DR. GORDON REESE WEIGLE II (NPI# 1093768616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093768616 |
Entity Type | Individual |
Full Name | DR. GORDON REESE WEIGLE II |
Credential | M.D. |
Practice Address |
1767 Village Park Dr Orangeburg SC 29118-2475 |
Practice Telephone | 8037764000 |
Practice Fax Number | 8035361719 |
Mailing Telephone | 8037764000 |
Mailing Fax Number | 8035361719 |
Enumeration Date | 2006-05-17 |
Last Update Date | 2017-02-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | SC8901 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 089013 | 05 |
Street Address |
1767 VILLAGE PARK DR |
City | ORANGEBURG |
State | SC |
Zip Code | 29118-2475 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265664734 | Kelly L Russo | Psychologist | 1767 Village Park Dr, Orangeburg, SC 29118-2475 | 2009-08-18 |
1366526451 | Janet Paparella Adams | Social Worker | 1767 Village Park Dr, Orangeburg, SC 29118-2475 | 2006-10-25 |
1629088513 | Rita Jones Robinson | Internal Medicine | 1767 Village Park Dr, Va Outpatient Clinic, Orangeburg, SC 29118-2475 | 2006-08-09 |
1841207198 | William Andy Nuckols | Family Medicine | 1767 Village Park Dr, Orangeburg, SC 29118-2475 | 2006-08-01 |
1912945593 | Columbia Vamc | Clinic/Center | 1767 Village Park Dr, Orangeburg, SC 29118-2475 | 2006-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
Find all providers in zip 29118 |
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 |
---|---|---|---|---|
1053941757 | Occ Pro Healthcare LLC | Family Medicine | 1555 Middleton St, Orangeburg, SC 29115-4791 | 2020-01-22 |
1548429319 | Dr. Spencer C Disher | Family Medicine | 196 Centre St, Orangeburg, SC 29115-6044 | 2008-06-05 |
1114094745 | Neil L Block | Family Medicine | 60 Dutch Hill Road, Suite 3, Orangeburg, NY 10962 | 2006-11-29 |
1699882662 | Henry Bowens Jr. | Family Medicine | 172 Old Elloree Rd, Orangeburg, SC 29115 | 2006-08-24 |
1912914284 | Willie B Louis | Family Medicine | 1102 Summers Ave, Orangeburg, SC 29115-4922 | 2006-08-01 |
1730103144 | Franklin Carn Coulter | Family Medicine | 941 Summers Ave, Orangeburg, SC 29115-4931 | 2006-07-27 |
1093733719 | William H Whitley | Family Medicine | 1724 Village Park Dr, Orangeburg, SC 29118-2426 | 2006-07-18 |
1962428318 | Arthur Kobina Kennedy | Family Medicine | 1748 Saint Matthews Rd, Orangeburg, SC 29118-2441 | 2006-07-15 |
1447280946 | Patricia Ellen Riddle | Family Medicine | 1101 Cook Road, Orangeburg, SC 29118 | 2006-07-03 |
1093744849 | Alan Mark Jolles | Family Medicine | 125 Express Ln, Orangeburg, SC 29118-2477 | 2006-07-02 |
Find all providers in ORANGEBURG |
City | ORANGEBURG |
Zip Code | 29118 |
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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.