FOCUS SC 1009, LLC (NPI# 1871924167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871924167 |
| Entity Type | Organization |
| Organization Name | FOCUS SC 1009, LLC |
| Practice Address |
900 Bowman Rd Suite 303 Mt Pleasant SC 29464 |
| Mailing Address |
900 Bowman Rd Suite 303 Mt. Pleasant SC 29464 |
| Practice Telephone | 8435939332 |
| Mailing Telephone | 8435939332 |
| Mailing Fax Number | 2514145809 |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | JAMES C WILEY (OWNER) |
| Authorized Official Telephone | 2513018276 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians | ||
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
900 BOWMAN RD SUITE 303 |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063408979 | Mt Pleasant Family Practice,pa | Family Medicine | 900 Bowman Rd, Suite 203, Mt Pleasant, SC 29464-3203 | 2005-09-26 |
| 1437588423 | Mount Pleasant Nephrology LLC | Internal Medicine | 900 Bowman Rd, Suite A-1, Mt Pleasant, SC 29464-3203 | 2013-11-11 |
| 1477727139 | Ryan Adam Kalinsky | Internal Medicine | 900 Bowman Rd, Suite 103, Mt Pleasant, SC 29464-3203 | 2008-04-14 |
| 1164566550 | Yanis Bellil | Internal Medicine | 900 Bowman Rd, Suite 103, Mt Pleasant, SC 29464-3203 | 2007-02-18 |
| 1386796365 | Daniel R Butler | Physician Assistant | 900 Bowman Rd, Suite 300, Mt Pleasant, SC 29464-3203 | 2007-01-18 |
| 1417009499 | Justin Swain | Physician Assistant | 900 Bowman Rd, Suite 300, Mt Pleasant, SC 29464-3203 | 2007-01-18 |
| 1922022417 | Adolescent Medicine Associates | Family Medicine | 900 Bowman Rd, Suite 304, Mt Pleasant, SC 29464-3203 | 2006-07-27 |
| 1528081783 | Pascale A. Salem | Internal Medicine | 900 Bowman Rd, Suite 103, Mt Pleasant, SC 29464-3203 | 2006-07-26 |
| 1275554594 | M. Daud Nawabi | Internal Medicine | 900 Bowman Rd, Suite 103, Mt Pleasant, SC 29464-3203 | 2006-07-21 |
| 1528089240 | Charles Murry Thompson | Family Medicine | 900 Bowman Rd, Suite 304, Mt Pleasant, SC 29464-3203 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1245486760 | Lisa E Hughes | Pediatrics | 900 Bowman Rd., Mt. Pleasant, SC 29464 | 2008-08-15 |
| 1780860205 | Herbert Lee Smyre | Pediatrics | 106 Sheffield Rd, Greer, SC 29651-1025 | 2008-01-15 |
| 1710181060 | Kudchadkar Clinic | Pediatrics | 880 West Moultrie St, Suite 100, Winnsboro, SC 29180 | 2007-06-12 |
| 1619182482 | Greer Pediatric Clinic LLC | Pediatrics | 554 Memorial Drive Ext Ste C, Greer, SC 29651-1155 | 2007-05-14 |
| 1730248220 | York Pediatrics | Pediatrics | 1538 Health Care Dr, Rock Hill, SC 29732-3857 | 2006-12-08 |
| 1407867351 | Deanne N Geurkink | Pediatrics | 11134 Broad River Rd, Suite D, Irmo, SC 29063-7616 | 2006-08-10 |
| 1114965936 | Christine K Chard | Pediatrics | 23265 Highway 76 E, Clinton, SC 29325-7532 | 2006-06-03 |
| 1164487955 | Mojibola Olayinka Solaja | Pediatrics | 120 Wildewood Park Dr, Suite B, Columbia, SC 29223-4300 | 2006-04-18 |
| 1669432779 | Linda J Crout Wingard | Pediatrics | 2525 Kinard Street, Newberry, SC 29108 | 2006-03-23 |
| 1831162387 | Monica E Silva | Pediatrics | 109 Omni Dr Ste A, Seneca, SC 29672-9448 | 2006-02-07 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
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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.