DR. DWIGHT AUBREY JACOBUS (NPI# 1457375222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457375222 |
| Entity Type | Individual |
| Full Name | DR. DWIGHT AUBREY JACOBUS |
| Credential | DO |
| Practice Address |
115 Brushy Creek Road Easley SC 29642-1120 |
| Mailing Address |
118 Clair Dr Piedmont SC 29673-7771 |
| Practice Telephone | 8648551633 |
| Practice Fax Number | 8648551323 |
| Mailing Telephone | 8645838308 |
| Mailing Fax Number | 8645838358 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 333 | SC | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | OS8308 | FL | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
333 | SC | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
OS8308 | FL | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
DO333 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PTAN | A776466089 | 01 |
| FL | 261568100 | 05 | |
| SC | 003338 | 05 | |
| SC | MEDICARE PTAN | A776466672 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1770 Skylyn Dr, Spartanburg, SC 293071045 | 8645838308 | 8645838358 |
| Street Address |
115 BRUSHY CREEK ROAD |
| City | EASLEY |
| State | SC |
| Zip Code | 29642-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316911 | Marlesia Hall | Licensed Practical Nurse | 106 Teal Dr, Easley, SC 29642 | 2020-11-06 |
| 1437648904 | Onsite Healthcare and Wellness LLC | Nurse Practitioner | 217 Sheffield Ct, Easley, SC 29642 | 2018-05-09 |
| 1477073476 | Aubre True | Specialist/Technologist | 124 Century Oaks Dr, Easley, SC 29642 | 2017-06-21 |
| 1912439944 | First Physical Therapy, LLC | Clinic/Center | 3613 Sc 153, Suite 200, Powdersville, SC 29642 | 2017-03-29 |
| 1801146485 | Sara Michele Calvert | Pharmacist | 1063 South Pendleton Street, Easley, SC 29642 | 2012-09-11 |
| 1023365251 | Heather Lilley | Pharmacist | 5251 Calhoun Memorial Hwy, Easley, SC 29642 | 2012-08-07 |
| 1942590088 | Mallorie Bryan Costner | Speech-Language Pathologist | 507 Huntington Road, Easley, SC 29642 | 2011-04-11 |
| 1225352339 | Jon Lawrence Rhoden | Pharmacist | 320 Watson Road, Easley, SC 29642 | 2010-03-18 |
| 1386865350 | Gordon David Dannelly | Dentist | 701 Brushy Creek Road, Easley, SC 29642 | 2007-05-01 |
| 1538280755 | Michelle Leigh Tucker | Obstetrics & Gynecology | 1351 Crestview Road, Easley, SC 29642 | 2007-04-03 |
| Find all providers in zip 29642 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770715419 | Baptist Easley | Orthopaedic Surgery | 112john St Suite 201, Easley, SC 29640-1405 | 2009-08-13 |
| 1306821657 | Robert F Finley | Orthopaedic Surgery | 112 John St, Suite 201, Easley, SC 29640-1472 | 2005-12-09 |
| 1710249958 | Gabriella Ode | Orthopaedic Surgery | 309 E 1st Ave, Easley, SC 29640-3040 | 2012-06-13 |
| 1235447145 | Baptist Easley | Orthopaedic Surgery | 112 John St, Ste 201, Easley, SC 29640-1472 | 2010-09-14 |
| 1144452889 | Baptist Easley Hospital | Orthopaedic Surgery | 704 N A St, Easley, SC 29640-2142 | 2009-08-13 |
| 1679738199 | Cannon Memorial Hospital | Orthopaedic Surgery | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2008-07-24 |
| 1356508659 | Palmetto Health | Orthopaedic Surgery | 704 N A St, Easley, SC 29640-2142 | 2008-05-22 |
| 1780870667 | Palmetto Health Alliance | Orthopaedic Surgery | 112 John St, Suite 103, Easley, SC 29640-1472 | 2007-09-24 |
| 1962604165 | Palmetto Health | Orthopaedic Surgery | 112 John St, Suite 103, Easley, SC 29640-1472 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139919 | Orthosc LLC | Orthopaedic Surgery | 3620 Walton Dr Unit C-5c6, Myrtle Beach, SC 29577-6781 | 2020-09-17 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1912523085 | Julia Anne Prodoehl | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Surgery, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-24 |
| 1447873815 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 4812 Bluffton Parkway, Bluffton, SC 29910 | 2020-05-20 |
| 1285253336 | Providence Physician Practices LLC | Orthopaedic Surgery | 114 Gateway Corporate Blvd Ste 220a, Columbia, SC 29203-9785 | 2020-04-09 |
| 1528627346 | John Charles Sharpe | Orthopaedic Surgery | Orthopaedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2019-06-06 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1003373820 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 325 Folly Rd Ste 200, Charleston, SC 29412-2507 | 2019-02-28 |
| 1316416415 | Spartanburg Medical Center | Orthopaedic Surgery | 1650 Skylyn Dr Ste 120, Spartanburg, SC 29307-1069 | 2018-11-19 |
| 1134608805 | Optim Orthopedics, LLC | Orthopaedic Surgery | 25 Hospital Center Blvd Ste 100, Hilton Head, SC 29926 | 2018-08-13 |
| 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.