05-11 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| 1154700367 | Gregory Slachta | Urology | 407 Broadview Dr, Ridgeland, SC 29936-5157 | 2015-05-20 |
| 1467893404 | Robert Strehlow Vi | Urology | 391 Serpentine Dr Ste 500, Spartanburg, SC 29303-3083 | 2013-07-06 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1790121424 | Philip Andre Fontenot Jr. | Urology | 50 Bear Dr, Greenville, SC 29605 | 2013-05-21 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE RIVER |
| Zip Code | 29566 |
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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.