PROACTIVE MD SC,P.A.


Address: 2556 Wagener Rd, Aiken, SC 29801-9572
Phone: 8036431497

PROACTIVE MD SC,P.A. (NPI# 1932764321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932764321
Entity Type Organization
Organization Name PROACTIVE MD SC,P.A.
Practice Address 2556 Wagener Rd
Aiken
SC 29801-9572
Mailing Address 10 Centimeters Dr
Mauldin
SC 29662-3278
Practice Telephone 8036431497
Mailing Telephone 8645010751
Enumeration Date 2019-05-01
Last Update Date 2019-05-01
Authorized Official Name MARK ALLEN KEMBLE (VP OF MEDICAL AFFAIRS)
Authorized Official Telephone 8645010751
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1134753411 Proactive Md Sc,p.a. Family Medicine Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 2020-02-26
1538713813 Proactive Md Sc,p.a. Family Medicine 101 W Saint John St Ste 107, Spartanburg, SC 29306-5157 2019-07-25
1073171336 Proactive Md Sc,p.a. Family Medicine 801 Union St, Spartanburg, SC 29302-2734 2019-06-03
1659816932 Proactive Md Sc,p.a. Clinic/Center 223 Adley Way, Greenville, SC 29607-6511 2016-12-22
1639722101 Proactive Md Sc,p.a. Family Medicine 9098 Fairforest Rd, Spartanburg, SC 29301-1134 2019-07-23
1619535978 Proactive Md Sc,p.a. Family Medicine 145 W Broad St, Spartanburg, SC 29306-3210 2019-06-03
1750843132 Proactive Md Sc,p.a. Family Medicine 245 Parkway E, Duncan, SC 29334-9489 2019-04-03

Office Location

Street Address 2556 WAGENER RD
City AIKEN
State SC
Zip Code 29801-9572

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003457557 Edwin Knight Technician 458 Wheat Rd, Aiken, SC 29801 2019-10-07
1669934469 Julian Bogan Counselor 1135 Greg Hwy., Augusta, SC 29801 2019-04-02
1457820433 Catherine Reddish Home Health 245 Hancock Rd Reddish Health Care Agency, Aiken, SC 29801 2018-11-19
1538653498 Brenda Jean Jackson Technician 807 Dillon Ave, New Aiken, SC 29801 2018-06-14
1932649654 Vageo Inc Clinic/Center 227 Chesterfiled St S, Aiken, SC 29801 2017-02-28
1629472550 Andrea Ellis Nurse Practitioner 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 2014-10-21
1699177782 Joyce Walker Pompey Registered Nurse 471 University Parkway, Box 11, Aiken, SC 29801 2014-09-19
1578973251 Rehab Without Walls, Inc. Clinic/Center 104 Florence St. Sw, Suite A, Aiken, SC 29801 2014-05-02
1609297571 Katherine Delucas Duke Counselor 1135 Gregg Highway, Aiken, SC 29801 2013-12-19
1811328149 Lynda Renee Green Speech-Language Pathologist 100 Bears Rock Rd., Aiken, SC 29801 2013-12-12
Find all providers in zip 29801

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851747190 Umg Primary Care South Carolina, LLC Family Medicine 1023 Silver Bluff Road, Aiken, SC 29803 2016-05-05
1982044053 Cpc-aiken Family Medicine 410 Hitchcock Pkwy, Aiken, SC 29801-3398 2013-07-03
1639479801 Aiken Professional Association, LLC Family Medicine 420 Society Hill Dr Ste 200, Aiken, SC 29803-1731 2010-10-22
1780912733 Catherine Harmon Toomer Family Medicine 953b Dougherty Rd, Aiken, SC 29803-6508 2009-12-03
1316109564 Adam W Bruckner Family Medicine 420 Society Hill Dr, Suite 200, Aiken, SC 29803-1731 2008-06-30
1366612566 Anthony Todd Arnott Family Medicine 1029 York St Ne, Aiken, SC 29801-4025 2008-03-04
1184760910 Alan Christopher Schwartz Family Medicine 1021 Silverbluff Road, Aiken, SC 29803 2007-01-29
1003915877 East Aiken Health Center L.L.C. Family Medicine 1847 Hatchaway Bridge Rd, East Aiken Health Center, Aiken, SC 29805-8163 2006-09-21
1801819834 Stephen C Youmans Family Medicine 934 Dougherty Rd, Aiken, SC 29803-6515 2006-07-25
1841219631 Monica Manigo-johnson Family Medicine 2741 Whiskey Rd, Aiken, SC 29803-6197 2006-07-19
Find all providers in AIKEN

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City AIKEN
Zip Code 29801

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Dataset Information

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.

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