LESTERS DIABETIC SHOE SERV (NPI# 1790900249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790900249 |
| Entity Type | Organization |
| Organization Name | LESTERS DIABETIC SHOE SERV |
| Practice Address |
41 Blair Circle Estill SC 29918 |
| Mailing Address |
Po Box 632 41 Blair Circle Estill SC 29918 |
| Practice Telephone | 8036254100 |
| Practice Fax Number | 8036254100 |
| Mailing Telephone | 8036254100 |
| Mailing Fax Number | 8036254100 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-07-24 |
| Authorized Official Name | MRS. ETHEL B DANDY (PEDORTHIC OWNER) |
| Authorized Official Telephone | 8036254100 |
| Authorized Official Credential | PEDORTHIC CPED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | SC | Suppliers | |
| N | 335E00000X | Prosthetic/Orthotic Supplier | SC | Suppliers | |
| Y | 211D00000X | Assistant, Podiatric | SC | Podiatric Medicine & Surgery Service Providers |
| Street Address |
41 BLAIR CIRCLE |
| City | ESTILL |
| State | SC |
| Zip Code | 29918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689001034 | Earl B Hartzog Dmd Pa | Dentist | 123 Catherine Avenue North, Estill, SC 29918 | 2013-10-01 |
| 1821182452 | Michelle Marie Mckenzie | Optometrist | 2010 Browning Gate Road, Estill, SC 29918 | 2006-10-03 |
| 1538192349 | Hampton County School District 2 | Local Education Agency (LEA) | 319 E 4th Street, Estill, SC 29918 | 2006-07-08 |
| 1033768833 | Tamala Booker Middleton | Nurse Practitioner | 100 Prison Road, Estill, SC 29918 | 2019-09-05 |
| 1932648227 | Amanda Howard | Psychologist | 100 Prison Road, Estill, SC 29918 | 2017-02-20 |
| 1730512005 | Laveda Yolanda Odom | Pharmacist | 100 Prison Rd, Estill, SC 29918 | 2013-08-09 |
| 1285844761 | Zoltan Robert Vendal | Clinic/Center | 100 Prison Rd., Estill, SC 29918 | 2007-05-23 |
| 1124476320 | Latoya Monique Williams | Pharmacist | 136 Martin Luther King Jr. Blvd N, Estill, SC 29918-0335 | 2016-05-27 |
| 1811037633 | David Leroy Barnes Sr. | Dentist | 144 Catherine Street North, Estill, SC 29918-0547 | 2007-02-08 |
| 1174867857 | Federal Correctional Ins Estill | Clinic/Center | 100 Prison Road, Estill, SC 29918-0699 | 2012-11-19 |
| Find all providers in zip 29918 | ||||
| Taxonomy Code | 211D00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Assistant, Podiatric |
| An individual who assists a podiatrist in tasks, such as exposing and developing x-rays; taking and recording patient histories; assisting in biomechanical evaluations and negative castings; preparing and sterilizing instruments and equipment; providing the patient with postoperative instructions; applying surgical dressings; preparing the patient for treatment, padding, and strapping; and performing routine office procedures. |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 622. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871839605 | Ethel B Dany | Assistant, Podiatric | 41 Blair Cir, 41 Blar Circle, Estill, SC 29918-3212 | 2012-12-26 |
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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.