SUMMERVILLE FOOTCARE CENTER, PA (NPI# 1598717910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598717910 |
| Entity Type | Organization |
| Organization Name | SUMMERVILLE FOOTCARE CENTER, PA |
| Practice Address |
105 N Cedar St Summerville SC 29483-6401 |
| Practice Telephone | 8438710100 |
| Practice Fax Number | 8438710104 |
| Mailing Telephone | 8438710100 |
| Mailing Fax Number | 8438710104 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | DR. EDWARD A IMKO (PRACTITIONER) |
| Authorized Official Telephone | 8438710100 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
53 | SC | Ambulatory Health Care Facilities |
| Street Address |
105 N CEDAR ST |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483-6401 |
| 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 | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568926954 | Carolina Commons Foot & Ankle Specialist, LLC | Clinic/Center | 6237 Carolina Commons Dr Ste 330, Indian Land, SC 29707-6014 | 2019-01-30 |
| 1669589834 | Columbia Foot Clinic | Clinic/Center | 1516 Calhoun St, Columbia, SC 29201-2607 | 2006-08-24 |
| 1912525916 | Doctor Jordanna Baker | Clinic/Center | 230 Cherokee Rd, Florence, SC 29501-5225 | 2020-07-07 |
| 1619479342 | Upstate Podiatry Group, Pa | Clinic/Center | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 | 2018-03-08 |
| 1972960722 | Sandhills Foot Clinic | Clinic/Center | 1821 Clemson Rd, Columbia, SC 29229-7832 | 2016-01-25 |
| 1164816211 | Keyoka S Smith Dpm LLC | Clinic/Center | 4100 N Main St Ste 202, Columbia, SC 29203-5800 | 2015-03-26 |
| 1184926750 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 2414 Bull St, Columbia, SC 29201-1906 | 2010-12-02 |
| 1790925634 | Comprehensive Foot Care of Orangeburg | Clinic/Center | 1717 Village Park Dr, Orangeburg, SC 29118-2475 | 2009-03-05 |
| 1578744843 | Carolina Foot Clinic, P.C. | Clinic/Center | 1900 Hampton St, Columbia, SC 29201-3536 | 2007-11-15 |
| City | SUMMERVILLE |
| Zip Code | 29483 |
Please comment or provide details below to improve the information on SUMMERVILLE FOOTCARE CENTER, PA.
| 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.