DR. EDWARD WARREN III (NPI# 1790736809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790736809 |
| Entity Type | Individual |
| Full Name | DR. EDWARD WARREN III |
| Credential | M.D. |
| Practice Address |
595 W Carolina Ave Varnville SC 29944-4735 |
| Practice Telephone | 8039437600 |
| Practice Fax Number | 8039437601 |
| Mailing Telephone | 8039437600 |
| Mailing Fax Number | 8039437601 |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2017-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
07713 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 077133 | 05 | |
| SC | RAILROAD MEDICARE ID | P00294591 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447345970 | Edward Scott Warren | Counselor | 213 Copper Beech Ct, Chapel Hill, NC 27517-8115 | 2006-10-03 |
| 1699719112 | Edward C Warren Jr. | Optometrist | 24 Hanover St, Suite 3a, Lebanon, NH 03766-1334 | 2006-06-15 |
| 1265452957 | Edward Britt Warren | Physician Assistant | 800 Medical Campus Dr, Burnsville, NC 28714-9010 | 2006-07-19 |
| 1528093739 | Edward L Warren | Internal Medicine | 2500 Metrohealth Dr, Mhmc-medicine/pulmonary, Cleveland, OH 44109-1900 | 2006-07-12 |
| 1437107547 | Edward Carl Warren | Physician Assistant | 1403 S King St, Windsor, NC 27983-9666 | 2006-05-04 |
| 1184684946 | Edward Warren | Internal Medicine | 1910 Malvern Ave, Hot Springs, AR 71901-7752 | 2006-03-24 |
| 1992777148 | Edward Shaw Warren | Family Medicine | 220 N Main St, Greenville, SC 29601-2161 | 2006-02-02 |
| Street Address |
595 W CAROLINA AVE |
| City | VARNVILLE |
| State | SC |
| Zip Code | 29944-4735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316937725 | Steven E Goldberg | Internal Medicine | 595 W Carolina Ave, Varnville, SC 29944-4735 | 2005-10-26 |
| 1588272256 | Felicia Jonelle Ferguson | Nurse Practitioner | 595 W Carolina Ave, Varnville, SC 29944-4735 | 2020-07-20 |
| 1316571888 | Melanie Widener Brant | Nurse Practitioner | 595 W Carolina Ave, Varnville, SC 29944-4735 | 2020-02-24 |
| 1740828516 | Roper Saint Francis Physicians Network | Internal Medicine | 595 W Carolina Ave, Varnville, SC 29944-4735 | 2019-12-12 |
| 1184145658 | Brenda L Poalillo | Nurse Practitioner | 595 W Carolina Ave, Varnville, SC 29944-4735 | 2017-07-05 |
| 1518340884 | Paul Michael Linnert | Physician Assistant | 595 W Carolina Ave, Varnville, SC 29944-4735 | 2015-07-06 |
| 1275923013 | Sarah Tuten | Dietitian, Registered | 595 W Carolina Ave, Varnville, SC 29944-4735 | 2015-02-02 |
| 1619365590 | Suzanne Elizabeth Poole | Nurse Practitioner | 595 W Carolina Ave, Varnville, SC 29944-4735 | 2014-12-31 |
| 1013329440 | Roper Saint Francis Physicians Network | Internal Medicine | 595 W Carolina Ave, Varnville, SC 29944 | 2014-05-20 |
| 1164867537 | Hampton Regional Medical Center | Family Medicine | 595 W Carolina Ave, Varnville, SC 29944-4735 | 2013-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304992 | Lillie Bing | Technician | 200 King Circle, Varnville, SC 29944 | 2019-09-06 |
| 1578030003 | Kayla Stroble Colson | Registered Nurse | 531 W Carolina Ave, Varnville, SC 29944 | 2018-11-02 |
| 1427502160 | Earl B Hartzog Dmd Pa | Dentist | 649 West Carolina Ave, Varnville, SC 29944 | 2016-08-11 |
| 1356740765 | Hampton County Disabilities and Special Needs Board | Day Training, Developmentally Disabled Services | 294 Hampton Road, Varnville, SC 29944 | 2014-08-21 |
| 1609284199 | Marie Singletary | Respiratory Therapist, Certified | 97 Melody Lane, Hampton, SC 29944 | 2014-07-28 |
| 1568881118 | Jill Thomas Knight | Registered Nurse | 531 West Caroline Ave, Varnville, SC 29944 | 2014-04-10 |
| 1578980082 | Gerri Buhler | Registered Nurse | 531 West Carolina Avenue, Varnville, SC 29944 | 2014-03-21 |
| 1568889079 | Teresa Mccrary | Registered Nurse | 531 West Carolina Ave. West, Varnville, SC 29944 | 2014-03-21 |
| 1720410657 | Comfort To You | In Home Supportive Care | 33 E. Palmetto Ave, Varnville, SC 29944 | 2013-08-02 |
| 1376840504 | Hampton Regional Medical Center - Swingbed | Medicare Defined Swing Bed Unit | 595 W. Carolina Ave, Varnville, SC 29944 | 2011-02-24 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486786 | Tara Noone | Radiology | 545 Planters Loop, Mount Pleasant, SC 29464-2743 | 2020-08-04 |
| 1447728795 | Island Imaging, LLC | Radiology | 40 Palmetto Parkway, Hilton Head Island, SC 29926 | 2018-11-05 |
| 1417423088 | Bon Secours Diagnostic Imaging | Radiology | 1 Marcus Dr Ste 100, Greenville, SC 29615-4818 | 2018-10-22 |
| 1700352374 | Bon Secours Diagnostic Imaging | Radiology | 2 Innovation Dr Ste 350, Greenville, SC 29607-5269 | 2018-10-22 |
| 1548797533 | Gregory S Connor, Md, Pa | Radiology | 628 W Home Ave, Hartsville, SC 29550-4430 | 2017-05-22 |
| 1407393861 | Mcleod Physician Associates II | Radiology | 1116 W Evans St, Florence, SC 29501-3320 | 2017-01-24 |
| 1932651908 | Long Bay Diagnostic Imaging Murrells Inlet, LLC | Radiology | 4407 Highway 17 Bypass, Murrells Inlet, SC 29576-5097 | 2016-10-26 |
| 1245687540 | John Frederick Hughes | Radiology | 96 Jonathan Lucas St # 323, Charleston, SC 29425-3230 | 2016-05-17 |
| 1295104073 | Arthur Knight Walter | Radiology | 737 River Rd, Columbia, SC 29212-8809 | 2015-09-22 |
| 1386030021 | Shawn Hobby | Radiology | 96 Jonathan Lucas St Charleston Sc 29425, Charleston, SC 29425-0001 | 2015-04-09 |
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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.