EMMAUS MED/SURG CLINIC (NPI# 1871827790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871827790 |
| Entity Type | Organization |
| Organization Name | EMMAUS MED/SURG CLINIC |
| Practice Address |
602 E Main St Suite C Lexington SC 29072-3729 |
| Practice Telephone | 8033590164 |
| Practice Fax Number | 8033590255 |
| Mailing Telephone | 8033590164 |
| Mailing Fax Number | 8033590255 |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |
| Authorized Official Name | DR. BERT B OUBRE (OWNER) |
| Authorized Official Telephone | 8033590164 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 30244 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
602 E MAIN ST SUITE C |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29072-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598701831 | Bradley Hamblin Young | Dentist | 602 E Main St, Suite E, Lexington, SC 29072-3729 | 2006-06-22 |
| 1235678301 | Gildner Family Dentistry | Dentist | 602 E Main St, E, Lexington, SC 29072-3729 | 2017-02-22 |
| 1194009845 | Angela Maria Soto | Acupuncturist | 602 E Main St, Lexington, SC 29072-3729 | 2011-09-29 |
| 1528201480 | Bert B Oubre | Family Medicine | 602 E Main St, Suite C, Lexington, SC 29072-3729 | 2009-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
| 1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
| 1962973768 | William R. Key | Counselor | Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 | 2018-12-06 |
| 1639651961 | Lindsey Terry | Social Worker | 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 | 2018-09-04 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1649781857 | Constance Jean Lynch | Occupational Therapist | 800 North Lake Boulevard, Lexington, SC 29072 | 2017-10-14 |
| Find all providers in zip 29072 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649775586 | Landmark Medical of Kentucky, Psc | General Practice | 113 Glenn Pl Unit 100, Lexington, KY 40505-3518 | 2018-03-23 |
| 1962816991 | Brittney Dudley | General Practice | 800 Rose Street C 246, Lexington, KY 40536-0001 | 2014-06-18 |
| 1902223431 | William Bennett | General Practice | 319 Saxony Ct, Lexington, SC 29072-7957 | 2014-03-21 |
| 1245583236 | Lynnell Dupont | General Practice | 690 Mason Headley Rd Apt 210, Lexington, KY 40504-2337 | 2012-10-16 |
| 1437401957 | Mh Health Care Services, PC | General Practice | 740 W New Circle Rd, C/o Lexmark Health Center, Lexington, KY 40511-1806 | 2012-10-08 |
| 1548558489 | Dora Edith Hahn | General Practice | 1 Windy Ridge Ln, Lexington, SC 29073-8964 | 2011-07-13 |
| 1073703336 | Jerry Roger Hersey | General Practice | 2517 Bridle Ct, Lexington, KY 40504-1619 | 2007-08-01 |
| 1619195195 | Michael Shawn Houston | General Practice | Hwy 39, Lexington, OK 73051 | 2007-04-23 |
| 1629132345 | Avtar Robert Moore | General Practice | 9 N Randolph St, Lexington, VA 24450-2507 | 2006-12-20 |
| 1063434538 | John Mullins | General Practice | 2251 War Admiral Way, Suite 125, Lexington, KY 40509 | 2006-07-24 |
| Find all providers in LEXINGTON | ||||
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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.