DOCTORS CARE SC, PA (NPI# 1639542202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639542202 |
| Entity Type | Organization |
| Organization Name | DOCTORS CARE SC, PA |
| Other Organization Name | DOCTORS CARE ON MAIN |
| Practice Address |
1538 Main St Columbia SC 29201-2808 |
| Mailing Address |
1818 Henderson St Columbia SC 29201-2619 |
| Practice Telephone | 8037266737 |
| Practice Fax Number | 8037266730 |
| Mailing Telephone | 8037824278 |
| Mailing Fax Number | 8032538896 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | DR. SHELLEY JANSSEN (MEDICAL DIRECTOR/PRESIDENT) |
| Authorized Official Telephone | 8037824278 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | DOCTORS CARE SC, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP0079 | 05 |
| Other Name | Type Code |
|---|---|
| Doctors Care on Main | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861937377 | Doctors Care Sc, Pa | General Practice | 8384 Charlotte Highway, Indian Land, SC 29707-6532 | 2016-12-20 |
| 1033581384 | Doctors Care Sc, Pa | Emergency Medicine | 300 E Blackstock Rd, Suite E, Spartanburg, SC 29301-3787 | 2015-10-27 |
| 1437498268 | Doctors Care Sc, Pa | Emergency Medicine | 410 E Main Street, Summerville, SC 29483-6420 | 2013-02-14 |
| 1952640807 | Doctors Care Sc, Pa | Emergency Medicine | 1847 S Lake Dr, Lexington, SC 29073-7759 | 2013-02-12 |
| 1851630719 | Doctors Care Sc, Pa | Emergency Medicine | 4621 Hardscrabble Rd, Columbia, SC 29229-0000 | 2013-02-12 |
| 1790024685 | Doctors Care Sc, Pa | Emergency Medicine | 230 W Wade Hampton Blvd, Greer, SC 29650-1655 | 2013-02-12 |
| 1598004509 | Doctors Care Sc, Pa | General Practice | 3074 Highway 17 Byp N, Mt Pleasant, SC 29466-9315 | 2013-02-11 |
| 1013256023 | Doctors Care Sc, Pa | General Practice | 1014 Saint Andrews Blvd, Charleston, SC 29407-7139 | 2013-02-11 |
| 1730434283 | Doctors Care Sc, Pa | Emergency Medicine | 2012 Harden St Ste 112, Columbia, SC 29204-0915 | 2012-07-20 |
| 1205292885 | Doctors Care Sc, Pa | Emergency Medicine | 1795 N Highway 17, Building #7, Mt Pleasant, SC 29464-3631 | 2016-01-12 |
| Street Address |
1538 MAIN ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| 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 |
|---|---|---|---|---|
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1457977563 | Jenny Tatiana Gonzalez Guzman | Family Medicine | Prisma Health Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-24 |
| 1942825500 | Jarvis Jamal Johnson | Family Medicine | Prisma Health Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-10 |
| 1386268183 | Nicolas Anthony Limogiannis | Family Medicine | Prisma Health Medical Group Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-08 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1275177420 | Palmetto Primary Care Physicians | Family Medicine | 1415 Blanding St Ste 2, Columbia, SC 29201-2922 | 2019-10-31 |
| 1558919852 | Synergos Medical, LLC | Family Medicine | 1703 Oak Cliff Pl, Columbia, MO 65203-4719 | 2019-08-29 |
| 1972156982 | Maury Regional Medical Group, Inc | Family Medicine | 2478 Nashville Hwy Ste A, Columbia, TN 38401-0634 | 2019-07-18 |
| Find all providers in COLUMBIA | ||||
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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.