MCLEOD PHYSICIAN ASSOCIATES II


Address: 1116 W Evans St, Florence, SC 29501-3320
Phone: 8436625233

MCLEOD PHYSICIAN ASSOCIATES II (NPI# 1407393861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407393861
Entity Type Organization
Organization Name MCLEOD PHYSICIAN ASSOCIATES II
Other Organization Name PDOA IMAGING CENTER
Practice Address 1116 W Evans St
Florence
SC 29501-3320
Mailing Address Po Box 3239
Florence
SC 29502-3239
Practice Telephone 8436625233
Practice Fax Number 8436789003
Mailing Telephone 8437777120
Mailing Fax Number 8437777102
Enumeration Date 2017-01-24
Last Update Date 2017-01-24
Authorized Official Name DANE P FICCO (SENIOR VICE PRESIDENT)
Authorized Official Telephone 8437777000
Is Organization Subpart Y
Parent Organization Name MCLEOD HEALTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
SC Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
PDOA Imaging Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1750999405 Mcleod Physician Associates II Family Medicine 4237 River Hills Dr Ste 170, Little River, SC 29566-6446 2020-07-20
1831717693 Mcleod Physician Associates II Surgery 690 Sunset Blvd N Ste 208, Sunset Beach, NC 28468-5332 2020-07-08
1588280747 Mcleod Physician Associates II Nurse Practitioner 1126 Clarence Coker Hwy., Turbeville, SC 29162-8983 2020-06-23
1457977852 Mcleod Physician Associates II Internal Medicine 800 E Cheves St Ste 400, Florence, SC 29506-2649 2020-06-22
1326672361 Mcleod Physician Associates II Family Medicine 800 E Cheves St Ste 240, Florence, SC 29506-2652 2020-02-28
1003321167 Mcleod Physician Associates II Internal Medicine 1319 South 4th Street, Hartsville, SC 29550 2017-12-11
1972014652 Mcleod Physician Associates II Clinic/Center 1040 Marlboro Way Ste 1, Bennettsville, SC 29512-2494 2017-10-20
1508377284 Mcleod Physician Associates II Clinic/Center 1076 Marlboro Way Ste 3, Bennettsville, SC 29512-2495 2017-10-20
1801326814 Mcleod Physician Associates II Dermatology 401 E Cheves St Ste 302, Florence, SC 29506-2615 2017-06-13
1326594995 Mcleod Physician Associates II Family Medicine 907 Startek Drive, Myrtle Beach, SC 29579-4471 2016-09-01

Office Location

Street Address 1116 W EVANS ST
City FLORENCE
State SC
Zip Code 29501-3320

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700350444 Angel Edwards Brown Nurse Practitioner Mcleod Health, 555 East Cheves Street, Florence, SC 29501 2019-01-16
1497229124 Fred L. Evans IIi Physical Therapy Assistant 2439 Willwood Dr., Florence, SC 29501 2019-01-16
1841715596 Faith Hope Love Homecare Home Health 604 S. Coit Street, Florence, SC 29501 2017-08-03
1083156350 Karen Artis-bacote Nurse Practitioner 3835 Susan Dr, Florence, SC 29501 2016-11-17
1992251581 Higher Ground Christian Counseling Service, LLC Counselor 1801 D West Evans Street, Florence, SC 29501 2016-09-01
1952752818 Jack Carter Shackelford Chiropractor 311 West Palmetto Street, Florence, SC 29501 2016-06-22
1750743506 Profection Therapy LLC Clinic/Center 315d North Beltline Dr., Florence, SC 29501 2016-03-22
1386002467 Bergelt Optometric LLC Optometrist 2672 David Mcleod Blvd, Florence, SC 29501 2016-02-04
1437531993 Sherika Tarshall Stuckey Nurse Practitioner 720 Coventry Lane, Apt C, Florence, SC 29501 2015-06-22
1245610062 Christopher Tyree Podiatrist 709 W Evans St, Florence, SC 29501 2015-06-06
Find all providers in zip 29501

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245390756 Robert Rausch Radiology 2701 Mall Dr, Suite #9, Florence, AL 35630-7502 2006-12-12
1336200856 Jeremy Orcutt Radiology 5215 Salal Ct, Florence, OR 97439-8337 2006-12-12
1437117975 Palmetto Imaging Inc Radiology 805 S Irby St, Florence, SC 29501-5236 2006-05-03
1851713085 Az Tech Radiology & Open Mri Radiology 450 W Adamsville Rd, Florence, AZ 85132-8582 2014-01-07
1538430913 Florence Hospital LLC Radiology 450 W Adamsville Rd, Florence, AZ 85132-8582 2012-01-18
1346410545 Palmetto Imaging, Inc Radiology 805 S Irby St, Florence, SC 29501-5236 2008-03-04
1548467319 Michael Scott Rissing Radiology 555 E Cheves St, Dept of Radiology/mrmc, Florence, SC 29506-2617 2007-06-27
1063634293 Todd Alvin Durham Radiology 205 Marengo St, Florence, AL 35630-6033 2007-05-03
1396815700 Paul Vonherrmann Radiology 205 Marengo St, Dept of Radiology, Florence, AL 35630-6033 2006-11-09
1508805847 Stephen R Christian Radiology 555 E Cheves St, Radiology Department, Florence, SC 29506-2617 2006-06-05
Find all providers in FLORENCE

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City FLORENCE
Zip Code 29501

Improve Information

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Dataset Information

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.

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