DR. MARIANGELA RIVERA (NPI# 1841515996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841515996 |
| Entity Type | Individual |
| Full Name | DR. MARIANGELA RIVERA |
| Credential | MD |
| Practice Address |
15 Exchange Dr Lugoff SC 29078-9198 |
| Practice Telephone | 8034083277 |
| Practice Fax Number | 8034083299 |
| Mailing Telephone | 8034242207 |
| Mailing Fax Number | 8034083282 |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2020-05-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 51819 | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 518194 | 05 |
| Street Address |
15 EXCHANGE DR |
| City | LUGOFF |
| State | SC |
| Zip Code | 29078-9198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861499618 | Robert Kabakjian Sr. | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2005-07-07 |
| 1760037360 | Maya Elizabeth James | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2019-08-09 |
| 1043716228 | Felicia Denise Harris | Nurse Practitioner | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2018-04-05 |
| 1952817835 | Rachel Chamberlin | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2017-12-14 |
| 1285174664 | Kaitlin Prizzia | Audiologist | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2017-03-03 |
| 1205247772 | Jason Paul Wigand | Audiologist | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2014-05-18 |
| 1073958989 | Jacob Patrick Ossoff | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2013-05-06 |
| 1447513643 | Valerie Alison Fritsch | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2012-06-21 |
| 1316214638 | Lynnette Glasscho Tomlin | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078 | 2011-12-01 |
| 1932499159 | Natalie Vercillo Sciarrino | Otolaryngology | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2011-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477006179 | Retireease Senior Services, Inc. | In Home Supportive Care | 12 Dooley Drive, Lugoff, SC 29078 | 2016-07-28 |
| 1770613515 | Claude Harold Varn Jr. | Dentist | P.0.box 325, Lugoff, SC 29078 | 2007-03-07 |
| 1316087364 | Ark Therapeutic Services, Inc | Speech-Language Pathologist | 862a Highway 1 South, Lugoff, SC 29078 | 2007-02-07 |
| 1326104837 | Allyson Varn Monferdini | Dentist | 25 Ward Road, Lugoff, SC 29078 | 2006-12-29 |
| 1275612269 | Wateree Plaza Drug Corp | Durable Medical Equipment & Medical Supplies | 1053 Hwy 1, Patterson Plaza, Lugoff, SC 29078 | 2006-11-02 |
| 1336589233 | Matthew Allen Nettles | Dentist | 25 Ward Road, Lugoff, SC 29078 | 2013-06-25 |
| 1013124429 | Debra C Lowsky | Speech-Language Pathologist | 862a Highway 1 South, Lugoff, SC 29078 | 2007-05-16 |
| 1285826396 | Durham Russell Maples | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-13 |
| 1508059403 | Dina Maples Blankenship | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-23 |
| 1104018852 | Wateree Chiropractic | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-16 |
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| 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 |
|---|---|---|---|---|
| 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 |
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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.