DR. WILLIAM WALTON MIMS JR. (NPI# 1922052026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922052026 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM WALTON MIMS JR. |
| Credential | M.D. |
| Practice Address |
1175 Cook Rd Suite 310 Orangeburg SC 29118-8201 |
| Practice Telephone | 8035344611 |
| Practice Fax Number | 8035347269 |
| Mailing Telephone | 8035344611 |
| Mailing Fax Number | 8035347269 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 5227 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PA6252 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972514677 | William David Mims | Dentist | 495 W 3rd St, Sylacauga, AL 35150-1916 | 2006-08-10 |
| 1528033198 | William Walton Mims IIi | Pathology | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2006-02-17 |
| Street Address |
1175 COOK RD SUITE 310 |
| 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 |
| 1851527717 | Family Health Centers, Inc. At Cook Road | Specialist | 1175 Cook Rd, Medical Arts Center, Suite 305, Orangeburg, SC 29118-8201 | 2009-06-05 |
| 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 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629340443 | Lawrence Phillips Thackston Jr. | Urology | 646 Rivers Turn Road, Orangeburg, SC 29115 | 2012-02-09 |
| 1063692457 | Edisto Urological Associates | Urology | 1175 Cook Rd Ste 310, Orangeburg, SC 29118-8201 | 2007-11-14 |
| 1336145408 | Michael S Hay | Urology | 1747 Village Park Dr, Orangeburg, SC 29118-2475 | 2005-06-23 |
| 1518455294 | The Regional Medical Center of Orangeburg and Calhoun Counties | Urology | 1747 Village Park Dr, Orangeburg, SC 29118-2475 | 2018-04-27 |
| 1801852959 | Palmetto Urology Pa | Urology | 1747 Village Park Dr, Orangeburg, SC 29118-2475 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393098 | Christopher William Ritchie | Urology | 135 Rutledge Ave Fl 5, Charleston, SC 29425-8903 | 2019-06-05 |
| 1780248211 | Spartanburg Medical Center | Urology | 2755 S Highway 14 Ste 2050a, Greer, SC 29650-4902 | 2019-04-30 |
| 1609345982 | Spartanburg Medical Center | Urology | 1552 N Limestone St Ste A, Gaffney, SC 29340-4750 | 2018-11-16 |
| 1942775952 | Roper Saint Francis Physicians Network | Urology | 300 Callen Blvd Ste 220, Summerville, SC 29486-2809 | 2018-10-05 |
| 1790131522 | Urology Clinic At Carolinas | Urology | 1594 Freedom Blvd Ste 203, Florence, SC 29505-6046 | 2016-05-11 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| 1154700367 | Gregory Slachta | Urology | 407 Broadview Dr, Ridgeland, SC 29936-5157 | 2015-05-20 |
| 1467893404 | Robert Strehlow Vi | Urology | 391 Serpentine Dr Ste 500, Spartanburg, SC 29303-3083 | 2013-07-06 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1790121424 | Philip Andre Fontenot Jr. | Urology | 50 Bear Dr, Greenville, SC 29605 | 2013-05-21 |
| Find all providers with the same taxonomy | ||||
| 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.