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MCLEOD PHYSICIAN ASSOCIATES II NPI 1598739799


NPI Information

NPI: 1598739799
Provider Name: MCLEOD PHYSICIAN ASSOCIATES II

Doing Business As: MCLEOD PEDIATRIC SUBSPECIALTIES

Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
101 WILLIAM H. JOHNSON STREET
STE. 400
FLORENCE, SC
ZIP 29506
Phone: (843) 777-7300
Get Directions

MCLEOD PHYSICIAN ASSOCIATES II is a pediatric cardiology pediatrics in Florence, SC. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. MCLEOD PHYSICIAN ASSOCIATES II NPI is 1598739799. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mcleod Pediatric Subspecialties.

The provider's business location address is:

101 WILLIAM H. JOHNSON STREET
STE. 400
FLORENCE, SC
ZIP 29506-772
Phone: (843) 777-7300
Fax: (843) 777-7311

The provider's authorized official is Brad Cole .
The authorized official title is Vice President and has the following contact phone number (843) 777-7010.

The enumeration date for this NPI number is 2/14/2006 and was last updated on 1/7/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric CardiologyYes
22080P0203XPediatricsPediatric Critical Care MedicineNo
32080P0205XPediatricsPediatric EndocrinologyNo
4363LF0000XNurse PractitionerFamilyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP3648MEDICAIDSOUTH CAROLINA
2=========OTHERSOUTH CAROLINABLUE CROSS BLUE SHIELD
3=========OTHERSOUTH CAROLINABLUE CHOICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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