FOREST DRIVE PHYSICIANS (NPI# 1740590157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740590157 |
| Entity Type | Organization |
| Organization Name | FOREST DRIVE PHYSICIANS |
| Other Organization Name | DOCTORS EXPRESS COLUMBIA |
| Practice Address |
3304 Forest Dr Columbia SC 29204-4024 |
| Mailing Address |
Po Box 290192 Columbia SC 29229-0004 |
| Practice Telephone | 8033866374 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |
| Authorized Official Name | LORI LORD (LEAD PHYSICIAN) |
| Authorized Official Telephone | 8033866374 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 257420 | 05 |
| Other Name | Type Code |
|---|---|
| Doctors Express Columbia | Doing Business As Name - Organization |
| Street Address |
3304 FOREST DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-4024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427121078 | Joseph John Krupa IIi | Dentist | 3304 Forest Dr, Columbia, SC 29204-4024 | 2006-11-15 |
| 1295222503 | Prisma Health Medical Group-midlands | Oral & Maxillofacial Surgery | 3304 Forest Dr, Columbia, SC 29204-4024 | 2018-04-23 |
| 1568877439 | Maxine Myers | Nurse Practitioner | 3304 Forest Dr, Columbia, SC 29204-4024 | 2014-06-30 |
| 1740626621 | Jmp Family Practice Incorporated | Clinic/Center | 3304 Forest Dr, Columbia, SC 29204-4024 | 2013-05-17 |
| 1104135763 | Ja-rem Enterprises | Clinic/Center | 3304 Forest Dr, Columbia, SC 29204-4024 | 2010-09-30 |
| 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 | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174168033 | Rightplace Family Clinic | Clinic/Center | 8640 Guilford Rd Ste 233, Columbia, MD 21046-2664 | 2019-11-14 |
| 1972986271 | University of Maryland Faculty Physicians Immediate Care, LLC | Clinic/Center | 5890 Waterloo Road, Columbia, MD 21045 | 2015-07-06 |
| 1043561020 | Medcare Urgent Care Center Sparkleberry | Clinic/Center | 10136 Two Notch Rd Ste 104, Columbia, SC 29229-4399 | 2012-10-01 |
| 1396778056 | Lexington County Health Services District, Inc. | Clinic/Center | 7035 Saint Andrews Rd, Columbia, SC 29210 | 2006-07-08 |
| 1487148052 | American Current Care, P.a. | Clinic/Center | 1715 Blanding St, Columbia, SC 29201-3441 | 2018-06-18 |
| 1144718792 | Premier Health Express and Advanced Diagnostics Inc | Clinic/Center | 9710 Patuxent Woods Dr, Columbia, MD 21046-1526 | 2018-04-30 |
| 1982143798 | Kinder Mender | Clinic/Center | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2017-02-14 |
| 1982051454 | Anderson Medical | Clinic/Center | 1202 S James Campbell Blvd Ste 18, Columbia, TN 38401-5162 | 2016-05-16 |
| 1245694082 | Nextcare Missouri LLC | Clinic/Center | 202 E Nifong Blvd, Columbia, MO 65203-3759 | 2016-04-07 |
| 1649642547 | Pediatric Walk-in, LLC | Clinic/Center | 109 W Legion Ave, Columbia, IL 62236-2341 | 2015-10-30 |
| 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.