CLARENDON PEDIATRIC ASSOCIATES – NPI #1225435134
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

CLARENDON PEDIATRIC ASSOCIATES is a provider located in MANNING, SC. NPPES has assigned the NPI number 1225435134 to CLARENDON PEDIATRIC ASSOCIATES on November 21, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLARENDON PEDIATRIC ASSOCIATES” is a dba name, the actual legal business name for this organization is CLARENDON MEMORIAL HOSPITAL. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 10 years ago on Mar 10, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLARENDON PEDIATRIC ASSOCIATES below.

NPI Profile for
CLARENDON MEMORIAL HOSPITAL

NPI Number
1225435134
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLARENDON MEMORIAL HOSPITAL
Doing Business As (dba): CLARENDON PEDIATRIC ASSOCIATES
Primary location
50 E HOSPITAL ST
STE 4B
MANNING, SC 29102-3149
Phone: (803) 433-8419 Fax: (803) 433-8417
Mailing address
PO BOX 550
ATTN: CREDENTIALING
MANNING, SC 29102-3153
Phone: (803) 435-5248 Fax: (803) 435-5288
Organization Subpart
No
Authorized Official
JOHN SHAUGHNESSY
CFO
Phone: (803) 435-3239
Updated
Identifiers

Identifiers for CLARENDON PEDIATRIC ASSOCIATES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCGP6760
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.