SOUTH CHARLESTON MEDICAL CENTER (NPI# 1215047535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215047535 |
| Entity Type | Organization |
| Organization Name | SOUTH CHARLESTON MEDICAL CENTER |
| Practice Address |
1176 E Home Rd Suite O Springfield OH 45503-2726 |
| Practice Telephone | 9373980051 |
| Practice Fax Number | 9373980054 |
| Mailing Telephone | 9373980051 |
| Mailing Fax Number | 9373980054 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARVIN H. WILLIAMS JR. (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 9373980051 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35051235 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
1176 E HOME RD SUITE O |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45503-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467457275 | Scott A. Golde | Physician Assistant | 1176 E Home Rd, Springfield, OH 45503-2726 | 2005-06-17 |
| 1861044158 | Julie Ann Gallagher | Family Medicine | 1176 E Home Rd, Springfield, OH 45503-2726 | 2019-07-16 |
| 1568855484 | Quest Primary Group LLC | Clinic/Center | 1176 E Home Rd, Springfield, OH 45503-2726 | 2015-03-17 |
| 1588057533 | Quest Primary Care LLC | Clinic/Center | 1176 E Home Rd, Springfield, OH 45503-2726 | 2015-03-16 |
| 1922490259 | Quest Cardiology Group | Clinic/Center | 1176 E Home Rd, Springfield, OH 45503-2726 | 2015-02-24 |
| 1760608764 | Drs Green and Hodge Inc | Colon & Rectal Surgery | 1176 E Home Rd, Springfield, OH 45503 | 2007-04-18 |
| 1841300159 | Marvin H. Williams Jr. | Emergency Medicine | 1176 E Home Rd, Suite O, Springfield, OH 45503-2726 | 2006-08-30 |
| 1184734477 | Lucinda J. Knapp | Family Medicine | 1176 E Home Rd, Suite O, Springfield, OH 45503-2726 | 2006-08-30 |
| 1669429478 | Pamela Daufel | Family Medicine | 1176 E Home Rd, Springfield, OH 45503-2726 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093182727 | Future Plan LLC Dba Home Instead Senior Care | In Home Supportive Care | 333 Mt Vernon Ave, Springfield, OH 45503 | 2015-08-28 |
| 1740665280 | Paulette Thomas | Occupational Therapy Assistant | 722 Patrick Road, Springfield, OH 45503 | 2015-07-27 |
| 1912391400 | Nanditha Alamelu Ranganathan | Student in an Organized Health Care Education/Training Program | 2655 Ballydoyle Dr., Springfield, OH 45503 | 2015-03-24 |
| 1598102568 | Careplus Home Healthcare | Registered Nurse | 802 N. Limestone St, Spfld, OH 45503 | 2013-05-30 |
| 1407120033 | Janice Louise Foster | Home Health Aide | 3131 Erter Drive, Springfield, OH 45503 | 2012-02-29 |
| 1306123112 | David P. Comer | Physician Assistant | 2600 N Limestone St Fl 2, Springfield, OH 45503 | 2011-11-08 |
| 1689953564 | Family Dental Care | Dentist | 1240 E. Main St, Springfield, OH 45503 | 2011-08-10 |
| 1942539317 | Latonia Marie Montgomery | Licensed Vocational Nurse | 2350 North Limestone #10, Springfield, OH 45503 | 2009-12-15 |
| 1518139385 | Springfield Eye Group LLC | Optometrist | 1674 North Limestone St, Springfield, OH 45503 | 2008-04-01 |
| 1457543951 | Kara Nicole Miller | Physician Assistant | 2600 N. Limestone, 2nd Floor, Springfield, OH 45503 | 2007-08-17 |
| Find all providers in zip 45503 | ||||
| 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 |
|---|---|---|---|---|
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649815796 | 180 Health Lifestyle Wellness Centers | Family Medicine | 1936 S Glenstone Ave, Springfield, MO 65804-2305 | 2019-11-13 |
| 1790337988 | Aminat Ogun | Family Medicine | 520 N 4th St # 62702, Springfield, IL 62702-5238 | 2019-07-09 |
| 1770076622 | Thomas John Schumann | Family Medicine | 1260 E. Woodlawn Ave, Suite 200, Springfield, PA 19064-3988 | 2018-06-14 |
| 1134648959 | Patricia Derges | Family Medicine | 3259 E Sunshine St Ste Aa, Springfield, MO 65804-2114 | 2017-09-12 |
| 1740704667 | Mercy Management of Sepa | Family Medicine | 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 | 2017-08-02 |
| 1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
| 1790215853 | Vincent Marchese | Family Medicine | 1260 E Woodland Ave Ste 200, Springfield, PA 19064-3956 | 2017-06-12 |
| 1184152100 | Canaan Arceneaux | Family Medicine | 1001 Baltimore Pike Ste 106, Springfield, PA 19064-2800 | 2017-06-03 |
| 1063943587 | Cody Stark Rogers | Family Medicine | 1423 N Jefferson Ave # A100, Springfield, MO 65802-1988 | 2017-03-26 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45503 |
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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.