DIANA DUBOIS ALFORD (NPI# 1588663082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588663082 |
| Entity Type | Individual |
| Full Name | DIANA DUBOIS ALFORD |
| Credential | P.A. |
| Practice Address |
602 N Main St Summerville SC 29483-6627 |
| Mailing Address |
Po Box 602108 Charlotte NC 28260-2108 |
| Practice Telephone | 8438762121 |
| Mailing Telephone | 8437922300 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2016-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 996 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
996 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RR MEDICARE PTAN | P00851397 | 01 |
| SC | MEDICAID GROUP | GP4999 | 01 |
| SC | 0315PA | 05 |
| Street Address |
602 N MAIN ST |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483-6627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336637693 | Elaine R O'donnell | Physician Assistant | 602 N Main St, Summerville, SC 29483-6627 | 2018-04-23 |
| 1235550823 | Carolina Family Care, Inc | Family Medicine | 602 N Main St, Summerville, SC 29483-6627 | 2013-12-27 |
| 1730529009 | Ashley Wing | Nurse Practitioner | 602 N Main St, Summerville, SC 29483-6627 | 2013-07-01 |
| 1932394293 | Susan Lee Zayac | Nurse Practitioner | 602 N Main St, Summerville, SC 29483-6627 | 2007-09-10 |
| 1851590426 | Gregory David Cain | Family Medicine | 602 N Main St, Summerville, SC 29483-6627 | 2007-07-13 |
| 1790831527 | Flowertown Medical Services | Family Medicine | 602 N Main St, Summerville, SC 29483-6627 | 2007-01-26 |
| 1134203326 | Jill M Peterson | Family Medicine | 602 N Main St, Summerville, SC 29483-6627 | 2006-10-24 |
| 1578522207 | Anthony N Glaser | Family Medicine | 602 N Main St, Summerville, SC 29483-6627 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1255979431 | Jeanette Louise Virden | Counselor | 200 E 5th North Street, Summerville, SC 29483 | 2019-12-18 |
| 1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
| 1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
| 1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
| 1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
| 1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
| Find all providers in zip 29483 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508417908 | Allison C. Bossong | Physician Assistant | 2000 1st Ave, Summerville, SC 29486-0408 | 2019-09-26 |
| 1104471705 | Ashley Jeane Black | Physician Assistant | 107 Lebsl Ct, Summerville, SC 29483-7552 | 2019-08-09 |
| 1306491907 | Brianna Blanton | Physician Assistant | 100 Blanton Ln, Summerville, SC 29483-3544 | 2019-08-09 |
| 1033668264 | Alison Paige Bull | Physician Assistant | 1101 Old Trolley Rd Ste 300, Summerville, SC 29485-5294 | 2016-09-29 |
| 1598148744 | Natalie Forsberg Inabnett | Physician Assistant | 2001 2nd Ave Ste 101, Summerville, SC 29486-7887 | 2015-07-07 |
| 1245563725 | Josephine Walker Dion Redmond | Physician Assistant | 210 W 6th North St, Summerville, SC 29483-6617 | 2009-09-15 |
| 1508811522 | Heidi Lynn Tatum | Physician Assistant | 87 Springview Ln, Summerville, SC 29485-9077 | 2006-05-24 |
| 1174122873 | Emma Saber | Physician Assistant | 295a Midland Pkwy Ste 120, Summerville, SC 29485-5901 | 2020-10-22 |
| 1215582812 | Jennifer Logan Wilkie | Physician Assistant | 1101 Old Trolley Rd Ste 300, Summerville, SC 29485-5294 | 2019-08-09 |
| 1477018083 | Kaitlyn Leigh Horner | Physician Assistant | 2001 2nd Ave Ste 201, Summerville, SC 29486-7887 | 2019-02-07 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29483 |
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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.