WILLIAMSBURG REGIONAL HOSPITAL (NPI# 1962949933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962949933 |
| Entity Type | Organization |
| Organization Name | WILLIAMSBURG REGIONAL HOSPITAL |
| Other Organization Name | WILLIAMSBURG FOOT CENTER |
| Practice Address |
500 Thurgood Marshall Hwy Suite B Kingstree SC 29556-4143 |
| Practice Telephone | 8433555363 |
| Practice Fax Number | 8433555365 |
| Mailing Telephone | 8433550174 |
| Mailing Fax Number | 8433550123 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | MS. ALICE BOYKIN (PHYSICIAN PRACTICE DIRECTOR) |
| Authorized Official Telephone | 8433551772 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Williamsburg Foot Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801167069 | Williamsburg Regional Hospital | Clinic/Center | 2266 Hemingway Hwy, Hemingway, SC 29554-5407 | 2012-01-19 |
| 1538691449 | Williamsburg Regional Hospital | Durable Medical Equipment & Medical Supplies | 500 Thurgood Marshall Hwy, Kingstree, SC 29556-4143 | 2017-03-30 |
| 1265866172 | Williamsburg Regional Hospital | Obstetrics & Gynecology | 402 Nelson Blvd, Suite 100, Kingstree, SC 29556 | 2013-08-27 |
| 1205102738 | Williamsburg Regional Hospital | Clinic/Center | 500 Thurgood Marshall Hwy, Suite A, Kingstree, SC 29556-4143 | 2012-03-29 |
| 1033413323 | Williamsburg Regional Hospital | Clinic/Center | 500 Thurgood Marshall Hwy, Suite F, Kingstree, SC 29556 | 2011-01-01 |
| 1487729547 | Williamsburg Regional Hospital | General Acute Care Hospital | 500 Nelson Blvd, Kingstree, SC 29556-4027 | 2006-11-22 |
| 1124192109 | Williamsburg Regional Hospital | General Acute Care Hospital | 500 Nelson Blvd, Kingstree, SC 29556-4027 | 2006-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WILLIAMSBURG REGIONAL HOSPITAL | 500 Nelson Blvd, Kingstree, SC 29556-4027 |
| Street Address |
500 THURGOOD MARSHALL HWY SUITE B |
| City | KINGSTREE |
| State | SC |
| Zip Code | 29556-4143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376527549 | Jafer Nasser Gheraibeh | Specialist | 500 Thurgood Marshall Hwy, Kingstree, SC 29556-4143 | 2005-12-01 |
| 1538691449 | Williamsburg Regional Hospital | Durable Medical Equipment & Medical Supplies | 500 Thurgood Marshall Hwy, Kingstree, SC 29556-4143 | 2017-03-30 |
| 1043644776 | Willamsburg Regional Hospital | Internal Medicine | 500 Thurgood Marshall Hwy, Suite A, Kingstree, SC 29556-4143 | 2013-08-29 |
| 1205102738 | Williamsburg Regional Hospital | Clinic/Center | 500 Thurgood Marshall Hwy, Suite A, Kingstree, SC 29556-4143 | 2012-03-29 |
| 1033413323 | Williamsburg Regional Hospital | Clinic/Center | 500 Thurgood Marshall Hwy, Suite F, Kingstree, SC 29556 | 2011-01-01 |
| 1124341631 | Angela Allen Morris | Nurse Practitioner | 500 Thurgood Marshall Hwy, Suite F, Kingstree, SC 29556-4143 | 2010-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689198996 | April Wilson | Home Health Aide | 706 Sandy Bay Rd, Kingstree, SC 29556 | 2017-07-28 |
| 1588000657 | Jennifer Moore Lamb | Registered Nurse | 500 North Academy St, Building K, Kingstree, SC 29556 | 2013-05-16 |
| 1619227014 | Hallie Mcnair Dubose | Pharmacist | 120 North Longstreet St, Kingstree, SC 29556 | 2012-09-12 |
| 1699969733 | Black River Healthcare, Inc. | Obstetrics & Gynecology | 500 Thurgood Marshall Boulevard, Suite A, Kingstree, SC 29556 | 2007-08-31 |
| 1457578486 | Dawkins Medical Transport | Ambulance | 89 Drylog Avenue, Kingstree, SC 29556 | 2007-04-19 |
| 1306971502 | Vital Aging of Williamsburg County, Inc. | Home Delivered Meals | 501 North Longstreet Street, Kingstree, SC 29556 | 2007-02-21 |
| 1356489579 | Harry Wells Floyd | General Practice | 500 Thurgood Marshall Blvd, Suite F, Kingstree, SC 29556 | 2007-02-01 |
| 1306995782 | Joann Conyers Lockhart | Health Educator | 500 Academy Street, Kingstree, SC 29556 | 2007-01-09 |
| 1497825723 | The Youth Academy Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 237 Lela Harrison Road, Kingstree, SC 29556 | 2006-11-08 |
| 1427151109 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 120 N Longst St, Kingstree, SC 29556 | 2006-09-07 |
| Find all providers in zip 29556 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331132 | Emad Youssef Dpm LLC | Podiatrist | 218 Granito Dr, Greer, SC 29650-2771 | 2020-09-16 |
| 1922618016 | Dr. Ashley Williams, LLC | Podiatrist | 3223 Hatchet Bay Dr Apt 7203, Charleston, SC 29414-5219 | 2020-08-04 |
| 1700424769 | Instride Foot & Ankle Specialists, Pllc | Podiatrist | 223 Herlong Ave S Ste 115, Rock Hill, SC 29732-1089 | 2019-12-20 |
| 1871011387 | Honored To Serve | Podiatrist | 1850 Atlantic Dr Unit 712, Columbia, SC 29210-7992 | 2017-09-05 |
| 1467989632 | Frederick Garland | Podiatrist | 767 Wintercreeper Dr, Longs, SC 29568-9229 | 2017-05-17 |
| 1245764430 | Aiken Podiatry Center | Podiatrist | 148 Waterloo St Sw Ste 4, Aiken, SC 29801-3766 | 2017-04-14 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1669859104 | Mobile Podiatry South Carolina | Podiatrist | 10 Summerlea Ln, Columbia, SC 29203-3915 | 2015-05-05 |
| 1063829471 | Heather Driessen, Dpm, LLC | Podiatrist | 4072 Corner Stroll Ln, Aiken, SC 29801-1158 | 2014-07-17 |
| 1164855227 | Coastal Medical Services LLC | Podiatrist | 616 Churchill Rd, Walterboro, SC 29488-3622 | 2013-08-13 |
| 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.