McLeod Physician Associates II
Organization Active NPI Pediatric Cardiology Physician · Florence, SC
NPI 1598739799 · NPPES record last updated Jun 3, 2022
Key facts
- NPI
- 1598739799
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Cardiology Physician 2080P0202X
- Legal business name
- MCLEOD PHYSICIAN ASSOCIATES II
- Practice address
- 101 William H. Johnson Street
Ste. 400
Florence, SC 29506-2772 - Phone
- (843) 777-7300
- Fax
- (843) 777-7311
- NPI assigned
- Feb 14, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- MCLEOD HEALTH
Authorized official
- Name
- Kenneth D. Beasley
- Title
- Senior Vice President
- Phone
- (843) 777-7010
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- McLeod Physician Associates II
Locations
101 William H Johnson St
Ste 400
Florence, SC 29506
Phone (803) 434-7961
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician |
2080P0202X | Yes | ||
| Pediatric Critical Care Medicine Physician |
2080P0203X | |||
| Pediatric Endocrinology Physician |
2080P0205X | |||
| Pediatric Gastroenterology Physician |
2080P0206X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
101 William H. Johnson Street
Ste. 400
Florence, SC 29506-2772
Mailing address
PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ========= | Other | SC | BLUE CHOICE |
| GP3648 | Medicaid | SC | |
| ========= | Other | SC | BLUE CROSS BLUE SHIELD |
Other names
- McLeod Pediatric Subspecialties
Other providers in Florence, SC
- McLeod Physician Associates II
- McLeod Physician Associates II
- McLeod Physician Associates II
- McLeod Physician Associates II
- McLeod Physician Associates II
- McLeod Physician Associates II
- McLeod Physician Associates II
- McLeod Physician Associates II
- McLeod Physician Associates II
- McLeod Physician Associates II
All providers in Florence, SC · Pediatric Cardiology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.