KERSHAW HEALTH (NPI# 1528058641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528058641 |
| Entity Type | Organization |
| Organization Name | KERSHAW HEALTH |
| Other Organization Name | KERSHAWHEALTH PRIMARY CARE AT ELGIN |
| Practice Address |
40 Pinnacle Parkway Building 100 Suite 208 Elgin SC 29045-8999 |
| Mailing Address |
1315 Roberts St Camden SC 29020-3737 |
| Practice Telephone | 8034245165 |
| Mailing Telephone | 8034324311 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2010-06-18 |
| Authorized Official Name | MR. DONNIE J WEEKS (CEO) |
| Authorized Official Telephone | 8037136227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP2222 | 05 |
| Other Name | Type Code |
|---|---|
| KERSHAWHEALTH PRIMARY CARE AT ELGIN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851461529 | Kershaw Health | Clinical Medical Laboratory | 1315 Roberts St, Camden, SC 29020-3737 | 2006-11-09 |
| Street Address |
40 PINNACLE PARKWAY BUILDING 100 SUITE 208 |
| City | ELGIN |
| State | SC |
| Zip Code | 29045-8999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508094913 | Kershaw Hospital LLC | Clinic/Center | 40 Pinnacle Parkway, Building 100, Elgin, SC 29045 | 2009-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1265089494 | Felicity Garrick | Occupational Therapist | 385 Spears Creek Church Road, Elign, SC 29045 | 2019-08-22 |
| 1629537303 | Traisha White Campfield | Pharmacist | 1107 Ross St, Elgin, SC 29045 | 2019-03-13 |
| 1922526722 | Talesia Jackson | Specialist/Technologist | 1127 Triple Crown Court, Elgin, SC 29045 | 2017-09-01 |
| 1649697228 | All South Case Management | Exclusive Provider Organization | 216 Sunday Silence Lane, Elgin, SC 29045 | 2014-03-21 |
| 1235481151 | Karen C. Taylor | Counselor | 2439 Main Street, Elgin, SC 29045 | 2012-10-03 |
| 1306135975 | Aftercare Medical Equipment & Supplies, Inc | Durable Medical Equipment & Medical Supplies | 1105 Ross St, Elgin, SC 29045 | 2011-04-04 |
| 1902032345 | Aftercare Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1107 Ross Street, Elgin, SC 29045 | 2009-05-29 |
| 1962691592 | Pontiac Pharmacy | Pharmacy | 10535 A Two Notch Rd, Elgin, SC 29045 | 2007-10-19 |
| 1154529576 | Sarah Jones Disasa | Speech-Language Pathologist | 203 Parrish Walk, Elgin, SC 29045 | 2007-07-06 |
| Find all providers in zip 29045 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467945436 | Taneya Khalid | Family Medicine | 1750 N Randall Rd Ste 110, Elgin, IL 60123-7900 | 2018-06-13 |
| 1326531682 | David Charles Fisher Md LLC | Family Medicine | 566 Spears Creek Church Rd Ste 102b, Elgin, SC 29045-8128 | 2018-06-12 |
| 1992044044 | Christie Arnold Leal | Family Medicine | 7939 Us Hwy 277, Elgin, OK 73538 | 2013-02-10 |
| 1629331871 | Natalie Pagoria | Family Medicine | 1425 N Randall Rd # 2-1200, Elgin, IL 60123-2300 | 2012-06-22 |
| 1881955771 | Raffaella Sappe Betza | Family Medicine | 570 S 8th Ave, Elgin, OR 97827-9726 | 2012-06-06 |
| 1083993430 | Monica J. Fudala | Family Medicine | 820 Summit St # B4, Elgin, IL 60120 | 2011-08-16 |
| 1114156213 | Cheerag Patel | Family Medicine | 370 Summit St., Elgin, IL 60120 | 2009-07-09 |
| 1255484028 | Leo G. Pepa, M.d.,ltd. | Family Medicine | 2425 Rpyal Blvd, Suite 200, Elgin, IL 60123-2507 | 2007-01-18 |
| 1649359969 | Elgin Care Center Sc | Family Medicine | 530 N Mclean Blvd, Elgin, IL 60123-3275 | 2006-11-06 |
| 1760566293 | Lewis J Litwack | Family Medicine | 7936 Us Hwy 277, Elgin, OK 73538 | 2006-10-24 |
| Find all providers in ELGIN | ||||
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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.