FLORENCE PODIATRY ASSOCIATES LLC (NPI# 1821085366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821085366 |
| Entity Type | Organization |
| Organization Name | FLORENCE PODIATRY ASSOCIATES LLC |
| Practice Address |
510 W Cheves St Florence SC 29501-4448 |
| Practice Telephone | 8436799090 |
| Practice Fax Number | 8436799080 |
| Mailing Telephone | 8436799090 |
| Mailing Fax Number | 8436799080 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2014-05-05 |
| Authorized Official Name | DR. DWAYNE A JACOBUS (OWNER) |
| Authorized Official Telephone | 8436799090 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP9918 | 05 | |
| SC | PD5658 | 05 |
| Street Address |
510 W CHEVES ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-4448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487847331 | Robert Jamey Herbst | Podiatrist | 7911 Mall Rd, Florence, KY 41042-1409 | 2007-08-23 |
| 1811058258 | Michael T Hames | Podiatrist | 2487 Mall Rd, Florence, AL 35630-2809 | 2006-12-12 |
| 1063468502 | Barry Alan Klein | Podiatrist | 315 Broad St, Box 208, Florence, NJ 08518-1911 | 2006-05-26 |
| 1710442371 | Harsh Patel Dpm Pa | Podiatrist | 315 Broad St, Florence, NJ 08518-1911 | 2019-02-07 |
| 1346776986 | Michael Mccann | Podiatrist | 805 Pamplico Hwy Ste 320, Florence, SC 29505-6047 | 2017-05-02 |
| 1548648777 | Joseph Wilkinson | Podiatrist | 530 9th St, Florence, OR 97439 | 2015-05-07 |
| 1922384387 | Family Foot & Ankle Center Inc Pa | Podiatrist | 7711 Ewing Blvd, Suite 300, Florence, KY 41042-7533 | 2011-10-31 |
| 1972664316 | Hames Foot Clinic, Inc. | Podiatrist | 2487 Mall Rd, Florence, AL 35630-2809 | 2006-12-12 |
| 1649223389 | Carolina Podiatry | Podiatrist | 506 E Cheves St, Florence, SC 29506-2616 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331132 | Emad Youssef Dpm LLC | Podiatrist | 218 Granito Dr, Greer, SC 29650-2771 | 2020-09-16 |
| 1922618016 | Dr. Ashley Williams, LLC | Podiatrist | 3223 Hatchet Bay Dr Apt 7203, Charleston, SC 29414-5219 | 2020-08-04 |
| 1700424769 | Instride Foot & Ankle Specialists, Pllc | Podiatrist | 223 Herlong Ave S Ste 115, Rock Hill, SC 29732-1089 | 2019-12-20 |
| 1871011387 | Honored To Serve | Podiatrist | 1850 Atlantic Dr Unit 712, Columbia, SC 29210-7992 | 2017-09-05 |
| 1467989632 | Frederick Garland | Podiatrist | 767 Wintercreeper Dr, Longs, SC 29568-9229 | 2017-05-17 |
| 1245764430 | Aiken Podiatry Center | Podiatrist | 148 Waterloo St Sw Ste 4, Aiken, SC 29801-3766 | 2017-04-14 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1669859104 | Mobile Podiatry South Carolina | Podiatrist | 10 Summerlea Ln, Columbia, SC 29203-3915 | 2015-05-05 |
| 1063829471 | Heather Driessen, Dpm, LLC | Podiatrist | 4072 Corner Stroll Ln, Aiken, SC 29801-1158 | 2014-07-17 |
| 1164855227 | Coastal Medical Services LLC | Podiatrist | 616 Churchill Rd, Walterboro, SC 29488-3622 | 2013-08-13 |
| Find all providers with the same taxonomy | ||||
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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.