WILLAMSBURG REGIONAL HOSPITAL (NPI# 1447501754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447501754 |
| Entity Type | Organization |
| Organization Name | WILLAMSBURG REGIONAL HOSPITAL |
| Other Organization Name | WILLIAMSBURG SURGICAL GROUP |
| Practice Address |
500 Thurgood Marshall Hwy Ste G Kingstree SC 29556-4143 |
| Practice Telephone | 8433550180 |
| Practice Fax Number | 8433551606 |
| Mailing Telephone | 8433550180 |
| Mailing Fax Number | 8433551606 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | MS. ALICE BOYKIN (PRACTICE MANAGER) |
| Authorized Official Telephone | 8433551772 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 13042 | SC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Williamsburg Surgical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174095525 | Willamsburg Regional Hospital | Orthopaedic Surgery | 402 Nelson Blvd Ste 400, Kingstree, SC 29556-4058 | 2018-12-26 |
| 1043644776 | Willamsburg Regional Hospital | Internal Medicine | 500 Thurgood Marshall Hwy, Suite A, Kingstree, SC 29556-4143 | 2013-08-29 |
| Street Address |
500 THURGOOD MARSHALL HWY STE G |
| City | KINGSTREE |
| State | SC |
| Zip Code | 29556-4143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689198996 | April Wilson | Home Health Aide | 706 Sandy Bay Rd, Kingstree, SC 29556 | 2017-07-28 |
| 1588000657 | Jennifer Moore Lamb | Registered Nurse | 500 North Academy St, Building K, Kingstree, SC 29556 | 2013-05-16 |
| 1619227014 | Hallie Mcnair Dubose | Pharmacist | 120 North Longstreet St, Kingstree, SC 29556 | 2012-09-12 |
| 1699969733 | Black River Healthcare, Inc. | Obstetrics & Gynecology | 500 Thurgood Marshall Boulevard, Suite A, Kingstree, SC 29556 | 2007-08-31 |
| 1457578486 | Dawkins Medical Transport | Ambulance | 89 Drylog Avenue, Kingstree, SC 29556 | 2007-04-19 |
| 1306971502 | Vital Aging of Williamsburg County, Inc. | Home Delivered Meals | 501 North Longstreet Street, Kingstree, SC 29556 | 2007-02-21 |
| 1356489579 | Harry Wells Floyd | General Practice | 500 Thurgood Marshall Blvd, Suite F, Kingstree, SC 29556 | 2007-02-01 |
| 1306995782 | Joann Conyers Lockhart | Health Educator | 500 Academy Street, Kingstree, SC 29556 | 2007-01-09 |
| 1497825723 | The Youth Academy Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 237 Lela Harrison Road, Kingstree, SC 29556 | 2006-11-08 |
| 1427151109 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 120 N Longst St, Kingstree, SC 29556 | 2006-09-07 |
| Find all providers in zip 29556 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1255717245 | Beth Damato | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9313 Medical Plaza Dr Ste 304, Charleston, SC 29406-9197 | 2015-08-03 |
| 1235533530 | Bruce Agster | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1422 Hooper St, Daniel Island, SC 29492-8481 | 2014-10-15 |
| 1114216454 | Sanford Manning Zeigler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 96 Jonathan Lucas St # 295, Charleston, SC 29425-2200 | 2011-04-06 |
| 1184930992 | Lowcountry Thoracic Surgery Associates Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1300 Hospital Dr Ste 360, Mount Pleasant, SC 29464-7776 | 2010-08-31 |
| 1629203187 | Roper Saint Francis Physicians Network | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8536 Palmetto Commerce Pkwy Ste 502, Ladson, SC 29456 | 2009-05-27 |
| 1255503884 | Robert John Mccardle Sr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 811 W Main Street, Lexington, SC 29169 | 2008-03-24 |
| 1235356320 | Morris H Drucker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 67 Leamington Lane, Hilton Head Island, SC 29928-5150 | 2007-04-19 |
| 1518024868 | Palmetto Cardiovascular and Thoracic Assoc Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9231 Medical Plaza Dr Ste D, Charleston, SC 29406-9101 | 2007-01-03 |
| 1679519144 | Palmetto Health | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8 Richland Medical Park, Suite 400, Columbia, SC 29203-8006 | 2006-06-21 |
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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.