MOBILE PODIATRY SOUTH CAROLINA (NPI# 1669859104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669859104 |
| Entity Type | Organization |
| Organization Name | MOBILE PODIATRY SOUTH CAROLINA |
| Other Organization Name | SPECIAL CARE PODIATRY OF SOUTH CAROLINA |
| Practice Address |
10 Summerlea Ln Columbia SC 29203-3915 |
| Mailing Address |
Po Box 705 Columbia SC 29202-0705 |
| Practice Telephone | 8035702209 |
| Practice Fax Number | 8888664740 |
| Mailing Telephone | 8035702209 |
| Mailing Fax Number | 8888664740 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2020-08-30 |
| Authorized Official Name | KEYOKA SMITH (OWNER) |
| Authorized Official Telephone | 8035702209 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Special Care Podiatry of South Carolina | Doing Business As Name - Organization |
| Street Address |
10 SUMMERLEA LN |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871011387 | Honored To Serve | Podiatrist | 1850 Atlantic Dr Unit 712, Columbia, SC 29210-7992 | 2017-09-05 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1528440195 | Dr Michael S. Zaleski | Podiatrist | 104 Partnership Way, Columbia, MS 39429-4502 | 2015-06-19 |
| 1922370162 | Point Podiatry | Podiatrist | 531 Broken Hill Rd, Columbia, SC 29212-3384 | 2012-02-03 |
| 1316185010 | Total Foot Care, LLC | Podiatrist | 104 Traditions Cir, Columbia, SC 29229-8050 | 2009-02-03 |
| 1972779833 | Marcela Dolores Farrer | Podiatrist | 8 Markham Ct, Columbia, SC 29229-7917 | 2008-05-01 |
| 1144420118 | Aaron Michael Owens | Podiatrist | 3203 Carrington Ln, Columbia, TN 38401-8645 | 2007-07-18 |
| 1770783862 | Keshia Elaine Oliver | Podiatrist | 4100 N Main St Ste 202, Columbia, SC 29203-5800 | 2007-07-18 |
| 1801956222 | Cruddie L. Torian, Sr, Dpm, Pa | Podiatrist | 131 Wildewood Park Dr, Columbia, SC 29223-4300 | 2006-12-08 |
| 1598795965 | Laurie Strange | Podiatrist | 9320-c Two Notch Rd., Columbia, SC 29223 | 2006-07-03 |
| 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.