SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC (NPI# 1063834646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063834646 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC |
| Practice Address |
1190 Highway 9 Byp W Lancaster SC 29720-1709 |
| Mailing Address |
8141 Rourk St Myrtle Beach SC 29572-4128 |
| Practice Telephone | 8032851411 |
| Practice Fax Number | 8032839920 |
| Mailing Telephone | 8434922293 |
| Mailing Fax Number | 8883836797 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-07-18 |
| Authorized Official Name | BRANDON S PERCIVAL (PRESIDENT) |
| Authorized Official Telephone | 8032851411 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922424423 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 166 Waccamaw Medical Park Ct, Conway, SC 29526-8965 | 2014-03-09 |
| 1144645722 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1 Medical Park Dr Ste C, Chester, SC 29706-9769 | 2014-02-19 |
| 1699190272 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 9789 Charlotte Hwy Ste 200, Fort Mill, SC 29707-7182 | 2014-02-19 |
| 1578981452 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 3700 Sawtell Rd, Little River, SC 29566-7873 | 2014-03-28 |
| 1659797157 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1120 Glenns Bay Rd, Suite 103, Surfside Beach, SC 29575-4757 | 2014-03-09 |
| 1477979979 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 3700 Sawtell Rd, Little River, SC 29566-7873 | 2014-03-09 |
| 1659797140 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 8141 Rourk St, Myrtle Beach, SC 29572-4128 | 2014-03-09 |
| 1063837870 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 912 Inlet Square Dr, Murrells Inlet, SC 29576-7812 | 2014-03-03 |
| 1982029799 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2845 E Highway 76, Medical Park 2 Ste 1, Mullins, SC 29574-6037 | 2014-03-03 |
| 1669897690 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1575 E Main St, Duncan, SC 29334-9218 | 2014-02-27 |
| Street Address |
1190 HIGHWAY 9 BYP W |
| City | LANCASTER |
| State | SC |
| Zip Code | 29720-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518930817 | Brandon Scot Percival | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2006-02-08 |
| 1134571334 | Robert Ezewuiro | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2016-07-12 |
| 1437503422 | Katlin O'hara Jackson | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2016-04-16 |
| 1114399813 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2015-10-21 |
| 1528246311 | Carolina Podiatry Group, Inc. | Durable Medical Equipment & Medical Supplies | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2008-02-05 |
| 1194902890 | Carolina Podiatry Group, Inc. | Durable Medical Equipment & Medical Supplies | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2008-01-24 |
| 1013103100 | William Harris Iv | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2007-09-21 |
| 1427093954 | Carolina Podiatry Group, Inc. | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2006-06-18 |
| 1124091426 | Julie Welsh Percival | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342517 | Brandi Breunta Guinyard | Pharmacist | 805 Highway 9, Lancaster, SC 29720 | 2020-09-30 |
| 1831703172 | Faithful Nurses Healthcare | In Home Supportive Care | 108 D Woodland Park Drive, Lancaster, NC 29720 | 2020-09-03 |
| 1114568532 | Lancaster Youth Leadership & Development Program | Voluntary or Charitable | 916 15th Street, Lancaster, SC 29720 | 2019-10-07 |
| 1407320815 | Kristina Marie Medinger | Specialist/Technologist | 4290 Tabernacle Rd, Lancaster, SC 29720 | 2019-01-18 |
| 1154898179 | Crystal B Clark | Family Medicine | 112 Woodland Drive, Lancaster, SC 29720 | 2018-10-29 |
| 1104330802 | Community Medicine Foundation, Inc | Clinic/Center | 1906 Highway 521 Bypass, Catawba Community Mental Health Center Lancaster Clinic, Lancaster, SC 29720 | 2017-11-17 |
| 1467992768 | Endocrinology and Diabetes of The Carolinas LLC | Internal Medicine | 901 West Meeting Street, Suite 205, Lancaster, SC 29720 | 2017-03-06 |
| 1285080341 | Carolinas Physicians Network, Inc. | Orthopaedic Surgery | 1201-1203 Colonial Commons Court, Lancaster, SC 29720 | 2016-05-09 |
| 1568827814 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1190, Sc-9, Lancaster, SC 29720 | 2015-12-30 |
| 1023491651 | Karen Mcgarvey | Nurse Practitioner | 333 Sc-9 Bypass, Lancaster, SC 29720 | 2015-07-01 |
| Find all providers in zip 29720 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992333967 | Hummel Foot and Ankle LLC | Podiatrist | 1525 Old Schoolhouse Road, Suite 1201, Lancaster, PA 17601 | 2020-03-27 |
| 1063617645 | Pamela Sauer | Podiatrist | 208 Cool Creek Way, Lancaster, PA 17602-6127 | 2007-06-15 |
| 1255339651 | Alan Sclafani | Podiatrist | 2183 Oregon Pike, Lancaster, PA 17601-4604 | 2005-07-09 |
| 1750929378 | The Healthy Foot LLC | Podiatrist | 208 Cool Creek Way, Lancaster, PA 17602-6127 | 2019-12-13 |
| 1134571334 | Robert Ezewuiro | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2016-07-12 |
| 1427119262 | Ambulatory Foot Care | Podiatrist | 2700 W Pleasant Run Rd, 360, Lancaster, TX 75146-1079 | 2006-12-13 |
| 1558441733 | Jane A Pontisso | Podiatrist | 1334 Sheridan Dr, Suite 4, Lancaster, OH 43130-3956 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457728032 | Flowertown Podiatry, Inc | Podiatrist | 4340 Ladson Rd Ste C, Ladson, SC 29456-6444 | 2015-08-30 |
| 1346384971 | John Ksor | Podiatrist | 2502 Broad St, Camden, SC 29020-2238 | 2007-02-16 |
| 1326007022 | Mark Raymond Kutyla | Podiatrist | 121 Park Place Ct, Lexington, SC 29072-6690 | 2006-03-21 |
| 1669441895 | Gerard F Rainer | Podiatrist | 148 Milestone Way, Suite A, Greenville, SC 29615-5007 | 2006-03-17 |
| 1609850122 | Brad A. Lindstrom | Podiatrist | 211 E Butler Rd, Suite A-2, Mauldin, SC 29662-2169 | 2005-11-30 |
| 1285623827 | Sarah M Jordan | Podiatrist | 1399 John B White Sr Blvd, Spartanburg, SC 29306-3911 | 2005-10-17 |
| 1194259341 | Matthew Fernandez | Podiatrist | 1012 Physicians Dr, Charleston, SC 29414-5719 | 2017-04-14 |
| 1336564749 | Oak Tree Podiatry, Pa | Podiatrist | 5 Winchester Ct, Mauldin, SC 29662-2626 | 2014-02-21 |
| 1265673784 | Hans Blaakman,dpm,llc | Podiatrist | 1575 E Main St, Duncan, SC 29334-9218 | 2009-03-12 |
| 1467609016 | Gerard F. Rainer Dpm | Podiatrist | 148 Milestone Way, Ste A, Greenville, SC 29615-5007 | 2008-08-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC.
| 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.