CAROLINAS MEDICAL ALLIANCE INC (NPI# 1023411410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023411410 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL ALLIANCE INC |
| Other Organization Name | CAROLINAS MEDICAL ALLIANCE GASTROENTEROLOGY |
| Practice Address |
805 Pamplico Hwy Ste A220 Florence SC 29505-6056 |
| Practice Telephone | 8436741453 |
| Practice Fax Number | 8436746810 |
| Mailing Telephone | 8436741453 |
| Mailing Fax Number | 8436746810 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |
| Authorized Official Name | JAMES PATRICK WRIGHT (DIRECTOR) |
| Authorized Official Telephone | 6154657633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Carolinas Medical Alliance Gastroenterology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679970867 | Carolinas Medical Alliance Inc | Internal Medicine | 1590 Freedom Blvd Ste C, Florence, SC 29505-6071 | 2014-12-03 |
| 1568869071 | Carolinas Medical Alliance Inc | Family Medicine | 301 Pearl St, Darlington, SC 29532-3812 | 2014-11-26 |
| 1861459174 | Carolinas Medical Alliance Inc | General Practice | 105 N Railroad Ave, Lamar, SC 29069-9727 | 2006-04-28 |
| 1265499537 | Carolinas Medical Alliance Inc | Internal Medicine | 953 Pamplico Hwy South, Pamplico, SC 29583-4058 | 2006-04-28 |
| 1114467586 | Carolinas Medical Alliance Inc | Radiology | 148 Sauls St, Suite F, Lake City, SC 29560-2677 | 2017-03-03 |
| 1134527229 | Carolinas Medical Alliance Inc | Internal Medicine | 1594 Freedom Blvd Ste 205, Florence, SC 29505-6046 | 2014-12-05 |
| 1295132355 | Carolinas Medical Alliance Inc | Internal Medicine | 342 W Main St, Kingstree, SC 29556-3235 | 2014-12-04 |
| 1417354606 | Carolinas Medical Alliance Inc | Family Medicine | 148 Sauls St, Lake City, SC 29560-2631 | 2014-12-03 |
| 1033518683 | Carolinas Medical Alliance Inc | Internal Medicine | 805 Pamplico Hwy Ste B230, Florence, SC 29505-6066 | 2014-08-20 |
| 1912306572 | Carolinas Medical Alliance Inc | Family Medicine | 2501 S Vance Dr Ste A, Florence, SC 29505-6163 | 2014-08-20 |
| Street Address |
805 PAMPLICO HWY STE A220 |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-6056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073561304 | Manver Razick | Internal Medicine | 805 Pamplico Hwy Ste A220, Florence, SC 29505-6065 | 2006-05-05 |
| 1578922332 | Roger Polsky | Nurse Practitioner | 805 Pamplico Hwy Ste A220, Florence, SC 29505-6056 | 2016-02-22 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275582405 | James Moss Mann | Internal Medicine | 805 Pamplico Hwy Ste 220, Florence, SC 29505-6047 | 2006-05-06 |
| 1730137266 | Pee Dee Gastroenterology Associates, P.a. | Internal Medicine | 619 S Dargan St, Florence, SC 29506-2555 | 2006-05-05 |
| 1407804909 | Timothy J. Spurling | Internal Medicine | 401 E Cheves St Ste 301, Florence, SC 29506 | 2006-05-05 |
| 1073561304 | Manver Razick | Internal Medicine | 805 Pamplico Hwy Ste A220, Florence, SC 29505-6065 | 2006-05-05 |
| 1356304687 | Gerard Donald Haggstrom | Internal Medicine | 416 N. Seminary Street, Ste 3100, Florence, AL 35630 | 2006-04-08 |
| 1740257641 | John Leland Wolford Jr. | Internal Medicine | 401 E Cheves St, Suite 301, Florence, SC 29506-2615 | 2006-03-01 |
| 1417941030 | Jeffery S Cooley | Internal Medicine | 10 Main St, Florence, MA 01062-3160 | 2005-09-09 |
| 1114398377 | Mcleod Physician Associates II | Internal Medicine | 506 E Cheves St, Suite 202, Florence, SC 29506-2616 | 2015-10-14 |
| 1255731204 | Mcleod Physician Associates II | Internal Medicine | 401 E Cheves St Ste 301, Florence, SC 29506-2615 | 2014-08-27 |
| 1396144192 | Mcleod Physician Associates II | Internal Medicine | 401 E Cheves St, Suite 300, Florence, SC 29506-2615 | 2014-08-18 |
| 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.