EDGEFIELD MEDICAL CLINIC PA (NPI# 1649387077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649387077 |
| Entity Type | Organization |
| Organization Name | EDGEFIELD MEDICAL CLINIC PA |
| Practice Address |
200 Ridge Medical Plaza Rd Edgefield SC 29824-4530 |
| Practice Telephone | 8036373146 |
| Practice Fax Number | 8036373169 |
| Mailing Telephone | 8036373146 |
| Mailing Fax Number | 8036373169 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-05-15 |
| Authorized Official Name | MRS. MARI M REEL (OFFICE MANAGER) |
| Authorized Official Telephone | 8036373146 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | TAXONOMY | 207Q00000X | 01 |
| SC | PA0267 | 05 |
| Street Address |
200 RIDGE MEDICAL PLAZA RD |
| City | EDGEFIELD |
| State | SC |
| Zip Code | 29824-4530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801022538 | Edgefield Medical Clinic, Pa | Clinic/Center | 200 Ridge Medical Plaza Rd, Edgefield, SC 29824-4530 | 2009-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386993483 | Kim Massey Holsomback | Pharmacist | 230 Apple Square Plaza, Edgefield, SC 29824 | 2012-09-05 |
| 1093962359 | Edgefield County Senior Citizens Council | Voluntary or Charitable | 15 Center Spring Road, Edgefield, SC 29824 | 2008-08-19 |
| 1114108735 | Banks Pharmacy | Clinic/Center | 100 Ridge Medical Plaza, Suite 101, Edgefield, SC 29824 | 2007-11-26 |
| 1255525648 | Carolina Youth Combat Systems | Counselor | 722 Augusta Rd, Edgefield, SC 29824 | 2007-08-29 |
| 1972663763 | Tami Y Massey | Family Medicine | 155 Ridge Medical Plaza Rd, Suite A, Edgefield, SC 29824 | 2006-12-11 |
| 1093166514 | Self Medical Group | Family Medicine | 155 Ridge Medical Plaza Rd, Suite A, Edgefield, SC 29824 | 2016-06-27 |
| 1376960955 | Carla Dorn | Licensed Practical Nurse | 21 Star Rd, Edgefield, SC 29824 | 2014-03-21 |
| 1487904819 | Julian Thomas Rushin | Pharmacist | 230 Apple Square Plaza, Edgefield, SC 29824 | 2012-09-13 |
| 1134478225 | Marvin Gene Cason | Pharmacist | 230 Apple Square Plaza, Edgefield, SC 29824 | 2012-09-05 |
| 1205197019 | Robert Brightharp | Family Medicine | 155 Ridge Medical Plaza, Suite 102, Edgefield, SC 29824 | 2012-06-07 |
| Find all providers in zip 29824 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972663763 | Tami Y Massey | Family Medicine | 155 Ridge Medical Plaza Rd, Suite A, Edgefield, SC 29824 | 2006-12-11 |
| 1902897135 | Jose A. Serrano-martinez | Family Medicine | 501 Gary Hill Rd, Edgefield, SC 29824-4503 | 2005-11-05 |
| 1023570587 | Ohio Valley Physicians Inc | Family Medicine | 603 Augusta Rd, Edgefield, SC 29824-1507 | 2019-04-03 |
| 1093166514 | Self Medical Group | Family Medicine | 155 Ridge Medical Plaza Rd, Suite A, Edgefield, SC 29824 | 2016-06-27 |
| 1205197019 | Robert Brightharp | Family Medicine | 155 Ridge Medical Plaza, Suite 102, Edgefield, SC 29824 | 2012-06-07 |
| 1841350634 | Elizabeth S Gordineer | Family Medicine | 100 Ridge Medical Plaza Rd, Suite 102, Edgefield, SC 29824-4535 | 2006-12-11 |
| 1326108101 | George L Rainsford | Family Medicine | 155 Ridge Medical Plaza Rd, Suite A, Edgefield, SC 29824 | 2006-12-11 |
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| 1134732753 | Ovp Health Care, Inc. | Family Medicine | 101 S Catawba St, Lancaster, SC 29720-2411 | 2020-08-24 |
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1922617950 | Fred E Hill | Family Medicine | 1033 Jervey Point Rd, Charleston, SC 29492-8372 | 2020-07-27 |
| 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.