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).
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 |
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 Name | Type Code |
---|---|
Upstate Family Medicine | Doing Business As Name - Organization |
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 |
Street Address |
109 OMNI DR SUITE B |
City | SENECA |
State | SC |
Zip Code | 29672-9448 |
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 |
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 Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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 |
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 |
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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.