RYAN G KOON (NPI# 1720422140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720422140 |
| Entity Type | Individual |
| Full Name | RYAN G KOON |
| Practice Address |
1430 S Cashua Dr Florence SC 29501-6323 |
| Practice Telephone | 8436730660 |
| Mailing Telephone | 8436730660 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
1430 S CASHUA DR |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-6323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043558091 | Richard Ray Mcbride | Counselor | 1430 S Cashua Dr, Florence, SC 29501-6323 | 2013-01-26 |
| 1366055527 | Ovp Health Care, Inc. | Family Medicine | 1430 S Cashua Dr, Florence, SC 29501-6323 | 2020-08-27 |
| 1780149302 | Ashley Ferguson | Counselor | 1430 S Cashua Dr, Florence, SC 29501-6323 | 2019-02-07 |
| 1578900502 | Alfreida Ellerbe Scott | Counselor | 1430 S Cashua Dr, Florence, SC 29501-6323 | 2013-05-31 |
| 1477997898 | Casey Watts | Substance Abuse Rehabilitation Facility | 1430 S Cashua Dr, Florence, SC 29501-6323 | 2013-04-29 |
| 1801230321 | Carla Williams | Health Educator | 1430 S Cashua Dr, Florence, SC 29501-6323 | 2013-04-26 |
| 1922346642 | Sophia B Davis | Counselor | 1430 S Cashua Dr, Florence, SC 29501-6323 | 2013-01-31 |
| 1033457932 | Thelma Williams Alexander | Counselor | 1430 S Cashua Dr, Florence, SC 29501-6323 | 2013-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437698081 | Sober Living Solutions | Substance Abuse Rehabilitation Facility | 2528 W Palmetto St, Florence, SC 29501-5926 | 2017-02-15 |
| 1801331699 | Mission of Mercy, Inc. (moms, Inc.) | Substance Abuse Rehabilitation Facility | 414 E Tuscaloosa St, Florence, AL 35630-4726 | 2017-01-03 |
| 1235554395 | Owl's Club International | Substance Abuse Rehabilitation Facility | 2528 W Palmetto St, Florence, SC 29501-5926 | 2014-02-26 |
| 1477997898 | Casey Watts | Substance Abuse Rehabilitation Facility | 1430 S Cashua Dr, Florence, SC 29501-6323 | 2013-04-29 |
| 1164570503 | Addiction & Mental Health Services, LLC | Substance Abuse Rehabilitation Facility | 303 E College St, Florence, AL 35630-5709 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972143485 | Landmark Recovery of Columbia LLC | Substance Abuse Rehabilitation Facility | 140 Flora Dr, Columbia, SC 29223-5814 | 2020-01-13 |
| 1457800310 | Summit Bhc Cameron, LLC | Substance Abuse Rehabilitation Facility | 5401 Netherby Ln Ste 402, North Charleston, SC 29420-7363 | 2016-10-03 |
| 1235686833 | Summit Bhc Cameron, LLC | Substance Abuse Rehabilitation Facility | 499 Wild Hearts Road, Cameron, SC 29030 | 2016-09-01 |
| 1659776664 | Katonya Alford | Substance Abuse Rehabilitation Facility | 505 N 5th Ave, Dillon, SC 29536-2815 | 2014-11-03 |
| 1609008713 | Steve Austin Facility of Charleston | Substance Abuse Rehabilitation Facility | 1383 Remount Rd, North Charleston, SC 29406-3345 | 2009-08-23 |
| 1063681591 | Givebac Incorporated | Substance Abuse Rehabilitation Facility | 1481 Ted Melton Rd, Chesterfield, SC 29709-6313 | 2008-02-28 |
| 1134158231 | Horry County Comm On Alcohol & Drug Abuse | Substance Abuse Rehabilitation Facility | 2404 Wise Rd, Conway, SC 29526-5521 | 2006-07-01 |
| 1770572448 | Tri-county County Commission On Alcohol and Drug Abuse | Substance Abuse Rehabilitation Facility | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2005-10-17 |
| 1487653606 | Beaufort County Alcohol & Drug Abuse Department | Substance Abuse Rehabilitation Facility | 1905 Duke St, Ste 270, Beaufort, SC 29902-4403 | 2005-07-19 |
| 1861496234 | Department of Alcohol and Other Drug Abuse Services | Substance Abuse Rehabilitation Facility | 5 Charleston Center Dr, Charleston, SC 29401-1162 | 2005-06-13 |
| Find all providers with the same taxonomy | ||||
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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.