MR. JOHNATHAN C VICKERS (NPI# 1275891673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275891673 |
| Entity Type | Individual |
| Full Name | MR. JOHNATHAN C VICKERS |
| Credential | CRT |
| Practice Address |
619 Creighton Dr Taylors SC 29687-3623 |
| Practice Telephone | 8644386405 |
| Mailing Telephone | 8644386405 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2278H0200X |
Respiratory Therapist, Certified Specialization: Home Health |
RCP3247 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
619 CREIGHTON DR |
| City | TAYLORS |
| State | SC |
| Zip Code | 29687-3623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467070862 | Allison Brooke Leach | Registered Nurse | 505 Dewy Meadows Drive, Taylors, SC 29687 | 2020-07-12 |
| 1437500832 | Andrew Hunter Denardo | Dentist | 2801 Wade Hampton Blvd Ste 118, Taylors, SC 29687 | 2016-06-27 |
| 1629163951 | Patricia Sue Rowe | Chiropractor | 3575 Rutherford Rd Ext Suite C, Taylors, SC 29687 | 2006-10-03 |
| 1265547889 | Diabetic Services Inc | Durable Medical Equipment & Medical Supplies | 202 Bendingwood Circle, Taylors, SC 29687 | 2006-08-21 |
| 1336608033 | Taylors Free Medical Clinic, Inc. | Clinic/Center | 400 West Main Street, Taylors, SC 29687 | 2019-03-13 |
| 1528544368 | Allison F Doot | Pharmacist | 3300 Wade Hampton Blvd, Taylors, SC 29687 | 2018-07-16 |
| 1518330323 | Kelsey Mariah Matthews | Physician Assistant | 3551a Rutherford Rd, Taylors, SC 29687 | 2015-11-03 |
| 1619378478 | Justin Jennings | Pharmacist | 3027 Wade Hampton Blvd, Taylors, SC 29687 | 2014-09-11 |
| 1770839219 | Emily Gilstrap Colao | Dentist | 2801 Wade Hampton Blvd, Suite 118, Taylors, SC 29687 | 2012-08-02 |
| 1730479288 | Christopher Lee Howlett | Dentist | 2 E Lee Rd, Taylors, SC 29687 | 2011-04-17 |
| Find all providers in zip 29687 | ||||
| Taxonomy Code | 2278H0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Certified |
| Specialization | Home Health |
| Home care fosters individual responsibility for self-management of chronic respiratory conditions. It includes individualized assessment based plans of care service developed to promote safe, proper, and sustained use of prescribed respiratory therapy medications, equipment, and techniques in the home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083233217 | Laquinas Luzena Hill | Respiratory Therapist, Certified | 2034 Comstock Ave, North Charleston, SC 29405-8118 | 2020-04-08 |
| 1356398911 | Personal Care Plus | Respiratory Therapist, Certified | 108 Inview Road, Suite 105, West Columbia, SC 29169 | 2006-05-28 |
Please comment or provide details below to improve the information on MR. JOHNATHAN C VICKERS.
| 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.