DR. AMBER MARIE PEDERSON (NPI# 1932599693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932599693 |
| Entity Type | Individual |
| Full Name | DR. AMBER MARIE PEDERSON |
| Credential | D.C. |
| Practice Address |
244 Latitude Ln Unit 104 Lake Wylie SC 29710-8124 |
| Practice Telephone | 8038316500 |
| Practice Fax Number | 8038316383 |
| Mailing Telephone | 8038316500 |
| Mailing Fax Number | 8038316383 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4011 | SC | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275896904 | Amber Pederson | Case Manager/Care Coordinator | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2012-06-18 |
| 1851549679 | Amber Lynn Pederson | Nurse Anesthetist, Certified Registered | 2801 St Anthony Way, Pendleton, OR 97801 | 2008-09-04 |
| Street Address |
244 LATITUDE LN UNIT 104 |
| City | LAKE WYLIE |
| State | SC |
| Zip Code | 29710-8124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275576472 | Alan David Hartley | Chiropractor | 244 Latitude Ln, Suite 104, Lake Wylie, SC 29710-8124 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346728243 | Jessica Pampalone | Pharmacist | 175 Sc-274, Lake Wylie, SC 29710 | 2018-08-02 |
| 1932628344 | Andrew Thomas Sullivan | Student in an Organized Health Care Education/Training Program | 106 Mccall Street, Clover, SC 29710 | 2017-09-18 |
| 1619423449 | Dental Professionals of South Carolina, P.C. | Dentist | 209 Latitude Lane, Clover, SC 29710 | 2016-08-31 |
| 1932538816 | Tara Mehta | Psychologist | 48 Fairway Rdg, Clover, SC 29710 | 2013-11-01 |
| 1710238795 | Hong N Mitchell | Pharmacist | 158 Hwy. 274, Lake Wylie, SC 29710 | 2012-10-01 |
| 1790948602 | Barbara Ellen Anslow-myers | Speech-Language Pathologist | 530 Little Cove Lane, Lake Wylie, SC 29710 | 2008-07-10 |
| 1720200884 | Lake Wylie | Assisted Living Facility | 4877 Charlotte Highway, Lake Wylie, SC 29710 | 2007-05-02 |
| 1790804581 | Phillip Russell Sanford | Pharmacist | 3272 Wicklow Ln, Clover, SC 29710 | 2007-03-29 |
| 1124158472 | Thomas N Stall Sr. | Dentist | 1100 Village Harbor Dr., Lake Wylie, SC 29710 | 2007-03-06 |
| 1043369457 | John Frank Ruocco | Dentist | 140 Highway 274, Clover, SC 29710 | 2007-01-09 |
| Find all providers in zip 29710 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679679971 | Glaza Chiropractic Center, Inc | Chiropractor | 548 Nautical Dr, Suite 204, Lake Wylie, SC 29710-0016 | 2006-09-15 |
| 1275576472 | Alan David Hartley | Chiropractor | 244 Latitude Ln, Suite 104, Lake Wylie, SC 29710-8124 | 2006-06-14 |
| 1306805916 | Al Glaza | Chiropractor | 146 Highway 274, Lake Wylie, SC 29710-6045 | 2006-03-22 |
| 1477538551 | David G Redding | Chiropractor | 4543 Charlotte Hwy Ste 9, Lake Wylie, SC 29710-7057 | 2005-12-12 |
| 1437691656 | Lake Wylie Wellness & Chiropractic Center | Chiropractor | 4543 Charlotte Hwy, Ste. 9, Lake Wylie, SC 29710-7073 | 2016-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314718 | Evan Patrick Mcmillion | Chiropractor | 149 E Bay St Ste 100, Charleston, SC 29401-2163 | 2020-10-23 |
| 1851908511 | Rachael Pratt | Chiropractor | 1463 E Main St Ste A, Spartanburg, SC 29307-2246 | 2020-09-28 |
| 1417563172 | Kevin Cook | Chiropractor | 135 Duraleigh Rd, Anderson, SC 29621-3780 | 2020-09-18 |
| 1720603699 | Ronald Lee Armold | Chiropractor | 1524 John B. White Senior Suite 2, Spartanburg, SC 29301-2930 | 2020-06-16 |
| 1932722808 | Cota Care Chiropractic and Wellness, LLC | Chiropractor | 1060 Boiling Springs Rd Ste 2, Spartanburg, SC 29303-2236 | 2020-05-26 |
| 1588287601 | William Craig Hewitt | Chiropractor | 14 Airport Rd, Greenville, SC 29607-2528 | 2020-05-22 |
| 1740802602 | Valerie Dowis | Chiropractor | 1211 Newcastle St Ste C, Beaufort, SC 29902-4186 | 2020-05-14 |
| 1023637659 | Jordan Thomas Reizer I | Chiropractor | 11 E Calhoun St, Sumter, SC 29150-4315 | 2020-04-14 |
| 1770102980 | Christopher B Gardner | Chiropractor | 205 N Irby St Ste B, Florence, SC 29501-2805 | 2020-04-09 |
| 1841824851 | Whiplash Pain Center | Chiropractor | 907 Miles Jamison Rd Ste 4, Summerville, SC 29485-8705 | 2020-02-28 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WYLIE |
| Zip Code | 29710 |
Please comment or provide details below to improve the information on DR. AMBER MARIE PEDERSON.
| 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.