BONNIE B CORRIGAN (NPI# 1962424119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962424119 |
| Entity Type | Individual |
| Full Name | BONNIE B CORRIGAN |
| Other Name | BONNIE BOHACEK |
| Credential | RN |
| Practice Address |
164 Waccamaw Medical Park Dr Conway SC 29526-8903 |
| Mailing Address |
4245 Pinto Ln Myrtle Beach SC 29588-9624 |
| Practice Telephone | 8433475060 |
| Mailing Telephone | 8439035607 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
37698 | SC | Nursing Service Providers |
| Street Address |
164 WACCAMAW MEDICAL PARK DR |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370021 | Kurt Klauburg | Psychiatry & Neurology | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2005-07-19 |
| 1740881242 | Tracey Buster | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-11-03 |
| 1417557471 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-10-29 |
| 1427676907 | Leslie Ethridge Barnes | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-07-10 |
| 1043849151 | Juleian Edwards | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-04-02 |
| 1942835202 | Rachel Anne Hemingway | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-03-06 |
| 1912530221 | Matthew John Beauchemin | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-14 |
| 1114559085 | Jeffrey N. Osborne | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-10 |
| 1790317006 | Joshawna April Mcabee | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-05 |
| 1922639343 | Lorie A Matthews | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2020-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235773326 | Edith Bostic | Registered Nurse | 409 Paul St, Conway, SC 29527-5823 | 2019-10-31 |
| 1598851149 | Rosalie Farace | Registered Nurse | 164 Waccamaw Medical Park Drive, Conway, SC 29526 | 2006-10-04 |
| 1083251771 | Susan Scott Church | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2019-12-02 |
| 1881158764 | Beth Ann Anrold | Registered Nurse | 25 W Main St, Conway, NH 03818-6142 | 2019-01-25 |
| 1316394364 | Lisa Dubose | Registered Nurse | 350 Salem Rd Ste 1, Conway, AR 72034-6166 | 2016-05-19 |
| 1598108789 | Donna Holt | Registered Nurse | 350 Salem Rd, Suite 1, Conway, AR 72034-7525 | 2013-04-08 |
| 1629247069 | Caroline Groom | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2008-02-28 |
| 1154422616 | Paulette W Hemingway | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2006-09-26 |
| 1235155011 | Sarah Gamble Reynolds | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2006-07-14 |
| 1982620795 | Gary Curtis Chandler | Registered Nurse | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2006-07-14 |
| Find all providers in CONWAY | ||||
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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.