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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
757 | SC | Allopathic & Osteopathic Physicians |
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 |
Street Address |
67 PRESIDENT ST |
City | CHARLESTON |
State | SC |
Zip Code | 29425-5712 |
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 |
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 Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
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 |
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 |
City | CHARLESTON |
Zip Code | 29425 |
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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.