DR. BARTLETT J WITHERSPOON JR. (NPI# 1295717973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295717973 |
| Entity Type | Individual |
| Full Name | DR. BARTLETT J WITHERSPOON JR. |
| Credential | MD |
| Practice Address |
166 Stoneridge Dr Columbia SC 29210-8239 |
| Mailing Address |
Po Box 2046 West Columbia SC 29171-2046 |
| Practice Telephone | 8034613000 |
| Practice Fax Number | 8034614910 |
| Mailing Telephone | 8034613000 |
| Mailing Fax Number | 8034614914 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2007-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
7243 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 072432 | 05 |
| Street Address |
166 STONERIDGE DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29210-8239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912988536 | Mary Audrey Ackerman | Internal Medicine | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2005-11-10 |
| 1154808525 | Savannah Roof | Physician Assistant | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2018-07-27 |
| 1467893891 | Kitra Nichols | Nurse Practitioner | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2013-07-15 |
| 1467899534 | Leonid Zamdborg | Radiology | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2013-05-30 |
| 1174864466 | Shelly K Goins | Nurse Practitioner | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2013-03-12 |
| 1629317920 | Ijan W House | Nurse Practitioner | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2013-02-06 |
| 1568725810 | Kevin Blas | Radiology | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2012-06-21 |
| 1467719732 | Amy Furmanski Ballou | Nurse Practitioner | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2012-04-11 |
| 1962799452 | Kurt Davin Meyer | Radiology | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2011-07-05 |
| 1639475098 | Garland Pearson Ames | Nurse Practitioner | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2011-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
| 1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
| 1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
| Find all providers in zip 29210 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659885754 | Providence Physician Practices, LLC | Radiology | 114 Gateway Corporate Blvd Ste 440, Columbia, SC 29203-9785 | 2017-11-28 |
| 1063493591 | Raleigh J Boulware | Radiology | 7 Medical Park, Suite 104, Columbia, SC 29223 | 2005-11-10 |
| 1568859023 | Andrew J Leiker | Radiology | One Hospital Dr, Columbia, MO 65212-0001 | 2015-04-22 |
| 1801214267 | Reed Evans Cope | Radiology | 1705 E Broadway Ste 100, Columbia, MO 65201-7167 | 2014-04-02 |
| 1467899534 | Leonid Zamdborg | Radiology | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2013-05-30 |
| 1568725810 | Kevin Blas | Radiology | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2012-06-21 |
| 1962799452 | Kurt Davin Meyer | Radiology | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2011-07-05 |
| 1376855981 | Brandon M Stone | Radiology | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2010-07-12 |
| 1396903761 | Elizabeth May Nichols | Radiology | 10710 Charter Dr, Suite G030, Columbia, MD 21044-3128 | 2008-06-01 |
| 1568476745 | Sally B Cheston | Radiology | 11065 Little Patuxent Pkwy, Columbia, MD 21044-2998 | 2006-07-27 |
| 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.