DR. JAMES WILKS FANT JR. (NPI# 1699742825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699742825 |
| Entity Type | Individual |
| Full Name | DR. JAMES WILKS FANT JR. |
| Credential | M.D. |
| Practice Address |
2 Medical Park Rd Suite 501 Columbia SC 29203-6808 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8035401000 |
| Practice Fax Number | 8035401075 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2018-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 17608 | SC | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
17608 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 176080 | 05 |
| Street Address |
2 MEDICAL PARK RD SUITE 501 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952383481 | Andrea Adams Sellers | Genetic Counselor, MS | 2 Medical Park Rd, Columbia, SC 29203-6808 | 2005-11-18 |
| 1174070429 | Chay N Malvasio | Physician Assistant | 2 Medical Park Rd, Suite L9, Columbia, SC 29203 | 2016-09-03 |
| 1427501873 | Jaclyn Gravis | Nurse Practitioner | 2 Medical Park Rd, Suite 501, Columbia, SC 29203-6808 | 2016-08-02 |
| 1952784092 | Chad Schmidt | Specialist | 2 Medical Park Rd, Columbia, SC 29203-6808 | 2015-07-07 |
| 1083013593 | Katie Coulter | Specialist/Technologist | 2 Medical Park Rd, Suite 104, Columbia, SC 29203-6808 | 2014-08-20 |
| 1053729905 | Whitney Dobek | Genetic Counselor, MS | 2 Medical Park Rd, Suite 103, Columbia, SC 29203-6808 | 2014-07-23 |
| 1861809162 | Emily Olivia Rosebrough Jordon | Genetic Counselor, MS | 2 Medical Park Rd, Suite 103, Columbia, SC 29203-6808 | 2014-07-18 |
| 1992042360 | Jessica Alexis Koller | Physical Medicine & Rehabilitation | 2 Medical Park Rd, Columbia, SC 29203-6808 | 2013-01-05 |
| 1497013643 | Katherine Meriwether Hartley | Social Worker | 2 Medical Park Rd, Suite 506, Columbia, SC 29203-6808 | 2012-04-25 |
| 1245471895 | Karen L Edwards | Specialist/Technologist | 2 Medical Park Rd, Lower Level, Columbia, SC 29203-6808 | 2009-03-11 |
| Find all providers in the same location | ||||
| 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932209343 | William L Washington | Internal Medicine | 3615 Augusta Dr, Columbia, MO 65203-0990 | 2006-09-25 |
| 1639107097 | Marlyn Lorenzo | Internal Medicine | 6350 Stevens Forest Rd Ste 101, Columbia, MD 21046 | 2006-06-28 |
| 1669416046 | Anthony T Tay | Internal Medicine | 3610 Buttonwood Dr, Suite 200, Columbia, MO 65201-3721 | 2006-06-15 |
| 1215986187 | Darcy D Folzenlogen | Internal Medicine | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-05-09 |
| 1013904838 | Ronald L Collins | Internal Medicine | 1711 Saint Julian Pl, Columbia, SC 29204-2409 | 2005-10-06 |
| 1568467546 | Paula Jean Mcmurtry | Internal Medicine | 1705 E Broadway, Suite 220, Columbia, MO 65201 | 2005-06-16 |
| 1386209302 | Nasseri Clinic of Arthritic & Rheumatic Diseases, LLC | Internal Medicine | 5500 Knoll North Dr, Columbia, MD 21045-2370 | 2019-05-06 |
| 1861981508 | Palmetto Health - University of South Carolina Medical Group | Internal Medicine | 2 Medical Park Rd Ste 501, Columbia, SC 29203-6839 | 2018-05-08 |
| 1134665094 | Articularis Healthcare Group Inc. | Internal Medicine | 1711 Saint Julian Pl, Columbia, SC 29204-2409 | 2017-01-16 |
| 1114377207 | Daniel Grant | Internal Medicine | 1 Hospital Dr, Dc043.00, Columbia, MO 65212-1000 | 2016-06-20 |
| 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.