JOHN KSOR (NPI# 1346384971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346384971 |
| Entity Type | Individual |
| Full Name | JOHN KSOR |
| Credential | DPM |
| Practice Address |
2502 Broad St Camden SC 29020-2238 |
| Practice Telephone | 8034255510 |
| Mailing Telephone | 8034255510 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2017-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
563 | SC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PD5630 | 05 |
| Street Address |
2502 BROAD ST |
| City | CAMDEN |
| State | SC |
| Zip Code | 29020-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932421385 | Carolina Podiatry Clinic LLC | Durable Medical Equipment & Medical Supplies | 2502 Broad St, Camden, SC 29020 | 2010-02-25 |
| 1326254848 | Jonathan Braun Ksor | Podiatrist | 2502 Broad St, Camden, SC 29020-2238 | 2007-05-14 |
| 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 | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780731034 | Louis John Ciravolo | Podiatrist | 602 S Broadway, Camden, NJ 08103-1222 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457728032 | Flowertown Podiatry, Inc | Podiatrist | 4340 Ladson Rd Ste C, Ladson, SC 29456-6444 | 2015-08-30 |
| 1326007022 | Mark Raymond Kutyla | Podiatrist | 121 Park Place Ct, Lexington, SC 29072-6690 | 2006-03-21 |
| 1669441895 | Gerard F Rainer | Podiatrist | 148 Milestone Way, Suite A, Greenville, SC 29615-5007 | 2006-03-17 |
| 1609850122 | Brad A. Lindstrom | Podiatrist | 211 E Butler Rd, Suite A-2, Mauldin, SC 29662-2169 | 2005-11-30 |
| 1285623827 | Sarah M Jordan | Podiatrist | 1399 John B White Sr Blvd, Spartanburg, SC 29306-3911 | 2005-10-17 |
| 1194259341 | Matthew Fernandez | Podiatrist | 1012 Physicians Dr, Charleston, SC 29414-5719 | 2017-04-14 |
| 1134571334 | Robert Ezewuiro | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2016-07-12 |
| 1336564749 | Oak Tree Podiatry, Pa | Podiatrist | 5 Winchester Ct, Mauldin, SC 29662-2626 | 2014-02-21 |
| 1265673784 | Hans Blaakman,dpm,llc | Podiatrist | 1575 E Main St, Duncan, SC 29334-9218 | 2009-03-12 |
| 1467609016 | Gerard F. Rainer Dpm | Podiatrist | 148 Milestone Way, Ste A, Greenville, SC 29615-5007 | 2008-08-26 |
| Find all providers with the same taxonomy | ||||
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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.