DR. DARREN JOSEPH MACK (NPI# 1366679318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366679318 |
| Entity Type | Individual |
| Full Name | DR. DARREN JOSEPH MACK |
| Credential | M.D. |
| Practice Address |
770 Medical Park Dr Aiken SC 29801-6307 |
| Mailing Address |
367 S. Gulph Rd Att: Ipm Credentialing King of Prussia PA 19406-3121 |
| Practice Telephone | 8037168712 |
| Practice Fax Number | 8037168713 |
| Mailing Telephone | 8037168712 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2019-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 71606 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184899551 | Darren M Mack | Physician Assistant | 125 Lincoln Ave Apt B4l, Mineola, NY 11501-2837 | 2008-04-28 |
| 1356949028 | Darren Garold Mack | Pharmacist | 1583 Highway 10 W, Detroit Lakes, MN 56501-2232 | 2020-10-14 |
| Street Address |
770 MEDICAL PARK DR |
| City | AIKEN |
| State | SC |
| Zip Code | 29801-6307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346226958 | Jonathan Hal Anderson | Urology | 770 Medical Park Dr, Aiken, SC 29801-6307 | 2005-12-16 |
| 1831555028 | Jessica Reames Luke | Nurse Practitioner | 770 Medical Park Dr, Aiken, SC 29801-6307 | 2016-01-05 |
| 1508943051 | Aiken Center for Urology Pa | Urology | 770 Medical Park Dr, Aiken, SC 29801-6307 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003457557 | Edwin Knight | Technician | 458 Wheat Rd, Aiken, SC 29801 | 2019-10-07 |
| 1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
| 1457820433 | Catherine Reddish | Home Health | 245 Hancock Rd Reddish Health Care Agency, Aiken, SC 29801 | 2018-11-19 |
| 1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
| 1932649654 | Vageo Inc | Clinic/Center | 227 Chesterfiled St S, Aiken, SC 29801 | 2017-02-28 |
| 1629472550 | Andrea Ellis | Nurse Practitioner | 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 | 2014-10-21 |
| 1699177782 | Joyce Walker Pompey | Registered Nurse | 471 University Parkway, Box 11, Aiken, SC 29801 | 2014-09-19 |
| 1578973251 | Rehab Without Walls, Inc. | Clinic/Center | 104 Florence St. Sw, Suite A, Aiken, SC 29801 | 2014-05-02 |
| 1609297571 | Katherine Delucas Duke | Counselor | 1135 Gregg Highway, Aiken, SC 29801 | 2013-12-19 |
| 1811328149 | Lynda Renee Green | Speech-Language Pathologist | 100 Bears Rock Rd., Aiken, SC 29801 | 2013-12-12 |
| Find all providers in zip 29801 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275513905 | Richard Paul Von Buedingen | Urology | 191 Centre South Blvd, #20, Aiken, SC 29803-6313 | 2006-01-19 |
| 1346226958 | Jonathan Hal Anderson | Urology | 770 Medical Park Dr, Aiken, SC 29801-6307 | 2005-12-16 |
| 1316126451 | Aiken Urological Associates Pa | Urology | 191 Centre South Blvd, Ste#20, Aiken, SC 29803-6313 | 2007-10-25 |
| 1508943051 | Aiken Center for Urology Pa | Urology | 770 Medical Park Dr, Aiken, SC 29801-6307 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393098 | Christopher William Ritchie | Urology | 135 Rutledge Ave Fl 5, Charleston, SC 29425-8903 | 2019-06-05 |
| 1780248211 | Spartanburg Medical Center | Urology | 2755 S Highway 14 Ste 2050a, Greer, SC 29650-4902 | 2019-04-30 |
| 1609345982 | Spartanburg Medical Center | Urology | 1552 N Limestone St Ste A, Gaffney, SC 29340-4750 | 2018-11-16 |
| 1942775952 | Roper Saint Francis Physicians Network | Urology | 300 Callen Blvd Ste 220, Summerville, SC 29486-2809 | 2018-10-05 |
| 1790131522 | Urology Clinic At Carolinas | Urology | 1594 Freedom Blvd Ste 203, Florence, SC 29505-6046 | 2016-05-11 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| 1154700367 | Gregory Slachta | Urology | 407 Broadview Dr, Ridgeland, SC 29936-5157 | 2015-05-20 |
| 1467893404 | Robert Strehlow Vi | Urology | 391 Serpentine Dr Ste 500, Spartanburg, SC 29303-3083 | 2013-07-06 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1790121424 | Philip Andre Fontenot Jr. | Urology | 50 Bear Dr, Greenville, SC 29605 | 2013-05-21 |
| 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.