DR. KELLY STEPHENSON BARTH


Address: 67 President St, Charleston, SC 29425-5712
Phone: 8437929888

DR. KELLY STEPHENSON BARTH (NPI# 1366526030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366526030
Entity Type Individual
Full Name DR. KELLY STEPHENSON BARTH
Credential DO
Practice Address 67 President St
Charleston
SC 29425-5712
Mailing Address 1026 Dominion Dr
Hanahan
SC 29410-2408
Practice Telephone 8437929888
Mailing Telephone 2674389826
Enumeration Date 2006-10-25
Last Update Date 2008-07-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
757 SC Allopathic & Osteopathic Physicians

Other Providers KELLY BARTH

NPI Name Taxonomy Address Enumeration
1013360213 Kelly Barth Nurse Practitioner 1880 Century Park E, Suite 425, Los Angeles, CA 90067-1600 2016-07-22
1659683787 Kelly Barth Physical Therapist 600 S Pine Island Rd, Ste 300, Plantation, FL 33324-3166 2010-07-06

Office Location

Street Address 67 PRESIDENT ST
City CHARLESTON
State SC
Zip Code 29425-5712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639176126 Susan Carr Sonne Pharmacist 67 President St, Clinical Neuroscience Division, Charleston, SC 29403-5712 2005-06-30
1609473396 Erin Lee Phlegar Physician Assistant 67 President St, Charleston, SC 29425-5712 2020-10-06
1790301240 Cordy Mcgill-scarlett Psychiatry & Neurology 67 President St, Charleston, SC 29425-5712 2020-06-21
1609492594 Adam Mullet Psychiatry & Neurology 67 President St, Charleston, SC 29425-5712 2020-06-17
1801411939 Nancy Katiana Suarez-tipton Psychiatry & Neurology 67 President St, Charleston, SC 29425-5712 2020-06-15
1548884828 Michael Seidman Psychiatry & Neurology 67 President St, Charleston, SC 29425-5712 2020-06-03
1013531722 Ciara Monet Styles Psychiatry & Neurology 67 President St, Charleston, SC 29425-5712 2020-05-29
1790307353 Amanda Gayle Rice Pharmacist 67 President St, Charleston, SC 29425-5712 2020-05-17
1558923615 Amanda Eblin Nurse Practitioner 67 President St, Charleston, SC 29425-5712 2019-06-28
1518525450 Constance Xuanyi Zou Psychiatry & Neurology 67 President St, Charleston, SC 29425-5712 2019-06-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922607217 Krishna Bhandari Thoracic Surgery (Cardiothoracic Vascular Surgery) 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 2020-10-19
1649892456 Mary Macrae Lynch Social Worker 179 Ashley Avenue, Charleston, SC 29425 2020-05-14
1528600053 Amanda Watts Physician Assistant 135 Rutledge Ave. Msc 561, Charleston, SC 29425 2019-10-16
1851945497 Kacy Wonder Dentist 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 2019-08-01
1477114569 Justin Robert Silverman Surgery 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 2019-06-28
1740840024 Tyler Buckley Surgery 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 2019-06-18
1366001760 Rayphael Sebastian Hardy Internal Medicine 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 2019-06-10
1437718889 Samar Medani Internal Medicine Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 2019-06-10
1427617950 Emily Suzanne Nyers Internal Medicine 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 2019-06-09
1790343564 Alan Cowei Peh Psychiatry & Neurology 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 2019-06-05
Find all providers in zip 29425

Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275825994 Pecora Medical, PC Internal Medicine 803 N Fant St Ste 3a, Anderson, SC 29621-5718 2011-05-12
1568437143 Stephen Irwin Merlin Internal Medicine 1620 Lady St Ste B, Columbia, SC 29201-3482 2006-02-17
1801361050 Kimberly Holloway Internal Medicine 209 Oconee Square Dr, Seneca, SC 29678-2546 2018-10-03
1194264457 Bhs Physician Services of South Carolina PC Internal Medicine 2200 Main St, Hilton Head Island, SC 29926-1667 2017-02-20
1134133705 Frederick W Veit Internal Medicine 2700 E Phillips Rd, Greer, SC 29650-4815 2006-07-28
1912954595 Maureen Burdett Internal Medicine 199 S Herlong Ave, Rock Hill, SC 29732 2006-05-28

Competitor

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City CHARLESTON
Zip Code 29425

Improve Information

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Dataset Information

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.

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