Samuel Mayhew Wilson
Surgery

Address: 1012 Medical Ridge Rd, Clinton, SC 29325-4542
Phone: 8648333852

Samuel Mayhew Wilson (NPI# 1609844653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1609844653
Entity Type Individual
Full Name Samuel Mayhew Wilson
Credential M.D.
Gender Male
Practice Address 1012 Medical Ridge Rd
Clinton
SC 29325-4542
Practice Telephone 8648333852
Practice Fax Number 8649380501
Mailing Address 1 Independence Pt Ste 212
Greenville
SC 29615-4536
Mailing Telephone 8647976303
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-03-08
Last Update Date 2018-02-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208600000X Surgery Allopathic & Osteopathic Physicians 33377 SC

Other Provider Identifier

State Identifier Issuer Type Code
DE 020042401 OTHER RAILROAD MEDICARE
SC 333777 MEDICAID
DE 0000663301 MEDICAID

Other Providers SAMUEL WILSON

NPI Name Taxonomy Address Enumeration
1174935431 Samuel Wilson Internal Medicine 170 Manning Drive 1st Floor Physician's Office Bldg, Chapel Hill, NC 27599-5368 2014-05-21
1376637652 Samuel B Wilson Internal Medicine Diabetes Labs, 65 Landsdowne Street, Cambridge, MA 02138 2006-10-03
1912948019 Samuel G Wilson Emergency Medicine 12021 Jacaranda Ave, 101, Hesperia, CA 92345-4956 2006-06-09
1083110514 Samuel Wilson Student in an Organized Health Care Education/Training Program 4502 E 41st St, Tulsa, OK 74135-2536 2018-04-03
1821422809 Samuel Lloyd Wilson Physical Therapist 2900 Foxfield Rd, Suite 205, St Charles, IL 60174-5799 2013-08-27
1295072189 Samuel Alan Wilson Pharmacist 911 Duluth Hwy, Lawrenceville, GA 30043-5320 2013-01-11
1477865194 Samuel M. Wilson Student in an Organized Health Care Education/Training Program 2320 Freeway Drive, Skagit Regional Clinics-riverbend, Mount Vernon, WA 98273 2010-07-10
1275763286 Samuel Beringer Wilson Counselor 619 E 5th St, Los Angeles, CA 90013-2109 2009-07-24
1336360049 Samuel A. Wilson Pharmacist 5100 Highway 39 N, Meridian, MS 39301-1023 2007-05-01
1932240090 Samuel Lamar Wilson Psychiatry & Neurology 1137 2nd St, #111, Santa Monica, CA 90403-5011 2007-02-10

Physician Overview

NPI 1609844653
PAC ID by PECOS 7416137393
Professional Enrollment ID I20110518000179
Full Name Samuel Mayhew Wilson
Organization Legal Name GHS PARTNERS IN HEALTH INC
Phone Number 8648333852
Gender M
Medical School TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1979
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 8325950983
Number of Group Practice Members 1155
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420038 GHS LAURENS COUNTY MEMORIAL HOSPITAL

Office Location

Street Address 1012 MEDICAL RIDGE RD
City CLINTON
State SC
Zip Code 29325-4542

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699774752 Rufus W Watkins Surgery 1012 Medical Ridge Rd, Clinton, SC 29325-4542 2005-07-20
1336439314 Lchcs Dba Wilson and Mccormack Surgical Services Surgery 1012 Medical Ridge Rd, Clinton, SC 29325-4542 2011-04-12
1447213079 Raymond Michael Wiggins Specialist 1012 Medical Ridge Rd, Clinton, SC 29325-4542 2006-04-06
1710970520 Carter Jameson Mccormack Surgery 1012 Medical Ridge Rd, Clinton, SC 29325-4542 2005-08-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154828945 Lillian Smith Physical Therapy Assistant Nhc Clinton, 304 Jacobs Highway, Clinton, SC 29325 2018-04-09
1134519366 Nora Pace Specialist/Technologist 18132 Hwy 72 E, Clinton, SC 29325 2015-01-26
1497186845 John M. Griz Orthopaedic Surgery 22971 Hwy 76e, Clinton, SC 29325 2013-12-11
1992131171 Sharon Kay Stoia Occupational Therapist 600 Plaza Circle, Clinton, SC 29325 2013-09-19
1578800256 Hayes Ambulance Service LLC Ambulance 2143 Torrington Road, Clinton, SC 29325 2013-01-14
1083943518 Margaret Estelle Shreve Chiropractor 209 Musgrove St, Clinton, SC 29325 2009-12-11
1750556213 Piedmont Regional Urology Urology 300 Plantation Plaza, Suite F, Clinton, SC 29325 2008-04-25
1285821587 Assisted Living Concepts Inc Assisted Living Facility 939 Springdale Drive, Clinton, SC 29325 2007-10-01
1205041092 Dawn Sherer Reynolds Dentist 85 Professional Park Road, Clinton, SC 29325 2007-05-14
1912119371 Nancy Patel Internal Medicine 700 Plaza Cir Ste N, Clinton, SC 29325 2007-05-05
Find all providers in zip 29325

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205247970 Clinton Surgical Pllc Surgery 603 Beaman St Ste 200, Clinton, NC 28328-2647 2014-05-15
1760744361 Sampson Regional Professional Services, LLC Surgery 607 Beaman Street, Clinton, NC 28328-2603 2012-06-11
1306059845 Jan Bristow Newman Surgery 3436 Mountain Dr, Clinton, MT 59825-9750 2007-05-08
1538114186 Steve Palmer Schoettle Surgery 2526 Hwy 65 South, Suite 205, Clinton, AR 72031 2006-05-23
1275596017 Michael Arthur Valenti Surgery 603 Beaman Street, Suite 200, Clinton, NC 28328-2647 2006-04-11
1073580122 Sidney P Rohrscheib Surgery 803 Illini Dr, Clinton, IL 61727-9444 2006-03-07
1699774752 Rufus W Watkins Surgery 1012 Medical Ridge Rd, Clinton, SC 29325-4542 2005-07-20
1063880599 Medstar Southern Maryland Physicians, LLC Surgery 7501 Surratts Rd, Suite 208, Clinton, MD 20735-3362 2015-09-15
1871903054 Medstar Southern Maryland Physicians, LLC Surgery 7501 Surratts Rd, Suite 305, Clinton, MD 20735-3362 2014-04-28
1205259298 Sampson Regional Professional Services, LLC Surgery 607 Beaman St, Clinton, NC 28328-2603 2014-01-27
Find all providers in CLINTON

Competitor

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City CLINTON
Zip Code 29325

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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