MARK D WALSH (NPI# 1912329889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912329889 |
| Entity Type | Organization |
| Organization Name | MARK D WALSH |
| Other Organization Name | 5 STAR FAMILY MEDICINE |
| Practice Address |
7611 Highway 76 Suite C Pendleton SC 29670-9162 |
| Practice Telephone | 8645465570 |
| Practice Fax Number | 8645465571 |
| Mailing Telephone | 8645465570 |
| Mailing Fax Number | 8645465571 |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |
| Authorized Official Name | DR. MARK D WALSH (M.D. AND CEO) |
| Authorized Official Telephone | 8646530163 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | LICENSE | 20774 | 01 |
| Other Name | Type Code |
|---|---|
| 5 STAR FAMILY MEDICINE | Doing Business As Name - Organization |
| Street Address |
7611 HIGHWAY 76 SUITE C |
| City | PENDLETON |
| State | SC |
| Zip Code | 29670-9162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598703878 | Frank W Forgnoni | Optometrist | 7611 Highway 76, Ste B, Pendleton, SC 29670-9162 | 2006-06-02 |
| 1538104336 | Innovative Vision Center LLC | Optometrist | 7611 Highway 76, Ste. B, Pendleton, SC 29670-9162 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518302108 | Imc of South Carolina | Physical Therapist | 6301 Hwy 76, Pendleton, SC 29670 | 2013-05-08 |
| 1154475283 | Arthur Laurens Bruce | Dentist | 896 S Mechanic Street, Pendleton, SC 29670 | 2007-01-23 |
| 1700942505 | Vasantha Rao | Dentist | 6260 Hwy 76, Shobha Dental Care Center, Pendleton, SC 29670 | 2006-12-28 |
| 1265473813 | Mark D Walsh | Family Medicine | 7611 Hwy 76, Suite C, Pendleton, SC 29670 | 2006-06-08 |
| 1710963244 | Pendleton Area Rescue Squad | Ambulance | 1 Depot Street, Pendleton, SC 29670 | 2005-12-16 |
| 1316933559 | Lawrence E Stroud Jr. | Internal Medicine | 2229 Old Greenville Hwy, Pendleton, SC 29670 | 2005-09-22 |
| 1912256801 | Gregory Martin Bauld | Pharmacist | 7647 Highway 76, Pendleton, SC 29670 | 2012-09-06 |
| 1891827614 | Mark Curtis Stamey | Dentist | 216 East Main Street, Pendleton, SC 29670 | 2007-03-09 |
| 1942275649 | Anderson School District Four | Local Education Agency (LEA) | 315 E Queen St, Pendleton, SC 29670-0545 | 2006-02-17 |
| 1487991501 | Anderson District 4 | Registered Nurse | 458 Riverside St, Pendleton, SC 29670-1211 | 2013-01-09 |
| Find all providers in zip 29670 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033527395 | Rural Health Group, Inc. | Clinic/Center | 479 Willis Hare Rd, Pendleton, NC 27862-7033 | 2014-07-30 |
| 1013254432 | Pendleton Primary Care Clinic | Clinic/Center | 1100 Southgate Ste 9, Pendleton, OR 97801-3940 | 2013-01-04 |
| 1154764405 | Dr. Russell B Harrison, Md PC | Clinic/Center | 3207 Sw Perkins Ave, Pendleton, OR 97801-4465 | 2013-04-16 |
| 1285854901 | James H. Walker,iii Dba Sandy Springs Family Practice | Clinic/Center | 5304 Highway 76, Pendleton, SC 29670-9139 | 2007-04-26 |
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| 1447758032 | Crs Eyecare Services, Inc. | Clinic/Center | 112 Rutledge Ave Ste A, Charleston, SC 29401-1333 | 2018-01-29 |
| 1316477060 | Lake City Medical Associates 2017, LLC | Clinic/Center | 130 S Acline St, Lake City, SC 29560-2633 | 2017-06-15 |
| 1417483355 | New Beginnings Health Services | Clinic/Center | 176 Dermis Ave, Hardeeville, SC 29927-4161 | 2017-05-11 |
| 1669919007 | Hypertension and Diabetes Prevention and Treatment Center Inc | Clinic/Center | 1812 Malden Drive, Hdpt Center Inc, Florence, SC 29505-3128 | 2017-01-24 |
| 1093262511 | Quad/med, LLC | Clinic/Center | 224a Harbor Freight Rd, Dillon, SC 29536-8501 | 2016-09-01 |
| 1649623653 | Woods Bay Family Care LLC | Clinic/Center | 128 E Baker St, Olanta, SC 29114-9101 | 2016-07-14 |
| 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.