Cheraw Pediatrics, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

17373 Issued in SC

Legal business name

CHERAW PEDIATRICS, P.A.

Practice address

715 S Doctors Dr
Suite E
Cheraw, SC 29520-7113

Phone

(843) 537-1811

NPI assigned

Apr 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Agnes S Schultz, M.D.NPI 1447340211

Title

Owner

Phone

(843) 537-1811

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Agnes S Schultz, MD

  • Pediatrics Physician
  • Cheraw, SC
  • NPI 1447340211
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063635571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S DOCTORS DR",
            "address_2": "SUITE E",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295207113",
            "telephone_number": "843-537-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S DOCTORS DR",
            "address_2": "SUITE E",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295207113",
            "telephone_number": "843-537-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERAW PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-537-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "17373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2224",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cheraw Physicians Group LLC
• Martin Luther Sherley Cherenfant, DO
• Chesterfield Clinic Corp (Hometown Family Care)
• Chesterfield Clinic Corp (Palmetto Orthopedics Practice)

• Pediatrics Physician in Cheraw, SC
• Providers in Cheraw, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.