DR. MARK S. PACK (NPI# 1952395709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952395709 |
| Entity Type | Individual |
| Full Name | DR. MARK S. PACK |
| Credential | MD |
| Practice Address |
805 Pamplico Hwy Ste A230 Florence SC 29505-6057 |
| Mailing Address |
1042 Rock Creek Rd Florence SC 29505-6502 |
| Practice Telephone | 8436691220 |
| Practice Fax Number | 8436693725 |
| Mailing Telephone | 8436154540 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2018-08-06 |
| NPI Deactivation Date | 03/25/2006 |
| NPI Reactivation Date | 2006-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35481 | SC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 35074195P | OH | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 28407 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 354814 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1042 Rock Creek Rd, Florence, SC 295056502 | 8436154540 |
| Street Address |
805 PAMPLICO HWY STE A230 |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-6057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326303348 | Robert Watkins Youngblood | Surgery | 1517 Tanglewood Cir, Florence, SC 29501-5579 | 2012-07-05 |
| 1548467152 | Craig Lee Selander | Surgery | 800 E. Cheves St, Ste 260, Florence, SC 29506-2652 | 2007-06-27 |
| 1699726927 | Phillip H Greenberg | Surgery | 1408 Lazar Pl, Florence, SC 29501 | 2006-05-12 |
| 1881642759 | Gary L Hester | Surgery | 2111 Cloyd Blvd, Florence, AL 35630-1503 | 2006-05-04 |
| 1174587257 | William A Collignon Jr. | Surgery | 501 East Dr Hicks Blvd, Suite A, Florence, AL 35630 | 2006-04-14 |
| 1124082789 | Shoals Surgical Group LLC | Surgery | 501 E Dr Hicks Blvd Ste A, Florence, AL 35630-5742 | 2006-04-12 |
| 1619969904 | Dwayne V Smith | Surgery | 4900 Houston Rd, Florence, KY 41042-4824 | 2005-08-22 |
| 1639599640 | Christopher A Guidry | Surgery | 800 E Cheves St Ste 260, Florence, SC 29506-2652 | 2014-04-17 |
| 1205276052 | Hatem Abdallah | Surgery | 1594 Freedom Blvd Ste 100, Florence, SC 29505-6046 | 2013-06-26 |
| 1720347024 | Johnson B Walker | Surgery | 800 E Cheves St Ste 260, Florence, SC 29506 | 2012-05-08 |
| Find all providers in FLORENCE | ||||
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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.