PALMETTO HEALTH ALLIANCE (NPI# 1780870667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780870667 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH ALLIANCE |
| Other Organization Name | PALMETTO BONE AND JOINT SURGERY |
| Practice Address |
112 John St Suite 103 Easley SC 29640-1472 |
| Mailing Address |
Po Box 2089 Easley SC 29641-2089 |
| Practice Telephone | 8648555104 |
| Practice Fax Number | 8648599362 |
| Mailing Telephone | 8648555104 |
| Mailing Fax Number | 8648599362 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |
| Authorized Official Name | KENDALL J DURHAM (MANAGER-FINANCIAL SERVICES REP) |
| Authorized Official Telephone | 8648555104 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 23481 | SC | Allopathic & Osteopathic Physicians |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE DME | PENDING | 01 |
| Other Name | Type Code |
|---|---|
| Palmetto Bone and Joint Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518170182 | Palmetto Health Alliance | Family Medicine | 15 Roe Road, Greenville, SC 29611 | 2007-05-08 |
| 1912110586 | Palmetto Health Alliance | Durable Medical Equipment & Medical Supplies | 106 John Street, Easley, SC 29640 | 2007-05-08 |
| 1952464430 | Palmetto Health Alliance | Counselor | 300 W Main St, The Pastoral Counseling Center of Laurens, Laurens, SC 29360-2943 | 2006-12-18 |
| 1952471211 | Palmetto Health Alliance | Pharmacy | 1308 Laurel St, Columbia, SC 29201-2514 | 2006-11-08 |
| 1265527097 | Palmetto Health Alliance | Pain Medicine | 223 Stoneridge Dr, Columbia, SC 29210-8009 | 2006-10-04 |
| 1629014188 | Palmetto Health Alliance | Obstetrics & Gynecology | 1 Richland Medical Park, Suite 110, Columbia, SC 29203-6834 | 2006-06-22 |
| Street Address |
112 JOHN ST SUITE 103 |
| City | EASLEY |
| State | SC |
| Zip Code | 29640-1472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306821657 | Robert F Finley | Orthopaedic Surgery | 112 John St, Suite 201, Easley, SC 29640-1472 | 2005-12-09 |
| 1437601457 | John Hajovsky | Physical Therapist | 112 John St, Ste 104, Easley, SC 29640-1472 | 2016-10-25 |
| 1235447145 | Baptist Easley | Orthopaedic Surgery | 112 John St, Ste 201, Easley, SC 29640-1472 | 2010-09-14 |
| 1063648681 | David Michael Boyer | Family Medicine | 112 John St, Suite 201, Easley, SC 29640-1472 | 2009-06-10 |
| 1831330786 | Palmetto Health | Obstetrics & Gynecology | 112 John St, Su. 201, Easley, SC 29640-1472 | 2009-03-23 |
| 1962604165 | Palmetto Health | Orthopaedic Surgery | 112 John St, Suite 103, Easley, SC 29640-1472 | 2007-06-01 |
| 1619012739 | Nancy S Terry | Counselor | 112 John St, Ste 102, Easley, SC 29640-1472 | 2007-02-20 |
| 1114938768 | William Sean Irvin | Physician Assistant | 112 John St, Suite 201, Easley, SC 29640-1472 | 2006-08-10 |
| 1881641660 | Easley Eye Associates, P.a. | Specialist | 112 John St, Suite 104, Easley, SC 29640-1472 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063935773 | Mary Kathryn Henderson | Speech-Language Pathologist | 1400 Griffin Mill Road, Easley, SC 29640 | 2017-07-25 |
| 1417309451 | Ashby Park Pediatric Dentistry Easley | Dentist | 708 North A Street, Easley, SC 29640 | 2016-07-01 |
| 1548696990 | Phuong T Tran | Pharmacist | 309 Rolling Hills Circle, Easley, SC 29640 | 2013-09-17 |
| 1538593017 | Baptist Easley Hospital | Clinic/Center | 200 Fleet Wood Dr 3 Rd Floor, Easley, SC 29640 | 2013-09-03 |
| 1942507173 | Joanne Mason Wilkinson | Occupational Therapist | 1807a East Main St, Easley, SC 29640 | 2011-02-24 |
| 1861793911 | Ark Pharmacy Services LLC | Pharmacy | 5119- A Calhoun Memorial Hwy, Easley, SC 29640 | 2010-11-05 |
| 1659507952 | Sarah Elizabeth Proulx | Dentist | 227 South Pendleton Street, Suita A, Easley, SC 29640 | 2009-06-02 |
| 1508030503 | Jean Claire Palmour | Massage Therapist | 404 South Fifth Street, Jj & Company Salon & Spa, Easley, SC 29640 | 2008-04-22 |
| 1760685143 | Cannon Memorial Hospital | Family Medicine | 111 W. Roper Rd., Easley, SC 29640 | 2007-06-06 |
| 1942419171 | William Kent Hammond | Dentist | 298 Enterprise Dr, Easley, SC 29640 | 2007-05-22 |
| Find all providers in zip 29640 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366953002 | Ronnie Wigfall | Durable Medical Equipment & Medical Supplies | 106 Woody Ln, Easley, SC 29640-8858 | 2017-10-20 |
| 1831533199 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 309 Rolling Hills Cir, Easley, SC 29640-7124 | 2013-04-17 |
| 1528331931 | Upstate Carolina Mobility | Durable Medical Equipment & Medical Supplies | 105 La Von Ln, Suite C, Easley, SC 29642-2627 | 2012-02-15 |
| 1073814455 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 6129 Calhoun Memorial Hwy Ste C, Easley, SC 29640-3781 | 2010-11-16 |
| 1437301652 | Advantage Medical Equipmant & Supply LLC | Durable Medical Equipment & Medical Supplies | 808 Powdersville Rd Ste 15, Easley, SC 29642-1968 | 2008-10-21 |
| 1649467374 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5312 Calhoun Memorial Hwy # 123, Easley, SC 29640-3866 | 2007-09-26 |
| 1104925304 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 5991 Calhoun Memorial Highway, Easley, SC 29640-3833 | 2006-09-22 |
| 1912924176 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 115 Rolling Hills Cir, Easley, SC 29640-7109 | 2006-07-16 |
| 1467492801 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 6525 Calhoun Memorial Hwy, Easley, SC 29640-3669 | 2006-06-07 |
| 1457337214 | Second To Nature Inc | Durable Medical Equipment & Medical Supplies | 621 E Main St, Easley, SC 29640-3151 | 2005-12-22 |
| Find all providers in EASLEY | ||||
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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.