NEWBERRY SURGICAL LLC (NPI# 1073072468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073072468 |
| Entity Type | Organization |
| Organization Name | NEWBERRY SURGICAL LLC |
| Practice Address |
2660 Kinard St Newberry SC 29108-2912 |
| Mailing Address |
3611 Valley Rd Columbia SC 29204-3418 |
| Practice Telephone | 9122784819 |
| Mailing Telephone | 9122784819 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |
| Authorized Official Name | WILLIAM H CANTEY (OWNER/EMPLOYEE) |
| Authorized Official Telephone | 9122784819 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 188175 | 05 |
| Street Address |
2660 KINARD ST |
| City | NEWBERRY |
| State | SC |
| Zip Code | 29108-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780613455 | Paul Manuel Espinoza | Family Medicine | 2660 Kinard St, Newberry, SC 29108-2912 | 2006-07-03 |
| 1952930422 | Espinoza Vein Institute LLC | Phlebology | 2660 Kinard St, Newberry, SC 29108-2912 | 2020-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104472109 | Palmetto Bone and Joint | Pain Medicine | Palmetto Bone and Joint, 2605 Kinard St Suite 105, Newberry, SC 29108 | 2019-08-15 |
| 1922578582 | Joni Seibert Chapman | Registered Nurse | 3419 Main Street, Newberry, SC 29108 | 2018-11-27 |
| 1235652967 | Stephanie M Fulmer | Nurse Practitioner | 2351 Evans Street, Suite A, Newberry, SC 29108 | 2017-07-25 |
| 1497152177 | Frances Diane Martin | Registered Nurse | 9307 Sc Highway 34, Newberry, SC 29108 | 2014-11-25 |
| 1528463254 | Lauren Flynn | Registered Nurse | 3419 Main St, Newberry, SC 29108 | 2014-10-23 |
| 1689017998 | Charlene Kneece | Registered Nurse | 255 Hawkins Road, Newberry, SC 29108 | 2013-04-17 |
| 1952642423 | Allison Kyzer Gardner | Chiropractor | 3218 College Street, Newberry, SC 29108 | 2013-03-08 |
| 1972853372 | Dipa Mcgee | Pharmacist | 1210 Wilson Road, Newberry, SC 29108 | 2012-09-12 |
| 1730339060 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 2850 Kinard St, Newberry, SC 29108 | 2008-09-23 |
| 1508042201 | Newberry Oncology Associates | Radiology | 298 Commerce Dr., Newberry, SC 29108 | 2008-01-14 |
| Find all providers in zip 29108 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720064645 | John W Brown | Surgery | 2541 Evans St, Suite 100, Newberry, SC 29108-2939 | 2005-12-22 |
| 1528135050 | Richard A Armstrong | Surgery | 502 W Harrie St, Newberry, MI 49868-1209 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785282 | Christopher James Levy | Surgery | Prisma Health Medical Group General Surgery, 2 Medical Park, Ste 300, Collumbia, SC 29203 | 2020-06-18 |
| 1881219137 | Meredith Elizabeth Taylor | Surgery | 96 Jonathan Lucas St # 613, Charleston, SC 29425-8900 | 2020-06-12 |
| 1073136511 | Trey Jeffrey Mathews | Surgery | 101 E. Wood St, Spartanburg, SC 29303-3098 | 2020-05-19 |
| 1356984322 | Katelyn Tuley | Surgery | 210 Village Center Blvd Ste 140, Myrtle Beach, SC 29579-6706 | 2019-10-23 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1104485648 | Gregory Tyler Rives | Surgery | 96 Jonathan Lucas St Csb 423-a / Msc 613, Charleston, SC 29425-0001 | 2019-06-09 |
| 1396220554 | Spartanburg Medical Center | Surgery | 840 W Floyd Baker Blvd Ste B, Gaffney, SC 29341-1845 | 2018-10-03 |
| 1659853596 | Roper Saint Francis Physicians Network | Surgery | 300 Callen Blvd, Summerville, SC 29486-2809 | 2018-09-06 |
| 1336633569 | Lytani Wilson | Surgery | 96 Jonathan Lucas St # 423, Charleston, SC 29425 | 2018-06-20 |
| 1609360890 | Alicia Marie Stafford | Surgery | 169 Ashley Avenue Rm 202 Main Hospital, Msc333, Charleston, SC 29425 | 2018-06-20 |
| 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.