SYNERGY SPINE CENTER, PA (NPI# 1649803313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649803313 |
Entity Type | Organization |
Organization Name | SYNERGY SPINE CENTER, PA |
Practice Address |
457 U.S. Highway 123, Suite D Seneca SC 29678 |
Practice Telephone | 8648828850 |
Practice Fax Number | 8648869777 |
Mailing Telephone | 8648828850 |
Mailing Fax Number | 8648869777 |
Enumeration Date | 2020-02-20 |
Last Update Date | 2020-02-20 |
Authorized Official Name | DR. MARION R. MCMILLAN, MD (OWNER/DIRECTOR) |
Authorized Official Telephone | 8648869888 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | MEDICARE # | Q330370002 | 01 |
SC | ASC039 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013996750 | Synergy Spine Center, Pa | Clinic/Center | 457d By Pass 123, Seneca, SC 29678 | 2006-01-11 |
Street Address |
457 U.S. HIGHWAY 123, SUITE D |
City | SENECA |
State | SC |
Zip Code | 29678 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437630746 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 10708 Clemson Blvd, Seneca, SC 29678 | 2018-08-24 |
1497233415 | Southern Telco, Inc. | Emergency Response System Companies | 15879 Wells Hwy, Seneca, SC 29678 | 2018-08-01 |
1598252199 | Chana Ashlan Land | Counselor | 530 By Pass 123 Ste E2, Seneca, SC 29678 | 2018-04-18 |
1679972632 | Anesthesia At Synergy Spine | Nurse Anesthetist, Certified Registered | 457 E Bypass 123, Seneca, SC 29678 | 2014-08-15 |
1548683303 | Carolina Counseling Professionals, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr, Seneca, SC 29678 | 2014-01-30 |
1144658170 | Changing Strides Counseling, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr., Seneca, SC 29678 | 2013-10-30 |
1417383811 | Martha Williams | Registered Nurse | 101 Honeybee Ln, Seneca, SC 29678 | 2013-09-18 |
1073867404 | The Upstate's Golden Corner of Psychiatry | Psychiatry & Neurology | 450 B Bypass 123, Seneca, SC 29678 | 2012-11-07 |
1043569916 | Amanda Lee Simpson | Pharmacist | 105 Foothills Center Drive, West Union, SC 29678 | 2012-09-06 |
1114225984 | Aliesha Gilliard Cleveland | Pharmacist | 1601 Sandier Blvd, Seneca, SC 29678 | 2011-03-03 |
Find all providers in zip 29678 |
Taxonomy Code | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285259374 | Brian Fabian Saway | Neurological Surgery | 96 Jonathan Lucas St Rm 301, Charleston, SC 29425-8900 | 2020-06-15 |
1548819170 | Carolina Neurosurgery & Spine Associates Pa | Neurological Surgery | 937 Riverwalk Pkwy Ste 101, Rock Hill, SC 29730-0179 | 2019-09-06 |
1487909081 | Lexington County Health Services District, Inc. | Neurological Surgery | 146 East Hospital Dr, Ste 120a, West Columbia, SC 29169 | 2012-07-19 |
1497016778 | Adam R Mathes | Neurological Surgery | Piedmont Spine and Neurosurgical Group, 3 St. Francis Drive, Ste 490, Greenville, SC 29601-3973 | 2012-06-04 |
1427358951 | The Neurological Institute of Savannah & Center for Spine P C | Neurological Surgery | 12b Arley Way Ste 103, Bluffton, SC 29910-8860 | 2010-11-01 |
1104142223 | Malcolm Daniel Eggart | Neurological Surgery | 4040 Highway 17 Ste 306, Murrells Inlet, SC 29576-5098 | 2010-04-14 |
1780917518 | Roper Saint Francis Physicians Network | Neurological Surgery | 56 Persimmons St, Suite C, Bluffton, SC 29910-7641 | 2009-09-11 |
1417198573 | Edward Bernard Byrd | Neurological Surgery | 2735 Royal Trace Ln, Mt Pleasant, SC 29466-8124 | 2009-03-18 |
1720205016 | Sharon Woods Webb | Neurological Surgery | 3 Saint Francis Dr Ste 490, Greenville, SC 29601-3973 | 2007-04-19 |
1841350451 | Clarendon Memorial Hospital | Neurological Surgery | 20 Hospital St, Manning, SC 29102 | 2006-12-12 |
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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.