PIEDMONT PODIATRY GROUP (NPI# 1548484439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548484439 |
| Entity Type | Organization |
| Organization Name | PIEDMONT PODIATRY GROUP |
| Practice Address |
724 Arden Ln Suite 200 Rock Hill SC 29732-3257 |
| Mailing Address |
724 Arden Ln Suite 200 Rock Hill SC 29732-2996 |
| Practice Telephone | 8033669440 |
| Practice Fax Number | 8033667704 |
| Mailing Telephone | 8033669440 |
| Mailing Fax Number | 8033667704 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2010-04-16 |
| Authorized Official Name | THOMAS HUNTER OLSON (OWNER) |
| Authorized Official Telephone | 8033669440 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 604 | SC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PD6041 | 05 |
| Street Address |
724 ARDEN LN SUITE 200 |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-3257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932192481 | Rajeshkumar M. Patel | Pediatrics | 724 Arden Ln, Suite 100, Rock Hill, SC 29732-2984 | 2005-08-30 |
| 1962638999 | Jack Frank Johnson IIi | Clinical Nurse Specialist | 724 Arden Ln, Suite 100, Rock Hill, SC 29732-2996 | 2009-06-04 |
| 1720256522 | Katherine Fisher | Nurse Practitioner | 724 Arden Ln, Suite 100, Rock Hill, SC 29732-2996 | 2008-02-14 |
| 1629169693 | Sunshine Pediatrics | Pediatrics | 724 Arden Ln, Suite 100, Rock Hill, SC 29732-2996 | 2006-09-27 |
| 1851305031 | Carlos G Paxtor | Pediatrics | 724 Arden Ln, Suite 100, Rock Hill, SC 29732-2996 | 2006-07-27 |
| 1417932559 | Lee J Raykovicz | Optometrist | 724 Arden Ln, Suite 120, Rock Hill, SC 29732-2996 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700424769 | Instride Foot & Ankle Specialists, Pllc | Podiatrist | 223 Herlong Ave S Ste 115, Rock Hill, SC 29732-1089 | 2019-12-20 |
| 1114908860 | Thomas Hunter Olson | Podiatrist | 724 Arden Lane, Suite 200, Rock Hill, SC 29732-3257 | 2005-11-09 |
| 1881989192 | First Care Medical Clinic | Podiatrist | 1462 Constitution Blvd, Rock Hill, SC 29732-3075 | 2011-06-15 |
| 1336181668 | Alpine Podiatry Center, Pa | Podiatrist | 430 S Herlong Ave, Suite 105, Rock Hill, SC 29732-9446 | 2006-06-12 |
| 1962463489 | Catherine Ann Paukovitz | Podiatrist | 430 S Herlong Ave, Suite 105, Rock Hill, SC 29732-9446 | 2006-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331132 | Emad Youssef Dpm LLC | Podiatrist | 218 Granito Dr, Greer, SC 29650-2771 | 2020-09-16 |
| 1922618016 | Dr. Ashley Williams, LLC | Podiatrist | 3223 Hatchet Bay Dr Apt 7203, Charleston, SC 29414-5219 | 2020-08-04 |
| 1871011387 | Honored To Serve | Podiatrist | 1850 Atlantic Dr Unit 712, Columbia, SC 29210-7992 | 2017-09-05 |
| 1467989632 | Frederick Garland | Podiatrist | 767 Wintercreeper Dr, Longs, SC 29568-9229 | 2017-05-17 |
| 1245764430 | Aiken Podiatry Center | Podiatrist | 148 Waterloo St Sw Ste 4, Aiken, SC 29801-3766 | 2017-04-14 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1669859104 | Mobile Podiatry South Carolina | Podiatrist | 10 Summerlea Ln, Columbia, SC 29203-3915 | 2015-05-05 |
| 1063829471 | Heather Driessen, Dpm, LLC | Podiatrist | 4072 Corner Stroll Ln, Aiken, SC 29801-1158 | 2014-07-17 |
| 1164855227 | Coastal Medical Services LLC | Podiatrist | 616 Churchill Rd, Walterboro, SC 29488-3622 | 2013-08-13 |
| 1144660036 | Upstate Podiatry Group, Pa | Podiatrist | 801 Se Main St, Simpsonville, SC 29681 | 2013-06-25 |
| 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.