BEAUFORT COUNTY MEMORIAL HOSPITAL (NPI# 1053647164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053647164 |
| Entity Type | Organization |
| Organization Name | BEAUFORT COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | BEAUFORT MEMORIAL ORTHOPAEDIC SPECIALISTS |
| Practice Address |
300 Midtown Dr Beaufort SC 29906-5200 |
| Practice Telephone | 8435225200 |
| Practice Fax Number | 8433223234 |
| Mailing Telephone | 8435225200 |
| Mailing Fax Number | 8433223234 |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | MR. EDMOND RUSSELL BAXLEY III (CEO) |
| Authorized Official Telephone | 8435225140 |
| Is Organization Subpart | Y |
| Parent Organization Name | BEAUFORT COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Beaufort Memorial Orthopaedic Specialists | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1619248317 | Beaufort County Memorial Hospital | Specialist | 990 Ribaut Rd Ste 210, Beaufort, SC 29902-8011 | 2012-01-26 |
| 1235430745 | Beaufort County Memorial Hospital | Internal Medicine | 1716 Ribaut Rd, Port Royal, SC 29935-1927 | 2010-11-15 |
| 1346474996 | Beaufort County Memorial Hospital | Specialist | Beaufort Memorial Surgical Specialists, 989 Ribaut Rd, Ste 360, Beaufort, SC 29902-5427 | 2009-05-12 |
| 1174769764 | Beaufort County Memorial Hospital | Radiology | 989 Ribaut Rd Ste 130, Beaufort, SC 29902 | 2009-01-02 |
| 1598713117 | Beaufort County Memorial Hospital | Internal Medicine | Beaufort Memorial Primary Care, 989 Ribaut Rd, Ste 260, Beaufort, SC 29902-5499 | 2006-05-05 |
| 1033175344 | Beaufort County Memorial Hospital | Physician Assistant | 1000 Pine Street West, Varnville, SC 29944-0969 | 2006-04-25 |
| 1366436073 | Beaufort County Memorial Hospital | General Acute Care Hospital | 955 Ribaut Rd, Beaufort, SC 29902-5441 | 2005-09-08 |
| 1992327845 | Beaufort County Memorial Hospital | Internal Medicine | 4818 Bluffton Pkwy, Bluffton, SC 29910-4602 | 2020-05-14 |
| 1235552746 | Beaufort County Memorial Hospital | Obstetrics & Gynecology | Beaufort Memorial Obstetrics & Gynecology Specialists, 989 Ribaut Rd, Ste 210, Beaufort, SC 29902-5472 | 2014-02-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEAUFORT COUNTY MEMORIAL HOSPITAL | 955 Ribaut Rd, Beaufort, SC 29902-5441 |
| Street Address |
300 MIDTOWN DR |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29906-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077219 | Medical Services of America Inc | Emergency Response System Companies | 300 Midtown Dr, Ste A, Beaufort, SC 29906-5200 | 2005-07-18 |
| 1194106435 | Katelynne Walker | Physical Therapist | 300 Midtown Dr, Beaufort, SC 29906-5200 | 2015-06-12 |
| 1811302946 | Pia V Biason-webb | Nurse Practitioner | 300 Midtown Dr, Beaufort, SC 29906-5200 | 2014-06-27 |
| 1235551516 | Veronica Kem Smalheiser | Nurse Practitioner | 300 Midtown Dr, Beaufort, SC 29906-5200 | 2014-01-06 |
| 1134564008 | Jessica Moore Lowther | Nurse Practitioner | 300 Midtown Dr, Beaufort, SC 29906-5200 | 2013-05-06 |
| 1609185164 | Beaufort County Allergy | Non-Pharmacy Dispensing Site | 300 Midtown Dr, Beaufort, SC 29906-5200 | 2010-10-01 |
| 1346490406 | Lowcountry Neurology and Headache, LLC | Psychiatry & Neurology | 300 Midtown Dr, Beaufort, SC 29906-5200 | 2008-09-25 |
| 1003009846 | Jeffery M Reuben, Md Pa | Durable Medical Equipment & Medical Supplies | 300 Midtown Dr, Beaufort, SC 29906-5200 | 2007-08-24 |
| 1942348859 | Linda Michelle Hubbard | Physician Assistant | 300 Midtown Dr, Spine Suite, Beaufort, SC 29906-5200 | 2007-02-02 |
| 1457406704 | Lowcountry Medical Group, LLC | Specialist | 300 Midtown Dr, Beaufort, SC 29906-5200 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376038687 | Derek Ray Dawson | Dentist | 74 Shadow Moss Dr, Beaufort, SC 29906 | 2018-06-28 |
| 1275957821 | Alan F Dinehart Jr. | Chiropractor | 30 Robert Smalls Parkway, Beaufort, SC 29906 | 2014-02-18 |
| 1699019414 | Poimen,llc | Non-emergency Medical Transport (VAN) | 75 Stanley Farm Road, Beaufort, SC 29906 | 2012-11-16 |
| 1104157569 | Jennifer L Williams | Marriage & Family Therapist | 69 Robert Smalls Pkwy Ste 2b, Beaufort, SC 29906 | 2010-01-26 |
| 1437395969 | Heather L Coker | Counselor | 62 Possum Hill Rd, Beaufort, SC 29906 | 2009-01-06 |
| 1750532115 | Sailaja Adari | Internal Medicine | 300 Mid Town Drive, Beaufort, SC 29906 | 2008-10-03 |
| 1245443241 | A Community Caring for Children | Dental Hygienist | 120 Shanklin Road, Beaufort, SC 29906 | 2007-05-07 |
| 1871672485 | Cathy Lorraine Bagley | Obstetrics & Gynecology | 330 Robert Smalls Pkwy Ste 24-344, Beaufort, SC 29906 | 2006-11-03 |
| 1073521662 | Bertram Dodson Garrett | Family Medicine | 10 Fort Lyttleton, Beaufort, SC 29906 | 2006-08-03 |
| 1568401099 | Lee O Butterfield | Internal Medicine | Beaufort Memorial Heart Specialist, 300 Midtown Dr, Beaufort, SC 29906 | 2006-06-06 |
| Find all providers in zip 29906 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 |
|---|---|---|---|---|
| 1043545965 | Douglas A Scott | Orthopaedic Surgery | 1076 Ribaut Rd Ste 101, Beaufort, SC 29902-5477 | 2009-10-09 |
| 1366506388 | Jonathan P Bacon | Orthopaedic Surgery | 78 Dolphin Point Dr, Beaufort, SC 29907-1715 | 2006-12-21 |
| 1568556264 | Thomas Pasteur Harden | Orthopaedic Surgery | 121 Sunset Blvd, Beaufort, SC 29907-1417 | 2006-10-03 |
| 1740219013 | James Amlicke | Orthopaedic Surgery | 300 Midtown Drive, Beaufort, SC 29906-0001 | 2006-06-30 |
| 1841237138 | Howell K. Jones | Orthopaedic Surgery | 1251 Ribaut Rd, Beaufort, SC 29902-6185 | 2006-06-02 |
| 1699035378 | Carson L Sanders | Orthopaedic Surgery | 1076 Ribaut Rd Ste 101, Beaufort, SC 29902-5477 | 2012-05-29 |
| 1083754923 | Reed M Heckert | Orthopaedic Surgery | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2007-02-08 |
| 1861531394 | Low Country Bone and Joint | Orthopaedic Surgery | 1251 Ribaut Rd, Beaufort, SC 29902-6185 | 2007-02-05 |
| 1356411599 | Edward Riley Blocker | Orthopaedic Surgery | 300 Midtown Dr, Suite 20, Beaufort, SC 29906-5200 | 2006-11-08 |
| 1073683207 | Leland Crumpton Stoddard Jr. | Orthopaedic Surgery | Beaufort Memorial Orthopaedic Specialists, 300 Midtown Dr, Beaufort, SC 29906-5200 | 2006-11-08 |
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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.