FAMILY HEALTH CENTERS, INC. AT COOK ROAD (NPI# 1851527717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851527717 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTERS, INC. AT COOK ROAD |
| Practice Address |
1175 Cook Rd Medical Arts Center, Suite 305 Orangeburg SC 29118-8201 |
| Mailing Address |
3310 Magnolia St Orangeburg SC 29115-1466 |
| Practice Telephone | 8035369394 |
| Mailing Telephone | 8035316900 |
| Mailing Fax Number | 8035316907 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |
| Authorized Official Name | DR. SANDRA STEPHENS (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Telephone | 8035316900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 7054 | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 070540 | 05 |
| Street Address |
1175 COOK RD MEDICAL ARTS CENTER, SUITE 305 |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29118-8201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982680336 | Julius W Babb IIi | Surgery | 1175 Cook Rd, Suite 320, Orangeburg, SC 29118-8201 | 2005-12-19 |
| 1912378290 | Tjuana Faith Durden Seidl | Physician Assistant | 1175 Cook Rd, Suite 225, Orangeburg, SC 29118-8201 | 2015-10-13 |
| 1497187744 | Lisa Gordon | Nurse Practitioner | 1175 Cook Rd, Suite 230, Orangeburg, SC 29118-8201 | 2013-08-08 |
| 1023457389 | The Regional Medical Center of Orangeburg and Calhoun Counties | Surgery | 1175 Cook Rd, Orangeburg, SC 29118-8201 | 2013-06-20 |
| 1740592476 | Drs. Williamson & Gillespie, Pa | Clinic/Center | 1175 Cook Rd, Suite 145, Orangeburg, SC 29118-8201 | 2010-07-10 |
| 1164665428 | Kimberly Evonne Miller-hammond | Surgery | 1175 Cook Rd, Suite 320, Orangeburg, SC 29118-8201 | 2009-04-15 |
| 1164690012 | Internal Medicine & Infectious Diseases Specialists | Specialist | 1175 Cook Rd, Suite 115, Orangeburg, SC 29118-8201 | 2008-02-13 |
| 1669654448 | Jerome B Degen | Obstetrics & Gynecology | 1175 Cook Rd, Suite 305, Orangeburg, SC 29118-8201 | 2007-12-03 |
| 1518177807 | Orangeburg Oral Surgery & Implant Center | Dentist | 1175 Cook Rd, Ste 135, Orangeburg, SC 29118-8201 | 2007-05-23 |
| 1508923194 | Mark Joseph Krzyston | Internal Medicine | 1175 Cook Rd, Ste 225, Orangeburg, SC 29118-8201 | 2007-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
| 1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
| 1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
| 1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
| 1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
| 1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
| 1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
| 1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
| Find all providers in zip 29118 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821238411 | Bella C Clutario | Specialist | 133 Constitution Dr, Orangeburg, NY 10962-2730 | 2009-02-23 |
| 1689829350 | Amy Lynn Hagopian | Specialist | 120 Parkway Dr S, Orangeburg, NY 10962-1707 | 2008-11-23 |
| 1417133646 | Sterling Ent Pa | Specialist | 2221 Saint Matthews Rd, Orangeburg, SC 29118-2040 | 2008-01-17 |
| 1063567436 | John R. Ross, M.d.,p.a. | Specialist | 795 Cook Rd, Orangeburg, SC 29118-2127 | 2007-01-24 |
| 1720176241 | Duckett Physical Therapy & Sports Rehab Center | Specialist | 1620 Broughton St., Orangeburg, SC 29115 | 2006-10-10 |
| 1720195993 | Gregg Colle | Specialist | 1719 Village Park Dr, Orangeburg, SC 29118-2475 | 2006-08-24 |
| 1275564965 | Mohammad Said Nassri | Specialist | 1175 Cook Rd Ste 115, Orangeburg, SC 29118-8201 | 2006-07-05 |
| 1962433565 | Palmetto Nephrology Pa | Specialist | 1175 Cook Rd Ste 1115, Orangeburg, SC 29118-8201 | 2006-07-05 |
| 1790733590 | John Fitzgerald Ansley | Specialist | 832 Cook Rd, Orangeburg, SC 29118-2126 | 2006-05-04 |
| 1497711246 | Charles E Pinta Jr. | Specialist | 119 Office Park Dr, Orangeburg, SC 29118-2407 | 2006-04-21 |
| Find all providers in ORANGEBURG | ||||
| City | ORANGEBURG |
| Zip Code | 29118 |
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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.