DR. CHRISTIAN RAYMOND KEGG


Address: 295 Midland Pkwy, Summerville, SC 29485-8104
Phone: 8438325255

DR. CHRISTIAN RAYMOND KEGG (NPI# 1396061313) 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) 1396061313
Entity Type Individual
Full Name DR. CHRISTIAN RAYMOND KEGG
Credential D.O.
Practice Address 295 Midland Pkwy
Summerville
SC 29485-8104
Mailing Address 12 Plantation Cir
Summerville
SC 29485-3472
Practice Telephone 8438325255
Mailing Telephone 3046467991
Enumeration Date 2010-04-15
Last Update Date 2017-04-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics OS12250 FL Allopathic & Osteopathic Physicians
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
39372 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 009673200 05

Office Location

Street Address 295 MIDLAND PKWY
City SUMMERVILLE
State SC
Zip Code 29485-8104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134137623 Stephen J O' Connor Emergency Medicine 295 Midland Pkwy, Summerville, SC 29483 2006-08-03
1174008841 Deidra Dare Huckabee Nurse Practitioner 295 Midland Pkwy, Summerville, SC 29485-8104 2018-09-28
1316426448 Wesley Oneal Smith Registered Nurse 295 Midland Pkwy, Summerville, SC 29485-8104 2018-08-09
1053862789 Emily Anne Miller Physician Assistant 295 Midland Pkwy, Summerville, SC 29485-8104 2016-10-18
1801205760 Klondike Peak Inpatient Services LLC Internal Medicine 295 Midland Pkwy, Summerville, SC 29485-8104 2014-08-05
1023364734 Sheridan Children's Healthcare Services of South Carolina, P.a. Pediatrics 295 Midland Pkwy, Summerville, SC 29485-8104 2012-07-31
1629342050 Michael Hopkins Md PC Emergency Medicine 295 Midland Pkwy, Summerville Medical Center Emergency Department, Summerville, SC 29485-8104 2012-03-02
1750687091 Amanda Nichols Physician Assistant 295 Midland Pkwy, Summerville, SC 29485-8104 2011-02-03
1184941551 Richard Miles Thompson Emergency Medicine 295 Midland Pkwy, Summerville Medical Center Emergency Room, Summerville, SC 29485-8104 2010-04-26
1861652760 Adam Daniel Barouh Pediatrics 295 Midland Pkwy, Summerville, SC 29485-8104 2008-06-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487267365 Cp Dentistry, LLC Dentist 9919 Dorchester Road, Summerville, SC 29485 2020-08-28
1922622604 Rachel Elaine Digiacomo Physical Therapist 10160 Dorchester Road, Summerville, SC 29485 2020-05-29
1396220034 Amanda W Peebles Nurse Practitioner 4278 Ladson Rd., Summerville, SC 29485 2018-09-28
1396230728 Gerald Darnell Woods Counselor 10825 Dorchester Rd. #3077, Summerville, SC 29485 2018-06-27
1063901072 Elite Barber Spa, LLC Specialist 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 2018-05-04
1598253528 Daniel Joseph Neitzke Student in an Organized Health Care Education/Training Program 9228 Medical Plaza Drive, Charleston, SC 29485 2018-04-25
1700315447 Donna Marie White Counselor 9214 Ayscough Road, Summerville, SC 29485 2017-06-07
1043763212 Brockman Davis Smith Dentist 1710 B Trolley Road, Summerville, SC 29485 2016-07-25
1336508530 Meca Home Health, LLC Home Health 415 Savannah River Rd, Summerville, SC 29485 2016-02-16
1609241033 Dental Professionals of South Carolina, PC Dentist 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 2015-12-10
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033384516 Steven David Mcswain Pediatrics 171 Ashley Avene, Charleston, SC 29425-0001 2008-04-25
1740361930 Michael Dennis Dallman Pediatrics 9 Richland Medical Park Dr Ste 530, Columbia, SC 29203-6870 2006-10-17
1093795353 Robert D Hubbird Pediatrics 3 Medical Park Rd, 110, Columbia, SC 29203-6873 2006-01-20
1467794867 Allison Marie Whalen Pediatrics 171 Ashley Ave, Charleston, SC 29425-4319 2013-03-23
1093063349 Whitney Erin Marvin Pediatrics 171 Ashley Ave, Charleston, SC 29425-8908 2012-08-16
1548413453 University Medical Associates Pediatrics 171 Ashley Ave, Charleston, SC 29425-8908 2008-10-23
1548471006 Sami Elias Rishmawi Pediatrics 101 E Wood St, Suite 401, 4 Center, Spartanburg, SC 29303-3040 2007-05-25
1104920537 Melissa C Evans Pediatrics 171 Ashley Ave, Charleston, SC 29425-0100 2006-09-07
1487762332 Joel B Cochran Pediatrics 171 Ashley Ave, Charleston, SC 29425-0001 2006-08-29
1043328990 Anne S Abel Pediatrics 171 Ashley Ave, Charleston, SC 29425-0001 2006-08-29
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Competitor

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City SUMMERVILLE
Zip Code 29485

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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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