PROACTIVE MD SC,P.A. (NPI# 1750843132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750843132 |
| Entity Type | Organization |
| Organization Name | PROACTIVE MD SC,P.A. |
| Practice Address |
245 Parkway E Duncan SC 29334-9489 |
| Mailing Address |
10 Centimeters Dr Mauldin SC 29662-3278 |
| Practice Telephone | 8646611539 |
| Mailing Telephone | 8645010751 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |
| Authorized Official Name | MARK ALLEN KEMBLE (EVP OF MEDICAL AFFAIRS) |
| Authorized Official Telephone | 8645010751 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2556 Wagener Rd, Aiken, SC 298019572 | 8036431497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1538713813 | Proactive Md Sc,p.a. | Family Medicine | 101 W Saint John St Ste 107, Spartanburg, SC 29306-5157 | 2019-07-25 |
| 1073171336 | Proactive Md Sc,p.a. | Family Medicine | 801 Union St, Spartanburg, SC 29302-2734 | 2019-06-03 |
| 1932764321 | Proactive Md Sc,p.a. | Family Medicine | 2556 Wagener Rd, Aiken, SC 29801-9572 | 2019-05-01 |
| 1659816932 | Proactive Md Sc,p.a. | Clinic/Center | 223 Adley Way, Greenville, SC 29607-6511 | 2016-12-22 |
| 1639722101 | Proactive Md Sc,p.a. | Family Medicine | 9098 Fairforest Rd, Spartanburg, SC 29301-1134 | 2019-07-23 |
| 1619535978 | Proactive Md Sc,p.a. | Family Medicine | 145 W Broad St, Spartanburg, SC 29306-3210 | 2019-06-03 |
| Street Address |
245 PARKWAY E |
| City | DUNCAN |
| State | SC |
| Zip Code | 29334-9489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881639466 | Douglas Wayne Whitehead | Family Medicine | 245 Parkway E, Duncan, SC 29334-9489 | 2006-06-18 |
| 1639239288 | Henriette Veronica Mason | Nurse Practitioner | 245 Parkway E, Palmetto Proactive, Duncan, SC 29334-9489 | 2006-12-12 |
| 1457389637 | Mark Allen Kemble | Family Medicine | 245 Parkway E, Duncan, SC 29334-9489 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487032272 | Polly Wright Rector | Specialist | 120 S Spencer St, Duncan, SC 29334 | 2015-05-12 |
| 1417343286 | Rubina Batool Baksh | Pediatrics | 500 Squires Pt Ste A, Duncan, SC 29334 | 2015-04-08 |
| 1922274463 | Joseph Brandon Chadwell | Dentist | 705 Squires Pt, Duncan, SC 29334 | 2008-05-05 |
| 1306068127 | Worth Family Chiropractic | Chiropractor | 1531 E Main St #2, Duncan, SC 29334 | 2007-05-02 |
| 1912031717 | Laura Ann Gray | Speech-Language Pathologist | 407 Caperton Way, Duncan, SC 29334 | 2007-03-15 |
| 1457429078 | Spartanburg County School District No. 5 | Registered Nurse | 100 N. Danzler Rd, Duncan, SC 29334 | 2006-12-01 |
| 1003913328 | World Class Healthcare Pa | Chiropractor | 700 Squire's Pt, Ste. B, Duncan, SC 29334 | 2006-09-20 |
| 1245348242 | Craig Bernard Pruitt | Optometrist | Vision Plus 1955 E Main St, 1955 East Main St. Suite C., Duncan, SC 29334 | 2006-08-29 |
| 1861415085 | Mary Black Health System LLC | Family Medicine | 500 Squires Pointe, Duncan, SC 29334 | 2006-07-26 |
| 1982622585 | Derek T Dunlap | Dentist | 700 Squire's Pointe Drive, Suite A, Duncan, SC 29334 | 2006-07-18 |
| Find all providers in zip 29334 | ||||
| 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 |
|---|---|---|---|---|
| 1104009299 | Solutions Practice Management | Family Medicine | 2210 Duncan Regional Loop Rd, Duncan, OK 73533-1564 | 2007-12-11 |
| 1982773685 | Sallie Jane Waters | Family Medicine | 1313 Jackie Rd., Duncan, OK 73533 | 2006-11-07 |
| 1861415085 | Mary Black Health System LLC | Family Medicine | 500 Squires Pointe, Duncan, SC 29334 | 2006-07-26 |
| 1902837826 | Paul W Kliewer | Family Medicine | 227 Main St., Duncan, AZ 85534 | 2006-07-06 |
| 1962433748 | Charles Wayne Dickerson | Family Medicine | 1601 Brookwood Ave, Duncan, OK 73533-1360 | 2006-07-06 |
| 1306872080 | Edward J Mea | Family Medicine | 500 Squires Pt, Duncan, SC 29334 | 2006-06-24 |
| 1881639466 | Douglas Wayne Whitehead | Family Medicine | 245 Parkway E, Duncan, SC 29334-9489 | 2006-06-18 |
| 1891733994 | Spartanburg Medical Center | Family Medicine | 1575 E Main Street, Duncan, SC 29334-9218 | 2006-06-02 |
| 1407823982 | Judith Marie Gilbreth | Family Medicine | 1330 N Harville Rd, Duncan, OK 73533-1514 | 2006-03-03 |
| 1568432102 | Richard Lucarelli | Family Medicine | 1575 E Main St, Duncan, SC 29334-9218 | 2006-01-25 |
| Find all providers in DUNCAN | ||||
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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.