MARTA ANDRADA (NPI# 1790821908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790821908 |
| Entity Type | Individual |
| Full Name | MARTA ANDRADA |
| Credential | CNM |
| Practice Address |
1608 Main St Conway SC 29526-3572 |
| Mailing Address |
Po Box 2100 Conway SC 29528-2100 |
| Practice Telephone | 8432484700 |
| Practice Fax Number | 8432483145 |
| Mailing Telephone | 8434886363 |
| Mailing Fax Number | 8432483145 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2017-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
26NO07889600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MW0244 | 05 |
| Street Address |
1608 MAIN ST |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-3572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073518528 | Joseph Hamilton Odom | Pharmacist | 1608 Main St, Conway, SC 29526-3572 | 2005-06-20 |
| 1568083210 | Kristen Mottey | Social Worker | 1608 Main St, Conway, SC 29526-3572 | 2020-05-05 |
| 1942832050 | Stephanie Jayne Ball | Social Worker | 1608 Main St, Conway, SC 29526-3572 | 2020-02-06 |
| 1295229656 | Kaitlin Elizabeth Hojnowski | Social Worker | 1608 Main St, Conway, SC 29526-3572 | 2018-06-19 |
| 1245742782 | Linda Leeko Hudson | Nurse Practitioner | 1608 Main St, Conway, SC 29526-3572 | 2017-10-24 |
| 1306382304 | Lindsey Brooke Jernigan | Nurse Practitioner | 1608 Main St, Conway, SC 29526-3572 | 2017-01-13 |
| 1144637166 | Amanda Gerrald | Nurse Practitioner | 1608 Main St, Conway, SC 29526-3572 | 2014-07-22 |
| 1518238591 | Lina Abdelmajid Hajar | Specialist | 1608 Main St, 15c, Box No 87, Conway, SC 29526-3572 | 2012-01-23 |
| 1336423193 | Health Care Partners of South Carolina, Inc. | Clinical Medical Laboratory | 1608 Main St, Conway, SC 29526-3572 | 2011-09-28 |
| 1609106392 | Shalini Gates | Nurse Practitioner | 1608 Main St, Conway, SC 29526-3572 | 2010-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508864406 | Charlene N Bunger | Nurse Practitioner | 620 Singleton Ridge Rd Ste 385, Conway, SC 29526-9154 | 2005-07-13 |
| 1902104995 | Sonya Dawn Harden | Nurse Practitioner | 620 Singleton Ridge Rd, Conway, SC 29526-9154 | 2011-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295130839 | Mary Elizabeth Lane | Nurse Practitioner | 1350a Cleveland St, Greenville, SC 29607-2408 | 2014-10-24 |
| 1134242456 | Debra Ann Moynihan | Nurse Practitioner | 4017 Bypass 17, Murrells Inlet, SC 29576-2674 | 2007-04-10 |
| 1104927334 | Deborah Jenkins | Nurse Practitioner | 401 Guess Street, Suite 100, Greenville, SC 29605-4155 | 2006-09-26 |
| 1548290331 | Lorraine Hansen Hensley | Nurse Practitioner | 531 Lafayette Cir, Georgetown, SC 29440-2569 | 2006-07-04 |
| 1235128141 | Susan Annette West Hallman | Nurse Practitioner | 471 University Pkwy, Aiken, SC 29801-6389 | 2005-10-14 |
| 1396732111 | Janet C Poole | Nurse Practitioner | 1410 S Kings Hwy, Myrtle Beach, SC 29577-4509 | 2005-10-06 |
| 1104812403 | Jean T Isherwood | Nurse Practitioner | 811 W Main St Ste 209, Lexington, SC 29072-2500 | 2005-09-22 |
| 1790789519 | Cynthia Anne Dodd | Nurse Practitioner | 112 Hospital Dr W, West Columbia, SC 29169-3406 | 2005-06-09 |
| 1366071474 | Cynthia S Koli | Nurse Practitioner | 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 | 2020-04-02 |
| 1023582681 | Janette Figueroa | Nurse Practitioner | 1120 Grove Rd, Greenville, SC 29605-4656 | 2019-01-17 |
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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.