AIKEN PHYSICAL MEDICINE AND REHABILITATION LLC (NPI# 1912240383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912240383 |
| Entity Type | Organization |
| Organization Name | AIKEN PHYSICAL MEDICINE AND REHABILITATION LLC |
| Practice Address |
2741 Whiskey Rd Aiken SC 29803-6197 |
| Practice Telephone | 8032260217 |
| Practice Fax Number | 8032260459 |
| Mailing Telephone | 8032260217 |
| Mailing Fax Number | 8032260459 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-05-03 |
| Authorized Official Name | DR. PHILIP R JORDAN (OWNER/CHIROPRACTOR) |
| Authorized Official Telephone | 8032260217 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
17794 | SC | Nursing Service Providers |
| N | 111N00000X | Chiropractor | 3663 | SC | Chiropractic Providers |
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
000695 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
2741 WHISKEY RD |
| City | AIKEN |
| State | SC |
| Zip Code | 29803-6197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841219631 | Monica Manigo-johnson | Family Medicine | 2741 Whiskey Rd, Aiken, SC 29803-6197 | 2006-07-19 |
| 1366726861 | Philip Russell Jordan | Chiropractor | 2741 Whiskey Rd, Aiken, SC 29803-6197 | 2011-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871147454 | Augusta Oncology Associates, P.C. | Specialist | 222 University Parkway, Aiken, SC 29803 | 2019-07-31 |
| 1356804546 | Ebony Johnson | Home Health Aide | 942 C Dougherty Rd, Aiken, SC 29803 | 2019-04-13 |
| 1689144230 | Tabatha Lee Maddox | Occupational Therapist | 550 East Gate Dr, Aiken, SC 29803 | 2018-11-27 |
| 1962995100 | Pvd Internal Medicine Associates LLC | Internal Medicine | 440 Society Hill Dr Ste B, Aiken, SC 29803 | 2018-06-12 |
| 1689197691 | Trent David Yoder | Dentist | 174 Crepe Myrtle Drive, Aiken, SC 29803 | 2017-07-21 |
| 1770039331 | Lauren Reigot | Physical Therapist | 6140 Woodside Executive Ct., Aiken, SC 29803 | 2016-09-01 |
| 1851747190 | Umg Primary Care South Carolina, LLC | Family Medicine | 1023 Silver Bluff Road, Aiken, SC 29803 | 2016-05-05 |
| 1912375759 | Lisa G Browning | Nurse Practitioner | 550 E. Gate Drive, Aiken, SC 29803 | 2015-09-10 |
| 1346682754 | Tyresia Jovon White | Dentist | 440 Society Hill Dr Ste 201, Aiken, SC 29803 | 2013-07-25 |
| 1528327483 | Caresouth Hospice, LLC | Hospice Care, Community Based | 37 Varden Drive, Suite B, Aiken, SC 29803 | 2012-05-14 |
| Find all providers in zip 29803 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689191793 | Health Wellness and Weight Loss Centers LLC | Family Medicine | 953b Dougherty Rd, Aiken, SC 29803-6508 | 2017-08-29 |
| 1538325451 | Charles Warren Koehl Jr. | Family Medicine | 471 University Pkwy, Usc-a Alan B. Miller Bldg, Aiken, SC 29801-6389 | 2008-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669027595 | Ketamine Treatment Services | Family Medicine | 3015 Dunes West Blvd Ste 510, Mount Pleasant, SC 29466-8252 | 2019-08-07 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1164995346 | Rachelle Shepard | Family Medicine | 144 Whitehurst Way, Columbia, SC 29229-8500 | 2019-01-10 |
| 1255848834 | Mobile Medical LLC | Family Medicine | 1002 Shipmaster Ave, Myrtle Beach, SC 29579-5142 | 2018-01-04 |
| 1891035416 | Donald F Wade | Family Medicine | 1728 Vassar Dr, Charleston, SC 29407-4236 | 2013-02-19 |
| 1770880486 | James Stuart Mcdaniel | Family Medicine | 1140 Pilot Boy, Wadmalaw Island, SC 29487-6993 | 2011-02-15 |
| 1356672927 | Bledsoe Family Medicine LLC | Family Medicine | 669 Barr Rd Ste C, Lexington, SC 29072-2369 | 2010-01-21 |
| 1295974509 | John Browning Mcree | Family Medicine | S Carolina Dept of Corrections, Redemption Way, Mc Cormick, SC 29899-0001 | 2009-02-10 |
| 1174795900 | Gordon R. Weigle, Md Pa | Family Medicine | 1717 Village Park Dr, Orangeburg, SC 29118-2475 | 2008-04-01 |
| 1437370061 | Samuel Johnston Orr | Family Medicine | 140 Forest Hills Dr, Gaffney, SC 29340-2837 | 2007-05-01 |
| Find all providers with the same taxonomy | ||||
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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.