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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 009673200 | 05 |
Street Address |
295 MIDLAND PKWY |
City | SUMMERVILLE |
State | SC |
Zip Code | 29485-8104 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 29485 |
Taxonomy Code | 2080P0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Critical Care Medicine |
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) |
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 |
Find all providers with the same taxonomy |
City | SUMMERVILLE |
Zip Code | 29485 |
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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.