PALMETTO STATE SURGICAL PODIATRY ASSOCIATES (NPI# 1700335544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700335544 |
| Entity Type | Organization |
| Organization Name | PALMETTO STATE SURGICAL PODIATRY ASSOCIATES |
| Practice Address |
230 Cherokee Rd Florence SC 29501-5225 |
| Practice Telephone | 8437903338 |
| Practice Fax Number | 8437319384 |
| Mailing Telephone | 8437903338 |
| Mailing Fax Number | 8437319384 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | DR. JORDANNA LYNN BAKER (PARTNER) |
| Authorized Official Telephone | 8437903338 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
610 | SC | Podiatric Medicine & Surgery Service Providers |
| Street Address |
230 CHEROKEE RD |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-5225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457563066 | James Mark Lawhon | Dentist | 230 Cherokee Rd, Florence, SC 29501-5225 | 2007-05-04 |
| 1912525916 | Doctor Jordanna Baker | Clinic/Center | 230 Cherokee Rd, Florence, SC 29501-5225 | 2020-07-07 |
| 1063665636 | Jordanna Lynn Baker | Podiatrist | 230 Cherokee Rd, Florence, SC 29501-5225 | 2008-10-28 |
| 1255503413 | Misty Nicole Lee | Podiatrist | 230 Cherokee Rd, Florence, SC 29501-5225 | 2008-03-27 |
| 1083827620 | J. Mark Lawhon, Dmd, Pa | Dentist | 230 Cherokee Rd, Florence, SC 29501-5225 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| 1619350162 | Jessica Fink | Podiatrist | 709 W Evans St, Florence, SC 29501-3411 | 2015-07-01 |
| 1922437607 | New Jersey Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 315 Broad St, Florence, NJ 08518-1911 | 2013-11-04 |
| 1174870406 | James Michael Morrow | Podiatrist | 7370 Turfway Rd, Florence, KY 41042 | 2012-08-06 |
| 1588922686 | Mohiuddin Bilal Shamsi | Podiatrist | 7370 Turfway Rd, Ste 320, Florence, KY 41042 | 2012-04-26 |
| 1063665636 | Jordanna Lynn Baker | Podiatrist | 230 Cherokee Rd, Florence, SC 29501-5225 | 2008-10-28 |
| 1255503413 | Misty Nicole Lee | Podiatrist | 230 Cherokee Rd, Florence, SC 29501-5225 | 2008-03-27 |
| 1992977102 | J D Smith Dpm P C | Podiatrist | 202 Rosa Ln, Florence, AL 35630-1769 | 2008-03-27 |
| 1295811008 | Northern Kentucky Foot Specialists, Psc | Podiatrist | 7210 Turfway Rd, Florence, KY 41042-5117 | 2006-10-27 |
| 1073695599 | Northern Kentucky Foot Specialists, Psc | Podiatrist | 1125 Boone Aire Rd, Florence, KY 41042-1201 | 2006-10-20 |
| Find all providers in FLORENCE | ||||
Please comment or provide details below to improve the information on PALMETTO STATE SURGICAL PODIATRY ASSOCIATES.
| 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.