FOOT CLINIC OF SOUTH CAROLINA, LLC (NPI# 1255756797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255756797 |
| Entity Type | Organization |
| Organization Name | FOOT CLINIC OF SOUTH CAROLINA, LLC |
| Other Organization Name | FOOT CLINIC OF SC, LLC |
| Practice Address |
1035 Medical Ridge Rd Clinton SC 29325-4542 |
| Mailing Address |
211 E Butler Rd Ste A2 Mauldin SC 29662-2170 |
| Practice Telephone | 8649386984 |
| Practice Fax Number | 9783277938 |
| Mailing Telephone | 8642819171 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2015-11-12 |
| Authorized Official Name | BRADLEY LINDSTROM (PRESIDENT) |
| Authorized Official Telephone | 8642819171 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Foot Clinic of SC, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427473966 | Foot Clinic of South Carolina, LLC | Podiatrist | 211 E Butler Rd, Suite A2, Mauldin, SC 29662-2169 | 2014-02-20 |
| 1861538969 | Foot Clinic of South Carolina, LLC | Podiatrist | 211 E Butler Rd, Suite A2, Mauldin, SC 29662-2169 | 2007-01-29 |
| Street Address |
1035 MEDICAL RIDGE RD |
| City | CLINTON |
| State | SC |
| Zip Code | 29325-4542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316594724 | Akila Davis Boozer | Nurse Practitioner | 1035 Medical Ridge Rd, Clinton, SC 29325-4542 | 2019-08-20 |
| 1821561788 | Clear Skye Medical Holdings, LLC | Substance Abuse Rehabilitation Facility | 1035 Medical Ridge Rd, Clinton, SC 29325-4542 | 2019-01-03 |
| 1922577758 | Patricia Ann Gordon | Counselor | 1035 Medical Ridge Rd, Clinton, SC 29325-4542 | 2018-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353100 | Mason Paige Gambrell | Student in an Organized Health Care Education/Training Program | 107 Shellcreek Ct, Clinton, SC 29325 | 2020-07-07 |
| 1386207975 | Tammy Binger | Registered Nurse | 22725 U.S. 76, Clinton, SC 29325 | 2019-04-18 |
| 1154828945 | Lillian Smith | Physical Therapy Assistant | Nhc Clinton, 304 Jacobs Highway, Clinton, SC 29325 | 2018-04-09 |
| 1134519366 | Nora Pace | Specialist/Technologist | 18132 Hwy 72 E, Clinton, SC 29325 | 2015-01-26 |
| 1497186845 | John M. Griz | Orthopaedic Surgery | 22971 Hwy 76e, Clinton, SC 29325 | 2013-12-11 |
| 1992131171 | Sharon Kay Stoia | Occupational Therapist | 600 Plaza Circle, Clinton, SC 29325 | 2013-09-19 |
| 1578800256 | Hayes Ambulance Service LLC | Ambulance | 2143 Torrington Road, Clinton, SC 29325 | 2013-01-14 |
| 1083943518 | Margaret Estelle Shreve | Chiropractor | 209 Musgrove St, Clinton, SC 29325 | 2009-12-11 |
| 1750556213 | Piedmont Regional Urology | Urology | 300 Plantation Plaza, Suite F, Clinton, SC 29325 | 2008-04-25 |
| 1285821587 | Assisted Living Concepts Inc | Assisted Living Facility | 939 Springdale Drive, Clinton, SC 29325 | 2007-10-01 |
| Find all providers in zip 29325 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225021223 | Charles H Allison | Podiatrist | 216 5th Ave S, Clinton, IA 52732-4309 | 2005-08-24 |
| 1952715609 | Garrett Child | Podiatrist | 1602 N 2nd St, Clinton, MO 64735-1192 | 2014-06-19 |
| 1578884466 | Ashley Dawn Blackwell | Podiatrist | 705 Highway 80 W, Clinton, MS 39056-4103 | 2010-06-15 |
| 1437387230 | Jashan Valjee | Podiatrist | 9135 Piscataway Rd, Suite 102, Clinton, MD 20735 | 2009-06-30 |
| 1285809715 | Larry S. Hotchkiss, Dpm, PC | Podiatrist | 9135 Piscataway Rd, Ste 102, Clinton, MD 20735-2549 | 2008-04-25 |
| 1124132147 | Larry S. Hotchkiss, Dpm PC | Podiatrist | 9135 Piscataway Rd, Ste 102, Clinton, MD 20735-2549 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1568827814 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1190, Sc-9, Lancaster, SC 29720 | 2015-12-30 |
| 1285006981 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 700 N A St, Easley, SC 29640-2142 | 2015-10-21 |
| 1598136996 | Gregory Santamaria | Podiatrist | 1112 Johnnie Dodds Blvd, Mount Pleasant, SC 29464-3131 | 2015-10-12 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| 1952727992 | Genesis Foot & Leg Specialists, LLC | Podiatrist | 21563 Wyhte Hardee Blvd, Hardeeville, SC 29927 | 2014-03-14 |
| 1922424423 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 166 Waccamaw Medical Park Ct, Conway, SC 29526-8965 | 2014-03-09 |
| 1144645722 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1 Medical Park Dr Ste C, Chester, SC 29706-9769 | 2014-02-19 |
| 1699190272 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 9789 Charlotte Hwy Ste 200, Fort Mill, SC 29707-7182 | 2014-02-19 |
| 1154627008 | Michelle P Glover | Podiatrist | 3 Richland Medical Park Suite 110, Columbia, SC 29203 | 2011-02-09 |
| Find all providers with the same taxonomy | ||||
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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.