KERSHAWHEALTH (NPI# 1073686994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073686994 |
| Entity Type | Organization |
| Organization Name | KERSHAWHEALTH |
| Other Organization Name | ED PHYSICIANS |
| Practice Address |
1315 Roberts St Camden SC 29020-3737 |
| Mailing Address |
Po Box 7003 Camden SC 29020-7003 |
| Practice Telephone | 8037136376 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2009-09-23 |
| Authorized Official Name | DONNIE J WEEKS (CEO) |
| Authorized Official Telephone | 8037136227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 400480 | 05 |
| Other Name | Type Code |
|---|---|
| ED PHYSICIANS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528203205 | Kershawhealth | Internal Medicine | 1218 Roberts St, Camden, SC 29020-3736 | 2008-12-09 |
| 1457764169 | Kershawhealth | Surgery | 1102 Roberts St, Camden, SC 29020-3734 | 2014-06-10 |
| 1164834487 | Kershawhealth | Family Medicine | 1111 Mill St, Camden, SC 29020-3763 | 2014-05-21 |
| 1912288093 | Kershawhealth | Family Medicine | 116 Standard Warehouse Rd, Lugoff, SC 29078-9670 | 2011-09-02 |
| 1659686004 | Kershawhealth | Internal Medicine | 1303 Monument Sq, Camden, SC 29020-3529 | 2010-08-10 |
| 1750609889 | Kershawhealth | Obstetrics & Gynecology | 1165 Highway 1 S, Suite 500, Lugoff, SC 29078-8966 | 2010-05-13 |
| 1528207172 | Kershawhealth | Internal Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2009-02-05 |
| 1689878357 | Kershawhealth | Clinic/Center | 1315 Roberts St, Camden, SC 29020-3737 | 2007-06-14 |
| 1740344118 | Kershawhealth | Ambulance | 1315 Roberts St, Camden, SC 29020-3737 | 2006-12-20 |
| 1467525378 | Kershawhealth | Pharmacy | 1315 Roberts St, Camden, SC 29020-3737 | 2006-11-16 |
| Street Address |
1315 ROBERTS ST |
| City | CAMDEN |
| State | SC |
| Zip Code | 29020-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721076 | Samuel William Polen | Emergency Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2005-06-24 |
| 1710528260 | Gina Allen | Nurse Practitioner | 1315 Roberts St, Camden, SC 29020-3737 | 2019-10-07 |
| 1710543384 | Scott Patrick King | Physical Therapist | 1315 Roberts St, Camden, SC 29020-3737 | 2019-05-19 |
| 1598232332 | Jessica Leigh Davis Atkinson | Nurse Practitioner | 1315 Roberts St, Camden, SC 29020-3737 | 2018-10-30 |
| 1861996142 | Kershaw Hospital LLC | Psychiatric Unit | 1315 Roberts St, Camden, SC 29020-3737 | 2018-03-21 |
| 1073986048 | Kershaw Anesthesia, LLC | Anesthesiology | 1315 Roberts St, Camden, SC 29020-3737 | 2015-11-12 |
| 1386029882 | Sarah Creed Bradley | Nurse Practitioner | 1315 Roberts St, Camden, SC 29020-3737 | 2015-07-25 |
| 1316322027 | Kershaw Hospital LLC | Internal Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2015-07-23 |
| 1174903314 | Low Country Physicians Group, LLC | Emergency Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2015-06-03 |
| 1760876585 | Jack Robert Maxfield | Registered Nurse | 1315 Roberts St, Camden, SC 29020-3737 | 2015-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1205493871 | Kershaw County Board of Disabilities and Special Needs | Early Intervention Provider Agency | 1619 Jefferson Davis Highway, Camden, SC 29020 | 2019-05-20 |
| 1831669415 | Jennifer Dawn Colby | Counselor | 709 Mill Street, Camden, SC 29020 | 2018-11-27 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
| 1811414675 | Audra Rowell Scott | Registered Nurse | Kershaw County Health Department, 1116 Church Street, Camden, SC 29020 | 2017-08-23 |
| 1386173789 | Robert James Mccarthy | Specialist/Technologist | 410 Chewning Street, Camden, SC 29020 | 2017-06-08 |
| 1902357205 | First Physical Therapy LLC | Clinic/Center | 1114 Mill St, Camden, SC 29020 | 2016-10-21 |
| 1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
| 1154748424 | Diane Mcdonald | Registered Nurse | 1611 Church St, Camden, SC 29020 | 2014-03-25 |
| Find all providers in zip 29020 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346354826 | Ouachita County Medical Center | Clinic/Center | 638 California Ave Sw, Camden, AR 71701-4604 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1063586618 | George A. Wilkinson, Md Pa | Clinic/Center | 4033 Hwy 17 Bypass, Murrells Inlet, SC 29576-5032 | 2006-11-17 |
| 1336222884 | Palmetto Emergency Physicians, LLC | Clinic/Center | 730 Stoney Landing Rd, Moncks Corner, SC 29461-2948 | 2006-10-20 |
| 1700828084 | York Emergency Physicians | Clinic/Center | 222 S Herlong Ave, Rock Hill, SC 29732-1158 | 2006-06-12 |
| 1699729939 | Spartanburg Medical Center | Clinic/Center | 101 E Wood St, Emergency Center, Spartanburg, SC 29303-3040 | 2006-05-20 |
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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.