NEWBERRY PATHOLOGY ASSOCIATES PA (NPI# 1992769525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992769525 |
| Entity Type | Organization |
| Organization Name | NEWBERRY PATHOLOGY ASSOCIATES PA |
| Practice Address |
2669 Kinard St Newberry SC 29108-2911 |
| Mailing Address |
Po Box 49009 Greenwood SC 29649-0001 |
| Practice Telephone | 8884469898 |
| Practice Fax Number | 8032765521 |
| Mailing Telephone | 8642233070 |
| Mailing Fax Number | 8642231396 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2014-12-15 |
| Authorized Official Name | MRS. FRANCES S PUCKETT (PRESIDENT/FINANCIAL DIRECTOR) |
| Authorized Official Telephone | 8642233070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
5559 | SC | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
5559 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CG8639 | 01 | |
| SC | GP1437 | 05 | |
| CLIA REGISTRATION# | 42D0248801 | 01 |
| Street Address |
2669 KINARD ST |
| City | NEWBERRY |
| State | SC |
| Zip Code | 29108-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689145377 | Sarah Katherine Roper | Physical Therapist | 2669 Kinard St, Newberry, SC 29108-2911 | 2018-12-06 |
| 1891219887 | Newberry County Memorial Hospital | Emergency Medicine | 2669 Kinard St, Newberry, SC 29108-2911 | 2017-08-01 |
| 1538402854 | Jill Davis Murry | Physical Therapist | 2669 Kinard St, Newberry, SC 29108-2911 | 2013-04-04 |
| 1083960629 | Harriette L. Davis | Nurse Practitioner | 2669 Kinard St, Newberry, SC 29108-2911 | 2012-08-01 |
| 1730468992 | Newberry County Memorial Hospital | Medicare Defined Swing Bed Unit | 2669 Kinard St, Newberry, SC 29108-2911 | 2011-08-05 |
| 1326282724 | Peggy R Copulsky | Social Worker | 2669 Kinard St, Newberry, SC 29108-2911 | 2009-04-29 |
| 1033381959 | Katherine Kunkle | Nurse Anesthetist, Certified Registered | 2669 Kinard St, Newberry, SC 29108-2911 | 2008-04-01 |
| 1861537573 | Ronald Price | Emergency Medicine | 2669 Kinard St, Newberry, SC 29108-2911 | 2007-02-20 |
| 1992848931 | Florence Mccullough | Registered Nurse | 2669 Kinard St, Newberry, SC 29108-2911 | 2007-02-15 |
| 1255474292 | Jonelle Morrison Ix | Registered Nurse | 2669 Kinard St, Newberry, SC 29108-2911 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104472109 | Palmetto Bone and Joint | Pain Medicine | Palmetto Bone and Joint, 2605 Kinard St Suite 105, Newberry, SC 29108 | 2019-08-15 |
| 1922578582 | Joni Seibert Chapman | Registered Nurse | 3419 Main Street, Newberry, SC 29108 | 2018-11-27 |
| 1235652967 | Stephanie M Fulmer | Nurse Practitioner | 2351 Evans Street, Suite A, Newberry, SC 29108 | 2017-07-25 |
| 1497152177 | Frances Diane Martin | Registered Nurse | 9307 Sc Highway 34, Newberry, SC 29108 | 2014-11-25 |
| 1528463254 | Lauren Flynn | Registered Nurse | 3419 Main St, Newberry, SC 29108 | 2014-10-23 |
| 1689017998 | Charlene Kneece | Registered Nurse | 255 Hawkins Road, Newberry, SC 29108 | 2013-04-17 |
| 1952642423 | Allison Kyzer Gardner | Chiropractor | 3218 College Street, Newberry, SC 29108 | 2013-03-08 |
| 1972853372 | Dipa Mcgee | Pharmacist | 1210 Wilson Road, Newberry, SC 29108 | 2012-09-12 |
| 1730339060 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 2850 Kinard St, Newberry, SC 29108 | 2008-09-23 |
| 1508042201 | Newberry Oncology Associates | Radiology | 298 Commerce Dr., Newberry, SC 29108 | 2008-01-14 |
| Find all providers in zip 29108 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932691094 | Yanna Ding | Pathology | 169 Ashley Avenue, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2018-06-05 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1972732162 | Kalli Kole Faulkner | Pathology | 218 Children's Hospital, 171 Ashley Avenue. Msc 908, Charleston, SC 29464 | 2009-07-08 |
| 1023259660 | Raymond Leonard Krzyzaniak | Pathology | 402-b Singleton Ridge Road, Conway, SC 29526 | 2009-03-11 |
| 1932351764 | Kent J Newsom | Pathology | 1 Science Ct Ste 200, Professional Pathology Services, Columbia, SC 29203-9653 | 2008-10-10 |
| 1942409719 | Raford Porter Rogers IIi | Pathology | 165 Ashley Ave Ste 309, Charleston, SC 29425-8905 | 2007-07-12 |
| 1083734529 | Herbert Derman | Pathology | 28 Yorkshire Dr, Hilton Head, SC 29928-3368 | 2007-03-29 |
| 1316063944 | Johann Hertel | Pathology | 165 Ashley Avenue, Suite 337, Charleston, SC 29425 | 2007-03-22 |
| 1861575813 | Mary Kathleen Wren | Pathology | 171 Ashley Ave, Msc 908, Department of Pathology, Charleston, SC 29425-8905 | 2006-10-23 |
| 1629168679 | Danyel Bourgeois Mcevoy | Pathology | 4450 Leeds Pl W Ste A, N Charleston, SC 29405-8405 | 2006-10-13 |
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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.