EASTERN CAROLINA PEDIATRIC ASSOCIATES (NPI# 1992749220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992749220 |
| Entity Type | Organization |
| Organization Name | EASTERN CAROLINA PEDIATRIC ASSOCIATES |
| Practice Address |
1530 Mcclure Ct Florence SC 29505-6046 |
| Practice Telephone | 8436676710 |
| Practice Fax Number | 8433179784 |
| Mailing Telephone | 8436676710 |
| Mailing Fax Number | 8433179784 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHARLES MORRISON FARISH (PRESIDENT/PARTNER) |
| Authorized Official Telephone | 8436676710 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PC0183 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073678868 | Eastern Carolina Pediatric Associates | Pediatrics | 105 Industrial Way, Darlington, SC 29532-0000 | 2006-12-22 |
| 1245300714 | Eastern Carolina Pediatric Associates | Dentist | 105 Industrial Way, Darlington, SC 29532-6044 | 2006-11-09 |
| Street Address |
1530 MCCLURE CT |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-6046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487799359 | April Mcgee Smith | Pharmacist | 1530 Mcclure Ct, Florence, SC 29505 | 2007-02-20 |
| 1104961077 | Linda Nance Lewis | Pharmacy Technician | 1530 Mcclure Ct, Florence, SC 29505 | 2007-02-20 |
| 1649315516 | Dorothy Jeffery Mcrae | Pharmacy Technician | 1530 Mcclure Ct, Florence, SC 29505 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164573564 | Primary Pediatrics | Pediatrics | 59 Cavalier Blvd, Suite 330, Florence, KY 41042-3901 | 2007-01-15 |
| 1518062561 | Daniel James Hammond | Pediatrics | 208 Ana Dr, Florence, AL 35630-1750 | 2006-09-14 |
| 1225132665 | Deidre L. Mcsweeney - Tyson | Pediatrics | 101 William H Johnson St Ste 420, Florence, SC 29506-2769 | 2006-09-07 |
| 1790793719 | David Richard Colvard | Pediatrics | 421 W College St, Infant & Childrens Clinic PC, Florence, AL 35630-5520 | 2006-08-04 |
| 1700894714 | Grant R Allen | Pediatrics | 421 West College St, Infants and Childrens Clinic PC, Florence, AL 35630 | 2006-08-04 |
| 1194767723 | Christopher Thomas Bardi | Pediatrics | 1530 Mcclure Court, Florence, SC 29505-6046 | 2006-06-11 |
| 1356305478 | Sharon Schroeder Wynn | Pediatrics | 7409 Us 42, Florence, KY 41042-1905 | 2006-04-14 |
| 1912967027 | Camille R Crawford | Pediatrics | 10032 Demia Way, Florence, KY 41042 | 2006-03-23 |
| 1528048980 | Robert M Siegel | Pediatrics | 7380 Tufway Rd, Florence, KY 41042 | 2006-01-20 |
| 1972583367 | Brian S. Naylor | Pediatrics | 204 E Cheves St, Florence, SC 29506-2604 | 2006-01-20 |
| Find all providers in FLORENCE | ||||
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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.