MS. REGINA ANN KODER (NPI# 1619101151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619101151 |
| Entity Type | Individual |
| Full Name | MS. REGINA ANN KODER |
| Practice Address |
3400 Forest Dr Suite 2072 Columbia SC 29204-4041 |
| Mailing Address |
401 Old Brass Dr Columbia SC 29229-6535 |
| Practice Telephone | 8034275403 |
| Practice Fax Number | 8034388626 |
| Mailing Telephone | 8034275403 |
| Mailing Fax Number | 8034388626 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 3428 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
3400 FOREST DR SUITE 2072 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-4041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336127505 | Joi L. Tyler | Optometrist | 3400 Forest Dr, Suite 2050, Columbia, SC 29204-4041 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275639569 | Maria A Coffman | Neuromusculoskeletal Medicine & OMM | 201 W Broadway, Suite 2e Hands On Health, Columbia, MO 65203 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952350449 | Harold Roy Nicolette | Neuromusculoskeletal Medicine & OMM | 6 Carriage Ln, Suite B, Charleston, SC 29407-6010 | 2006-05-10 |
| 1366720369 | Rebecca J Bowers | Neuromusculoskeletal Medicine & OMM | 4006 E North St, Ste C, Greenville, SC 29615-6206 | 2011-07-26 |
| 1508945353 | Lee Ridges | Neuromusculoskeletal Medicine & OMM | 145 E Cheves St, Florence, SC 29506-2526 | 2006-11-03 |
| 1134239049 | Anthony E Holt | Neuromusculoskeletal Medicine & OMM | 917 Bypass 225 S, Greenwood, SC 29646-8025 | 2006-08-30 |
| 1871539049 | Gregory Thomas Gardziola | Neuromusculoskeletal Medicine & OMM | 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 | 2006-06-22 |
| 1093782575 | Anubha Jati | Neuromusculoskeletal Medicine & OMM | 302 University Pkwy, Aiken, SC 29801-6302 | 2006-03-03 |
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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.