DOCTORS CARE SC, PA (NPI# 1033458047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033458047 |
| Entity Type | Organization |
| Organization Name | DOCTORS CARE SC, PA |
| Other Organization Name | DOCTORS CARE MONCKS CORNER |
| Practice Address |
459 N Highway 52 Moncks Corner SC 29461-3924 |
| Mailing Address |
1818 Henderson St Columbia SC 29201-2619 |
| Practice Telephone | 8438993870 |
| Practice Fax Number | 8438993877 |
| Mailing Telephone | 8037582600 |
| Mailing Fax Number | 8032538896 |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | DR. SHELLEY JANSSEN (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8037824278 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP0106 | 05 |
| Other Name | Type Code |
|---|---|
| Doctors Care Moncks Corner | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861937377 | Doctors Care Sc, Pa | General Practice | 8384 Charlotte Highway, Indian Land, SC 29707-6532 | 2016-12-20 |
| 1639542202 | Doctors Care Sc, Pa | Emergency Medicine | 1538 Main St, Columbia, SC 29201-2808 | 2015-11-04 |
| 1033581384 | Doctors Care Sc, Pa | Emergency Medicine | 300 E Blackstock Rd, Suite E, Spartanburg, SC 29301-3787 | 2015-10-27 |
| 1437498268 | Doctors Care Sc, Pa | Emergency Medicine | 410 E Main Street, Summerville, SC 29483-6420 | 2013-02-14 |
| 1952640807 | Doctors Care Sc, Pa | Emergency Medicine | 1847 S Lake Dr, Lexington, SC 29073-7759 | 2013-02-12 |
| 1851630719 | Doctors Care Sc, Pa | Emergency Medicine | 4621 Hardscrabble Rd, Columbia, SC 29229-0000 | 2013-02-12 |
| 1790024685 | Doctors Care Sc, Pa | Emergency Medicine | 230 W Wade Hampton Blvd, Greer, SC 29650-1655 | 2013-02-12 |
| 1598004509 | Doctors Care Sc, Pa | General Practice | 3074 Highway 17 Byp N, Mt Pleasant, SC 29466-9315 | 2013-02-11 |
| 1013256023 | Doctors Care Sc, Pa | General Practice | 1014 Saint Andrews Blvd, Charleston, SC 29407-7139 | 2013-02-11 |
| 1730434283 | Doctors Care Sc, Pa | Emergency Medicine | 2012 Harden St Ste 112, Columbia, SC 29204-0915 | 2012-07-20 |
| Street Address |
459 N HIGHWAY 52 |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740524768 | Colleen Horohoe Boyd | Nurse Practitioner | 459 N Highway 52, Moncks Corner, SC 29461-3924 | 2012-11-15 |
| 1639687627 | Matthew Christian Story | Nurse Practitioner | 459 N Highway 52, Moncks Corner, SC 29461-3924 | 2018-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1518181494 | Glenda Reed Torricelli | Family Medicine | 1020 Old Highway 52, Moncks Corner, SC 29461-3002 | 2007-04-12 |
| 1962420927 | Berkeley Family Practice LLC | Family Medicine | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2006-07-18 |
| 1326073412 | Jeffrey Ramond Santi | Family Medicine | 2061 Hwy 52 S, Berkeley Family Practice, Moncks Corner, SC 29461-5017 | 2006-07-11 |
| 1417983982 | Jeremy James Ackermann | Family Medicine | 2061 Hwy 52, Moncks Corner, SC 29461-0995 | 2006-06-24 |
| 1104866623 | Palmetto Primary Care Physicians | Family Medicine | 401 N Live Oak Dr, Ste. B, Moncks Corner, SC 29461-5603 | 2006-06-07 |
| 1184663007 | Palmetto Primary Care Physicians | Family Medicine | 115 Executive Pkwy, Moncks Corner, SC 29461-3955 | 2006-06-06 |
| 1538111760 | Meredith Diane Floyd | Family Medicine | 115 Executive Parkway, Moncks Corner, SC 29461 | 2006-05-16 |
| 1730159864 | Rhonda Michelle Cartee | Family Medicine | 403 Stoney Landing Rd, Moncks Corner, SC 29461-3967 | 2006-01-23 |
| 1023004546 | Edgar Benton Barnard | Family Medicine | 730 Stony Landing Rd, Suite 100, Moncks Corner, SC 29461-2904 | 2005-09-20 |
| Find all providers in MONCKS CORNER | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
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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.