OCONEE PHYSICIAN PRACTICES


Address: 109 Omni Dr, Suite B, Seneca, SC 29672-9448
Phone: 8648857938

OCONEE PHYSICIAN PRACTICES (NPI# 1154507473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154507473
Entity Type Organization
Organization Name OCONEE PHYSICIAN PRACTICES
Other Organization Name UPSTATE FAMILY MEDICINE
Practice Address 109 Omni Dr
Suite B
Seneca
SC 29672-9448
Mailing Address 123 Lila Doyle Dr
Seneca
SC 29672-9495
Practice Telephone 8648857938
Practice Fax Number 8648826680
Mailing Telephone 8648857989
Mailing Fax Number 8648857945
Enumeration Date 2008-01-16
Last Update Date 2008-01-16
Authorized Official Name MR. MATTHEW G HEDTKE (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8648857673
Authorized Official Credential MHA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
261QR1300X SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Upstate Family Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1780926675 Oconee Physician Practices Clinic/Center 106 Ram Cat Aly, Seneca, SC 29678-3244 2013-03-19
1528302783 Oconee Physician Practices Clinic/Center 208 Frontage Rd, Suite 1, Clemson, SC 29631-1691 2012-11-12
1407034127 Oconee Physician Practices Nurse Practitioner 106 Ram Cat Aly, Seneca, SC 29678-3244 2008-02-05
1831375856 Oconee Physician Practices Clinic/Center 109 Omni Dr, Seneca, SC 29672-9448 2008-01-22
1356527352 Oconee Physician Practices Clinic/Center 106 Ram Cat Aly, Seneca, SC 29678-3244 2008-01-21
1992910210 Oconee Physician Practices Contractor 301 Memorial Dr, Suite G, Seneca, SC 29672-9491 2007-05-11

Office Location

Street Address 109 OMNI DR
SUITE B
City SENECA
State SC
Zip Code 29672-9448

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316919467 Carolina Surgery, Pa Surgery 109 Omni Dr, Suite A, Seneca, SC 29672-9448 2006-02-03
1437605524 Prisma Health-upstate Clinic/Center 109 Omni Dr, Suite B, Seneca, SC 29672-9448 2016-08-29
1962854125 Ghs Partners In Health, Inc. Pediatrics 109 Omni Dr, Suite B, Seneca, SC 29672-9448 2016-07-12
1407242050 Oconee Kidney Center, LLC Internal Medicine 109 Omni Dr, Suite B, Seneca, SC 29672-9448 2015-04-10
1811238116 Megan Mcnulty Bowers Nurse Practitioner 109 Omni Dr, Suite B, Seneca, SC 29672-9448 2013-03-12
1831375856 Oconee Physician Practices Clinic/Center 109 Omni Dr, Seneca, SC 29672-9448 2008-01-22
1174668792 Cynthia D Floyd Nurse Practitioner 109 Omni Dr, Suite B, Seneca, SC 29672-9448 2007-02-21
1831288059 Kay Lynn Olmsted Nurse Practitioner 109 Omni Dr, Suite B, Seneca, SC 29672-9448 2006-10-12
1831140540 Upstate Family Medicine Pa Family Medicine 109 Omni Dr, Suite B, Seneca, SC 29672-9448 2006-05-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790308955 Pooja Kamboj Student in an Organized Health Care Education/Training Program 139 Lila Doyle Dr., Seneca, SC 29672 2020-05-22
1578126785 Johanna Marie Scarino Lemons Lactation Consultant, Non-RN 504 Willow Branch Ln, Seneca, SC 29672 2019-04-15
1982067971 Marthe Melanie Bryant Connah Family Medicine 139 Lila Doyle Drive, Family Medicine Residency - Oconee, Seneca, SC 29672 2016-03-29
1558733220 Alyssa K. Locke Occupational Therapist 101 S-37-349, Seneca, SC 29672 2015-10-21
1497857742 Pulmonary Critical Care & Sleep Associates Pa Clinic/Center 107 Omni Drive, Suite A, Seneca, SC 29672 2006-09-05
1659381440 Timothy Aaron Zeller Family Medicine 139 Lila Doyle Dr, Seneca, SC 29672 2006-08-08
1871546978 Samuel Thomas Drake Specialist 103 Omni Dr Ste A, Seneca, SC 29672 2006-05-18
1235123878 Nancy Matz Thiel Chiropractor 355 Katelynn Lane, Seneca, SC 29672 2005-09-09
1265439954 David E Heape Emergency Medicine 298 Memoral Drive, Oconee Memorial Hospital, Seneca, SC 29672 2005-07-07
1407345846 Prisma Health-upstate Clinic/Center 139 Lila Doyle Drive, Seneca, SC 29672 2018-05-01
Find all providers in zip 29672

Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881291722 Margot Veronique Rabren Nurse Practitioner 109 Carter Park Dr # 3a, Seneca, SC 29678-1152 2020-10-05
1083278279 Heather Michelle Martin Nurse Practitioner 115 Eagles Nest Dr Ste B, Seneca, SC 29678-2762 2019-04-24
1407034127 Oconee Physician Practices Nurse Practitioner 106 Ram Cat Aly, Seneca, SC 29678-3244 2008-02-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710588819 Natalia Milliken Nurse Practitioner 4921 Bluffton Pkwy Apt 534, Bluffton, SC 29910-4655 2020-11-04
1447851084 Paris Gartmon Nurse Practitioner 630 Canalside St Unit 1016, Columbia, SC 29201-6030 2020-11-02
1134736309 Holly Leanne Poplin Nurse Practitioner 3600 Sea Mountain Hwy, Suite C, Main Street Physicians/sc House Calls Inc, Little River, SC 29566 2020-09-30
1821649344 Jacqueline G. Stephens Nurse Practitioner 406 S Railroad Ave, Lamar, SC 29069-2906 2019-09-25
1780241182 Adrienne Lendsey Hinton Nurse Practitioner 201 Lake Front Dr, Columbia, SC 29212-2422 2019-05-22
1871055210 Kelli Lane Evans Nurse Practitioner 260 W Coleman Blvd Ste A, Mount Pleasant, SC 29464-3666 2019-04-04
1255807087 Jaclyn Blair Lucchese Nurse Practitioner 25 Hospital Center Blvd Ste 105, Hilton Head Island, SC 29926-2735 2018-10-19
1790297497 Juliann Marie Trumpower Nurse Practitioner 9789 Charlotte Hwy Ste 1400, Fort Mill, SC 29707-7186 2017-11-02
1841700259 Lyn Ivy Lipat Nurse Practitioner 9221 University Blvd Ste C, North Charleston, SC 29406-9148 2017-10-11
1205383551 Mary June Torreon Nurse Practitioner 680 Millstream Dr, Rock Hill, SC 29732-3582 2016-09-03
Find all providers with the same taxonomy

Competitor

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City SENECA
Zip Code 29672

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Dataset Information

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.

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