WELLNESS BOUTIQUE LLC (NPI# 1497002901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497002901 |
| Entity Type | Organization |
| Organization Name | WELLNESS BOUTIQUE LLC |
| Practice Address |
107 W College Ave Hartsville SC 29550-4113 |
| Mailing Address |
Po Box 1763 Hartsville SC 29551-1763 |
| Practice Telephone | 8438612726 |
| Mailing Telephone | 8438612726 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-09-13 |
| Authorized Official Name | MCHELLE S QUAYE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8438612726 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 22891 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 28916 | 05 |
| Street Address |
107 W COLLEGE AVE |
| City | HARTSVILLE |
| State | SC |
| Zip Code | 29550-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487686150 | Michelle S Quaye | Obstetrics & Gynecology | 107 W College Ave, Hartsville, SC 29550-4113 | 2006-07-06 |
| 1225492168 | Nextphasemd | Clinic/Center | 107 W College Ave, Hartsville, SC 29550-4113 | 2016-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391456 | Empire Audiology, LLC | Audiologist | 3536 W Bobo Newsom Hwy, Hartsville, SC 29550 | 2020-09-18 |
| 1386125797 | Caresouth Hha Holdings of Washington, LLC | Hospice Care, Community Based | 696 Medical Park Dr Ste 2, Hartsville, SC 29550 | 2018-08-23 |
| 1740760735 | Danna Dubose Coe | Home Health | 1575 Winding Ridge Drive, Hartsville, SC 29550 | 2018-08-18 |
| 1548748452 | Samantha Elizabeth Kieffer | Counselor | 510 Carolina Ave, Hartsville, SC 29550 | 2018-08-02 |
| 1790277879 | Katarina K Epps | Counselor | 628 E Carolina Ave, Hartsville, SC 29550 | 2018-06-04 |
| 1497245328 | Mary Alice King | Counselor | 513 Woodland Drive, Hartsville, SC 29550 | 2018-05-16 |
| 1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
| 1902347677 | William H Long LLC | Family Medicine | 420a W Carolina Ave, Hartsville, SC 29550 | 2017-03-15 |
| 1821459470 | April S Crawley | Nurse Practitioner | 1 N 2nd St # C05, Hartsville, SC 29550 | 2016-03-10 |
| 1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
| Find all providers in zip 29550 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740391200 | The Center for Womens Health | Obstetrics & Gynecology | 122 W College Avenue, Hartsville, SC 29550 | 2006-08-31 |
| 1063444909 | William D. Lyles, Jr., M.d. and Associates, Pllc | Obstetrics & Gynecology | 205 Broadway, Hartsville, TN 37074-1303 | 2006-07-07 |
| 1487686150 | Michelle S Quaye | Obstetrics & Gynecology | 107 W College Ave, Hartsville, SC 29550-4113 | 2006-07-06 |
| 1669765442 | Trousdale Medical Clinic | Obstetrics & Gynecology | 205 Broadway, Hartsville, TN 37074-1303 | 2011-05-26 |
| 1710143763 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 701 Medical Park Dr, Suite 202, Hartsville, SC 29550-4777 | 2008-07-30 |
| 1972535631 | Leroy F Robinson | Obstetrics & Gynecology | 701 Medical Park Dr, Suite 202, Hartsville, SC 29550-4777 | 2006-07-06 |
| 1194757856 | Scott H Daniel | Obstetrics & Gynecology | 701 Medical Park Dr, Suite 202, Hartsville, SC 29550-4777 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988036 | Lexington Health Inc | Obstetrics & Gynecology | 700 Gervais St Ste 300, Columbia, SC 29201-3061 | 2020-10-08 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1407411895 | Silki Pankajkumar Modi | Obstetrics & Gynecology | The Women's Center, 1801 Sunseet Drive, Columbia, SC 29203 | 2019-05-01 |
| 1548755788 | Catherine Anne Boniface | Obstetrics & Gynecology | 96 Jonathan Lucas St Obgyn Dept, Charleston, SC 29425 | 2018-06-29 |
| 1972021483 | New Hope Integrative Medicine, Inc | Obstetrics & Gynecology | 775 Saint James Ave Ste B, Goose Creek, SC 29445-2836 | 2017-09-05 |
| 1780105080 | Jennifer Irene Higdon | Obstetrics & Gynecology | Women's Center, 1801 Sunset Drive, Columbia, SC 29203 | 2017-06-28 |
| 1205356581 | Kyle Aaron Brong | Obstetrics & Gynecology | 96 Jonathan Lucas St., Ste. 634, Charleston, SC 29425 | 2017-06-27 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1396298725 | Highlands Center for Women, P.a. | Obstetrics & Gynecology | 369 Halton Rd, Greenville, SC 29607-3405 | 2016-08-02 |
| 1508215401 | Danielle Wright | Obstetrics & Gynecology | 1574 Bluewater Way, Charleston, SC 29414-7925 | 2016-06-10 |
| Find all providers with the same taxonomy | ||||
| City | HARTSVILLE |
| Zip Code | 29550 |
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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.