EUGENIA GAINZEO COOPER-MERCHANT (NPI# 1558466235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558466235 |
| Entity Type | Individual |
| Full Name | EUGENIA GAINZEO COOPER-MERCHANT |
| Credential | M.D. |
| Practice Address |
100 Professional Park Dr Conway SC 29526-9260 |
| Practice Telephone | 8432340005 |
| Mailing Telephone | 8432340005 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 20544 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 129195 | 05 |
| Street Address |
100 PROFESSIONAL PARK DR |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-9260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114903051 | James W Adamson | Internal Medicine | 100 Professional Park Dr, Conway, SC 29526 | 2005-12-22 |
| 1033738133 | Careteam Plus, Inc. | Pharmacy | 100 Professional Park Dr, Conway, SC 29526-9260 | 2020-04-09 |
| 1780210997 | Bryan Belesky | Pharmacist | 100 Professional Park Dr, Conway, SC 29526-9260 | 2020-03-19 |
| 1841838869 | Lesley Styers Plowman | Nurse Practitioner | 100 Professional Park Dr, Conway, SC 29526-9260 | 2019-12-20 |
| 1134775679 | Neely Power Shepheard | Nurse Practitioner | 100 Professional Park Dr, Conway, SC 29526-9260 | 2019-08-12 |
| 1760972574 | Christopher James Crum | Nurse Practitioner | 100 Professional Park Dr, Conway, SC 29526-9260 | 2018-05-16 |
| 1174864656 | Cathy Gayle Mann | Nurse Practitioner | 100 Professional Park Dr, Conway, SC 29526 | 2013-03-08 |
| 1679668792 | Julia M. Wren | Internal Medicine | 100 Professional Park Dr, Conway, SC 29526-9260 | 2006-10-04 |
| 1295833085 | Rebecca Alyse Belschner | Nurse Practitioner | 100 Professional Park Dr, Conway, SC 29526-9260 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326591132 | Priya Yadav | Pediatrics | 3010 Fountain Dr, Conway, AR 72034-3684 | 2016-07-28 |
| 1417248063 | Caroline Duos Mazoch | Pediatrics | 2425 Dave Ward Dr Ste 601, Conway, AR 72034-8685 | 2011-04-29 |
| 1649584038 | Tlc Pediatrics, Pllc | Pediatrics | 955 Carolyn Ln, Conway, AR 72034-5015 | 2010-07-28 |
| 1174844708 | Danika Lauren Alexander Borden | Pediatrics | 300 Singleton Ridge Rd Ofc, Conway, SC 29526-9142 | 2010-06-17 |
| 1336465616 | Kelley Courtney Meena | Pediatrics | 605 Salem Rd Ste B2, Conway, AR 72034-4863 | 2010-04-12 |
| 1376758029 | Janell Thompson Vinson | Pediatrics | 625 United Dr Ste 120, Conway, AR 72032 | 2007-05-14 |
| 1366513608 | Stephen Alexander Corontzes | Pediatrics | 600 Singleton Ridge Rd, Conway, SC 29526-9154 | 2006-11-10 |
| 1285612671 | Terence L Champlin | Pediatrics | 605 Salem Rd, Suite B2, Conway, AR 72034-4861 | 2006-01-05 |
| 1174501563 | Sherrye Denise Craig | Pediatrics | 3010 Fountain Drive, Conway, AR 72034-3684 | 2006-01-05 |
| 1427039049 | Kelly A Staley | Pediatrics | 2505 College Ave, Conway, AR 72034-6135 | 2005-11-10 |
| Find all providers in CONWAY | ||||
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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.