DR. DALE BLIZZARD (NPI# 1174543409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174543409 |
| Entity Type | Individual |
| Full Name | DR. DALE BLIZZARD |
| Credential | MD |
| Practice Address |
935 West 2nd Street Swansea SC 29160 |
| Mailing Address |
Po Box 896239 Charlotte NC 28289-6239 |
| Practice Telephone | 8035682000 |
| Practice Fax Number | 8035684190 |
| Mailing Telephone | 8035682000 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2017-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20901 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
935 WEST 2ND STREET |
| City | SWANSEA |
| State | SC |
| Zip Code | 29160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821021254 | Lexington County Health Services District Inc | Clinic/Center | 935 West 2nd Street, Swansea, SC 29160 | 2006-07-09 |
| 1730105735 | Lexington County Health Services District, Inc. | Clinic/Center | 935 West 2nd Street, Swansea, SC 29160 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760974828 | Sandy Run K-8 School | Clinic/Center | 450 Old Swamp Rd, Swansea, SC 29160 | 2018-06-05 |
| 1528314465 | Heritage Family Dentistry, LLC | Dentist | 533 Saint Matthews Road, Swansea, SC 29160 | 2012-07-30 |
| 1770727190 | Personal Touch Homecare,llc | Home Health | 335 W. Third St., Swansea, SC 29160 | 2009-04-29 |
| 1952582603 | Kristy Michelle Wolff | Nurse Practitioner | 935 West 2nd St, Swansea, SC 29160 | 2007-11-23 |
| 1457415853 | Cassandra Jo Moore | Counselor | 580 North Church Street, Swansea, SC 29160 | 2006-12-20 |
| 1629194220 | Joseph B Workman IIi | Dentist | 533 St Matthews Rd, Swansea, SC 29160-0624 | 2007-03-22 |
| 1861797128 | Palmetto Senior Advocate | Health Maintenance Organization | 3064 Pine Plain Road, Swansea, SC 29160-0656 | 2011-01-18 |
| 1831167873 | Discount Drug of Swansea | Pharmacy | 290 West Third Street, Swansea, SC 29160-0985 | 2006-03-08 |
| 1275758633 | Anthony B Ray | Pharmacist | 290 West Third Street, Swansea, SC 29160-0985 | 2007-04-13 |
| 1306101225 | Melba Marie Acey | Speech-Language Pathologist | 259 River Ridge Way, Swansea, SC 29160-8287 | 2012-07-06 |
| Find all providers in zip 29160 | ||||
| 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 |
|---|---|---|---|---|
| 1164029591 | Lexington Health Inc | Family Medicine | 935 W 2nd St, Swansea, SC 29160-8665 | 2020-10-08 |
| 1629428644 | William R Blair | Family Medicine | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2016-06-21 |
| 1629443601 | Pc Associates, LLC | Family Medicine | 3 Park Pl, Swansea, IL 62226-2965 | 2015-12-02 |
| 1649531302 | Jessica Huang | Family Medicine | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2012-05-30 |
| 1437259116 | Sarah C. Phillips | Family Medicine | 935 W 2nd St, Swansea, SC 29160-8665 | 2006-09-23 |
| 1760490841 | Henry J Marion | Family Medicine | 935 W 2nd St, Swansea, SC 29160-8665 | 2006-08-04 |
| 1346207842 | Hugh Woolverton IIi | Family Medicine | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2006-04-27 |
| 1821050006 | Priscilla Shube | Family Medicine | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2006-04-04 |
| 1225099443 | Jeffrey B. Syme | Family Medicine | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2006-03-29 |
| 1669432605 | Mark A. Ringiewicz | Family Medicine | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2006-03-24 |
| Find all providers in SWANSEA | ||||
Please comment or provide details below to improve the information on DR. DALE BLIZZARD.
| 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.