JOHN B DUBOSE III (NPI# 1679525406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679525406 |
| Entity Type | Individual |
| Full Name | JOHN B DUBOSE III |
| Credential | MD |
| Practice Address |
1344 Haile St Camden SC 29020-3076 |
| Mailing Address |
Po Box 1259 Sentinel Health Partners Pa Business Office Camden SC 29021-1259 |
| Practice Telephone | 8034321996 |
| Practice Fax Number | 8034242703 |
| Mailing Telephone | 8037138350 |
| Mailing Fax Number | 8037138433 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2012-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 7301 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RAILROAD MEDICARE PIN | 110143743 | 01 |
| SC | 073011 | 05 | |
| MEDCOST | 23196 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104056498 | John Wylder Dubose | Psychiatry & Neurology | 650 Broadway St Fl B2, Redwood City, CA 94063-3129 | 2009-07-21 |
| 1003275983 | John Mark Dubose | Pharmacist | 805 Enterprise Rd, Dillon, SC 29536-7821 | 2016-02-19 |
| 1871996017 | John A Dubose | Psychologist | 3401 Berrywood Dr Ste 203, Columbia, MO 65201-6515 | 2014-10-02 |
| Street Address |
1344 HAILE ST |
| City | CAMDEN |
| State | SC |
| Zip Code | 29020-3076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346292570 | James S Shaw | Family Medicine | 1344 Haile St, Camden, SC 29020-3076 | 2006-05-16 |
| 1861992810 | Jamie Schoolfield Hendrix | Nurse Practitioner | 1344 Haile St, Camden, SC 29020-3076 | 2018-02-16 |
| 1023407269 | Ashley Divers | Nurse Practitioner | 1344 Haile St, Camden, SC 29020-3076 | 2015-01-12 |
| 1184989840 | Sentinel Health Partners, Pa | Clinical Medical Laboratory | 1344 Haile St, Camden, SC 29020-3076 | 2012-07-09 |
| 1497964365 | Sentinel Health Partners, Pa | Internal Medicine | 1344 Haile St, Camden, SC 29020-3076 | 2007-05-21 |
| 1255425393 | Gilbert Larry Holmes | Family Medicine | 1344 Haile St, Camden, SC 29020-3076 | 2006-10-03 |
| 1821037680 | Lauren M Taylor | Physician Assistant | 1344 Haile St, Camden, SC 29020-3076 | 2006-06-06 |
| 1366494197 | Gordon E Pennebaker | Family Medicine | 1344 Haile St, Camden, SC 29020-3076 | 2006-05-17 |
| 1386696169 | Anita M Dubose | Nurse Practitioner | 1344 Haile St, Camden, SC 29020-3076 | 2006-05-17 |
| 1871544403 | Jack F Scheuer Jr. | Internal Medicine | 1344 Haile St, Camden, SC 29020-3076 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1205493871 | Kershaw County Board of Disabilities and Special Needs | Early Intervention Provider Agency | 1619 Jefferson Davis Highway, Camden, SC 29020 | 2019-05-20 |
| 1831669415 | Jennifer Dawn Colby | Counselor | 709 Mill Street, Camden, SC 29020 | 2018-11-27 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
| 1811414675 | Audra Rowell Scott | Registered Nurse | Kershaw County Health Department, 1116 Church Street, Camden, SC 29020 | 2017-08-23 |
| 1386173789 | Robert James Mccarthy | Specialist/Technologist | 410 Chewning Street, Camden, SC 29020 | 2017-06-08 |
| 1902357205 | First Physical Therapy LLC | Clinic/Center | 1114 Mill St, Camden, SC 29020 | 2016-10-21 |
| 1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
| 1154748424 | Diane Mcdonald | Registered Nurse | 1611 Church St, Camden, SC 29020 | 2014-03-25 |
| Find all providers in zip 29020 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407202492 | Tyler Mcmillan | Internal Medicine | 1 Cooper Plz # 222, Camden, NJ 08103-1461 | 2016-05-09 |
| 1093865115 | Camille Henry | Internal Medicine | 1865 Harrison Ave Ste 1300, Camden, NJ 08105 | 2007-01-11 |
| 1548321490 | Vincent Thomas Mc Dermott Jr. | Internal Medicine | 439 Clinton St, Camden, NJ 08103-3529 | 2006-12-13 |
| 1649346925 | Suetta Tenney | Internal Medicine | Genesis Health Care Winward Gardens Nursing Center, 105 Mechanic Street, Camden, ME 04843 | 2006-11-28 |
| 1144304536 | Simon Samaha | Internal Medicine | One Cooper Plaza /hospitalist Team, Camden, NJ 08103 | 2006-10-24 |
| 1801996772 | Elizabeth J Boogusch | Internal Medicine | 17 Rockbrook Dr, Camden, ME 04843-1616 | 2006-09-22 |
| 1992801237 | Meena Sharma | Internal Medicine | 1 Cooper Plaza, Camden, NJ 08103-1438 | 2006-09-15 |
| 1831203918 | Mill Street Medical Associates, LLP | Internal Medicine | 1113 Mill St, Camden, SC 29020-3763 | 2006-08-18 |
| 1790707511 | Steven Mills | Internal Medicine | Empire Medical, Camden, DE 19134 | 2006-07-24 |
| 1760400451 | Faith M Young | Internal Medicine | 2 Cooper Plz 400 Haddon Avenue, Suite 3200, Camden, NJ 08103-1461 | 2006-07-18 |
| Find all providers in CAMDEN | ||||
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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.