STEPHEN J KROLL (NPI# 1427107150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427107150 |
Entity Type | Individual |
Full Name | STEPHEN J KROLL |
Credential | MD |
Practice Address |
338 Harbison Blvd Columbia SC 29212-2248 |
Practice Telephone | 8037326655 |
Practice Fax Number | 8037326644 |
Mailing Telephone | 8037326655 |
Mailing Fax Number | 8037326644 |
Enumeration Date | 2007-01-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
7485 | SC | Allopathic & Osteopathic Physicians |
X | 208200000X | Plastic Surgery | 7485 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 074859 | 05 | |
SC | SC LICENSE | 7485 | 01 |
Street Address |
338 HARBISON BLVD |
City | COLUMBIA |
State | SC |
Zip Code | 29212-2248 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568510196 | Columbia Surgery Center Inc | Clinic/Center | 338 Harbison Blvd, Columbia, SC 29212-2248 | 2007-01-08 |
1043471394 | Stephen J. Kroll, M.d. Pa | Otolaryngology | 338 Harbison Blvd, Columbia, SC 29212-2248 | 2008-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
1467975102 | Shelby Clemmer | Behavior Technician | 2 Harbison Way, Columbia, SC 29212 | 2017-07-25 |
1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
Find all providers in zip 29212 |
Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720029747 | William C Giles | Otolaryngology | 9 Richland Medical Park Dr, Ste 510, Columbia, SC 29203-6859 | 2006-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124384631 | Helen Amelia Moses | Otolaryngology | 2783 Brownfield Way, Sumter, SC 29150-2254 | 2012-04-09 |
1891953956 | Thomas S Sellner | Otolaryngology | 115 Halton Village Cir, Greenville, SC 29607-6825 | 2008-05-27 |
1932399136 | Kimberly Renee Ostrowski | Otolaryngology | 885 Tiger Blvd Ste A, Clemson, SC 29631-1480 | 2007-07-25 |
1477521227 | David Brian Lovice | Otolaryngology | 100 N Sumter St, Suite 400, Sumter, SC 29150-4916 | 2006-03-09 |
1447619218 | Pura Plastic Surgery | Otolaryngology | 5351 Sunset Blvd, Lexington, SC 29072-9159 | 2016-02-22 |
1053675819 | Sheila Putman | Otolaryngology | 1021 Cipriana Dr Ste 220, Myrtle Beach, SC 29572-4621 | 2012-06-26 |
1164792016 | Mcleod Physician Associates II | Otolaryngology | 3980 Highway 9 E, Suite 340, Little River, SC 29566-8163 | 2012-01-10 |
1578855433 | Joseph L. A. Russell | Otolaryngology | 7555 Northside Dr, North Charleston, SC 29420-4211 | 2011-05-11 |
1003050154 | Hans T Carlson | Otolaryngology | 115 Halton Village Cir, Greenville, SC 29607-6825 | 2009-04-20 |
1518024363 | Gregory H Esselman Md LLC | Otolaryngology | 121 Aurora Place, Suite B, Aiken, SC 29801-3000 | 2007-01-02 |
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.