DR. DEREK PRAINORUT JAKES (NPI# 1124066527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124066527 |
| Entity Type | Individual |
| Full Name | DR. DEREK PRAINORUT JAKES |
| Credential | M.D. |
| Practice Address |
1519 Marion St Columbia SC 29220-0001 |
| Practice Telephone | 8032965513 |
| Practice Fax Number | 8032963076 |
| Mailing Telephone | 8032965513 |
| Mailing Fax Number | 8032963076 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2010-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
27795 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICAL LICENSE | 27795 | 01 |
| SC | DEA CERTIFICATE | BJ8555572 | 01 |
| Street Address |
1519 MARION ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29220-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639161128 | Frederick W Dreyer IIi | Radiology | 1519 Marion St, Columbia, SC 29201-2910 | 2005-08-19 |
| 1730786096 | Prisma Health University Medical Group | Radiology | 1519 Marion St, Columbia, SC 29201-2910 | 2020-10-08 |
| 1801354782 | John William Brumfield Jr. | Pharmacist | 1519 Marion St, Columbia, SC 29201-2910 | 2019-03-09 |
| 1770096216 | Continuecare Hospital At Palmetto Health Baptist, Inc. | Long Term Care Hospital | 1519 Marion St, Columbia, SC 29201-2910 | 2017-11-07 |
| 1982060570 | Intermedical Hospital of South Carolina | Special Hospital | 1519 Marion St, Columbia, SC 29201-2910 | 2016-01-12 |
| 1336526789 | Jennifer Stephens | Physician Assistant | 1519 Marion St, Columbia, SC 29201-2910 | 2015-05-05 |
| 1548542053 | Sarah Asman Stallings | Physician Assistant | 1519 Marion St, Columbia, SC 29220-4800 | 2011-09-12 |
| 1639499197 | David Timothy Powell | Radiology | 1519 Marion St, Columbia, SC 29201-2910 | 2010-06-08 |
| 1336385616 | Jonathan Eric Botstein | Radiology | 1519 Marion St, Columbia, SC 29220-6220 | 2008-12-17 |
| 1194984096 | Harry Simms Hardin Iv | Radiology | 1519 Marion St, Pitts Radiology, Columbia, SC 29201-2910 | 2008-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528334372 | Avnik Kirit Patidar | Family Medicine | Taylor and Marion, Columbia, SC 29220 | 2012-03-27 |
| 1659502276 | Stephanie A. Blease | Nurse Anesthetist, Certified Registered | Taylor At Marion St., Palmetto Health Baptist, Columbia, SC 29220 | 2009-07-30 |
| 1730389289 | Lillian Blanton Cargile | Registered Nurse | 1333 Taylor Street Suite 4e, Columbia, SC 29220 | 2007-07-23 |
| 1750580304 | Edwin James Vartanian | Registered Nurse | 1333 Taylor Street Suite 4-e, Columbia, SC 29220 | 2007-07-13 |
| 1629277264 | Nina Elmore Blanton | Registered Nurse | 1333 Taylor Street, Suite 4e, Columbia, SC 29220 | 2007-07-13 |
| 1093711228 | John Bruce Martin | Nurse Anesthetist, Certified Registered | Taylor At Marion, Palmetto Health Baptist, Columbia, SC 29220 | 2005-06-22 |
| 1205252319 | James E Gregory | Nurse Practitioner | Taylor Marion St, Columbia, SC 29220 | 2014-03-13 |
| 1942563952 | Mitul Ashok Patel | Internal Medicine | Taylor At Marion, Columbia, SC 29220 | 2012-06-25 |
| 1649533654 | Amit Mahendra Patel | Internal Medicine | Taylor and Marion, Columbia, SC 29220 | 2012-06-25 |
| 1396001897 | Marcus Owen Vaught | Family Medicine | Taylor At Marion, Columbia, SC 29220 | 2012-04-09 |
| Find all providers in zip 29220 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1275028136 | Austin Fletcher | Radiology | University Hospital One Hospital Drive, Department of Radiology Dc 069.10, Columbia, MO 65212-0001 | 2018-06-24 |
| 1316467046 | Philip Silva | Radiology | 1 Hospital Drive University of Missouri, Columbia, MO 65212-0001 | 2017-06-23 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1467993386 | Iv Radiology Medical Group | Radiology | 10000 Town Center Ave, Apt 244, Columbia, MD 21044-5418 | 2017-03-10 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| 1023462439 | Robert Michael Robbins | Radiology | 1 Hospital Drive Columbia Mo 65212, Columbia, MO 65212-4973 | 2016-04-21 |
| 1669836292 | Brian Trissell | Radiology | 1 Hospital Drive Dc069.10, Columbia, MO 65212 | 2016-04-10 |
| 1295104073 | Arthur Knight Walter | Radiology | 737 River Rd, Columbia, SC 29212-8809 | 2015-09-22 |
| 1750765558 | Joel Schmidt | Radiology | 1 Hospital Drive, Dc069.10, Columbia, MO 65212 | 2015-07-13 |
| Find all providers in COLUMBIA | ||||
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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.