JACK S HASKIN JR. (NPI# 1962573352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962573352 |
| Entity Type | Individual |
| Full Name | JACK S HASKIN JR. |
| Credential | MD |
| Practice Address |
2376 Cypress Cir Ste 300 Conway SC 29526-8995 |
| Practice Telephone | 8433477222 |
| Practice Fax Number | 8433473305 |
| Mailing Telephone | 8433477222 |
| Mailing Fax Number | 8433473305 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2015-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
9329 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
2376 CYPRESS CIR STE 300 |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003986514 | William L. Mills | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2006-11-09 |
| 1669973517 | Orthosc LLC | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526 | 2018-02-26 |
| 1336662964 | Michael Brent Graham | Physician Assistant | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2017-07-25 |
| 1235302969 | Erkan Alci | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2008-04-02 |
| 1023212024 | John Christopher Gayton | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2007-06-13 |
| 1033278049 | Keith C Reinwald | Physician Assistant | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2006-12-06 |
| 1225103302 | Brian D. Forbus | Physician Assistant | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2006-11-22 |
| 1043385123 | Douglas T. Vick | Physician Assistant | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2006-11-22 |
| 1306910526 | Arthur J Preslar IIi | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2006-11-20 |
| 1639240021 | Ross N Taylor | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2006-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538680004 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 300 Palmetto Health Pkwy Ste 200, Columbia, SC 29212-1762 | 2017-07-05 |
| 1255852901 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 100 Palmetto Health Pkwy Ste 320, Columbia, SC 29212-1756 | 2017-07-03 |
| 1295976967 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 8950 University Blvd., Ste 200, N Charleston, SC 29406 | 2009-03-10 |
| 1598906265 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 2093 Henry Tecklenburg Dr Ste 200e, Charleston, SC 29414-5742 | 2009-03-10 |
| 1992754865 | Seraphin John Millon | Orthopaedic Surgery | 1011 Frontage Rd, Greenville, SC 29615-4240 | 2006-05-09 |
| 1619945540 | David B. Fulton | Orthopaedic Surgery | 14 Richland Medical Park Dr, Suite 200, Columbia, SC 29203-6877 | 2006-03-08 |
| 1104448208 | Anmed Health | Orthopaedic Surgery | 100 Healthy Way Ste 1200, Anderson, SC 29621-7916 | 2020-05-12 |
| 1346761897 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2017-07-05 |
| 1922529668 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 104 Saluda Pointe Dr, Lexington, SC 29072-7295 | 2017-07-03 |
| 1972054021 | Palmetto Health | Orthopaedic Surgery | 101 Business Park Blvd, 2nd Floor, Columbia, SC 29203-8401 | 2016-10-24 |
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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.