Agnes S Schultz, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

17373 Issued in SC

Practice address

119 Chesterfield Highway
Cheraw, SC 29520

Phone

(843) 537-1811

Fax

(843) 537-1802

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cheraw Pediatrics, P.a.

  • Pediatrics Physician
  • Cheraw, SC
  • NPI 1063635571
  NPD (past) Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1447340211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 CHESTERFIELD HWY",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295203001",
            "telephone_number": "843-537-1811",
            "fax_number": "843-537-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 CHESTERFIELD HIGHWAY",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "29520",
            "telephone_number": "843-537-1811",
            "fax_number": "843-537-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "AGNES",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "17373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T15597",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rehab Center of Cheraw LLC
• Restoring a Nation
• Jack Wilson Rhyne, LCSW, LISW
• Samuel Richardson III, DCC, LCPC, CTC
• Sandhills Ambulance Service Inc
• Show Me How Academy
• Daniel Gabe Simpson, MD
• Amy Smith
• Monika Agnieszka Sokolowska
• South Carolina CVS Pharmacy LLC

• 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 Dec 19, 2013; 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.