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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
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 |
Street Address |
2556 WAGENER RD |
City | AIKEN |
State | SC |
Zip Code | 29801-9572 |
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 Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
Please comment or provide details below to improve the information on PROACTIVE MD SC,P.A..
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.