CAROL NICHOLS & CAROL KOOISTRA (NPI# 1033207832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033207832 |
| Entity Type | Organization |
| Organization Name | CAROL NICHOLS & CAROL KOOISTRA |
| Practice Address |
541 Floyd Rd Spartanburg SC 29307-1520 |
| Practice Telephone | 8645856179 |
| Mailing Telephone | 8645856179 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2010-11-16 |
| Authorized Official Name | MRS. STEPHANIE ANNETTE BROWN (FRONT OFFICE/ BILLING) |
| Authorized Official Telephone | 8645856179 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GPO487 | 05 |
| Street Address |
541 FLOYD RD |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29307-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598741837 | Carol A Kooistra | Psychiatry & Neurology | 541 Floyd Rd, Spartanburg, SC 29307-1520 | 2005-12-19 |
| 1922345529 | Carolina Neurology of Spartanburg | Psychiatry & Neurology | 541 Floyd Rd, Spartanburg, SC 29307-1520 | 2013-01-16 |
| 1609832237 | Carol S Nichols | Psychiatry & Neurology | 541 Floyd Rd, Spartanburg, SC 29307 | 2006-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
| 1194247528 | Tawnia Lee Prince | Occupational Therapy Assistant | 110 Summit Knoll Drive, Spartanburg, SC 29307 | 2017-07-07 |
| 1730633553 | Laura K Taylor | Chiropractor | 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 | 2016-08-10 |
| 1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
| 1316312010 | Joy Rogers | Speech-Language Pathologist | 175 Burdette St, Spartanburg, SC 29307 | 2015-12-07 |
| 1376923169 | Olivia Conrad | Speech-Language Pathologist | 220 Sloans Grove Rd, Spartanburg, SC 29307 | 2015-06-05 |
| 1457755118 | Optimal Radiology Partners of Virginia, Pllc | Radiology | 75 Skylyn Drive, Spartanburg, SC 29307 | 2014-10-09 |
| 1295033272 | Sean Quinn | Pharmacist | 790 East Main Street, Spartanburg, SC 29307 | 2011-03-01 |
| 1417250887 | James Edward Bradof | Internal Medicine | 212 Cypress Creek Drive, Spartanburg, SC 29307 | 2010-12-07 |
| 1528388030 | Tanya Tocharoen Tang | Internal Medicine | 126 Dillon Dr., Spartanburg, SC 29307 | 2010-06-07 |
| Find all providers in zip 29307 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982809042 | Gonzalo F Pares | Psychiatry & Neurology | 243 E Blackstock Rd Ste 6, Spartanburg, SC 29301-2653 | 2007-06-19 |
| 1558441212 | Juliette S Saad | Psychiatry & Neurology | 100 Willow Lane, Ste 1a, Spartanburg, SC 29307 | 2006-10-17 |
| 1306826060 | Center for Neurology Care LLC | Psychiatry & Neurology | 243 E Blackstock Rd, Suite 6, Spartanburg, SC 29301-2653 | 2006-01-19 |
| 1598741837 | Carol A Kooistra | Psychiatry & Neurology | 541 Floyd Rd, Spartanburg, SC 29307-1520 | 2005-12-19 |
| 1902892904 | Bogdan P Gheorghiu | Psychiatry & Neurology | 1690 Skylyn Dr Ste 140, Spartanburg, SC 29307-1036 | 2005-09-25 |
| 1922345529 | Carolina Neurology of Spartanburg | Psychiatry & Neurology | 541 Floyd Rd, Spartanburg, SC 29307-1520 | 2013-01-16 |
| 1548420755 | Neurologic Care of Spartanburg Pa | Psychiatry & Neurology | 123 Dillon Dr, Spartanburg, SC 29307-1017 | 2008-06-11 |
| 1902908387 | Rowena Emilia Desailly Chanson | Psychiatry & Neurology | 101 E Wood St, Spartanburg, SC 29303-3040 | 2006-09-05 |
| 1609832237 | Carol S Nichols | Psychiatry & Neurology | 541 Floyd Rd, Spartanburg, SC 29307 | 2006-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693039 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 5500 Front St Ste 230, Summerville, SC 29486-7735 | 2020-09-14 |
| 1093323875 | Carolina Neurology & Neuroimaging LLC | Psychiatry & Neurology | 111 Shire Dr, Anderson, SC 29621-3675 | 2020-07-17 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| 1336764240 | Jal Ankeeth Ved | Psychiatry & Neurology | Prisma Health Medical Group Neurology, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2020-06-16 |
| 1427608819 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 9221 University Blvd Ste 2d, North Charleston, SC 29406-9148 | 2019-09-17 |
| 1801454830 | Mark Joshua Rosenberg | Psychiatry & Neurology | 96 Jonathan Lucas St Csb 301, Msc 606, Charleston, SC 29425-0001 | 2019-06-04 |
| 1851955413 | David Alan Lockwood Jr. | Psychiatry & Neurology | Neurology Patient Care, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2019-04-29 |
| 1164995700 | Amy Elizabeth Gallozzi | Psychiatry & Neurology | 531 Tributary Dr, Fort Lawn, SC 29714-8625 | 2019-01-07 |
| 1952896789 | Lauren Crawford | Psychiatry & Neurology | 96 Jonathan Street Suite 301, Charleston, SC 29425-0001 | 2018-06-25 |
| 1831610989 | Christopher Bruck Zust | Psychiatry & Neurology | 8 Medical Park Ste 420, Neurology Clinic, Columbia, SC 29203 | 2017-06-29 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29307 |
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| 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.