COLEMAN S FRAVEL (NPI# 1760584981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760584981 |
| Entity Type | Individual |
| Full Name | COLEMAN S FRAVEL |
| Credential | P.A. |
| Practice Address |
3 Richland Medical Park Dr Ste 310 Columbia SC 29203 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034348323 |
| Practice Fax Number | 8034348326 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2018-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
552 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 0089PA | 05 |
| Street Address |
3 RICHLAND MEDICAL PARK DR STE 310 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194306 | Kelsey Fearing | Nurse Practitioner | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2019-10-02 |
| 1992362545 | Ivery Bonita Reed | Nurse Practitioner | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2019-05-20 |
| 1790349330 | Chandler Tyler | Physician Assistant | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2019-04-29 |
| 1770040776 | Tanisha Leann Dawkins | Nurse Practitioner | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2019-02-26 |
| 1013490911 | Tanyatta Lane King | Nurse Practitioner | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2018-09-07 |
| 1073095683 | Kimberly Sue Bregenzer | Neurological Surgery | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2018-08-30 |
| 1952899627 | Palmetto Health - University of South Carolina Medical Group | Neurological Surgery | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2018-04-27 |
| 1255836995 | Anita Dixon | Nurse Practitioner | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2018-03-26 |
| 1184140543 | Ansleigh Claire Morrow | Nurse Practitioner | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203 | 2017-08-17 |
| 1376066159 | Samuel Edward Watts | Nurse Practitioner | 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 | 2017-07-24 |
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| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140451 | Nichole Lemay | Physician Assistant | 9 Richland Medical Park Dr Ste 640, Columbia, SC 29203 | 2018-10-19 |
| 1770073587 | Ashton Marie Roberts | Physician Assistant | 1 Hospital Dr # Dc077.00, Columbia, MO 65212-1000 | 2018-05-16 |
| 1780814251 | Jorge E Parra | Physician Assistant | 7253 Procopio Cir, Columbia, MD 21046-1645 | 2009-07-19 |
| 1518935543 | Edwin Lionel Schmidt Jr. | Physician Assistant | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2006-03-08 |
| 1659360691 | Christina S Harman | Physician Assistant | 2 Office Park Ct Ste 103, Columbia, SC 29223 | 2005-10-20 |
| 1528666328 | Dustin Lee Dunn | Physician Assistant | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2020-10-14 |
| 1134767320 | Emily Christine Beck | Physician Assistant | 800 Hospital Dr, Columbia, MO 65201-5275 | 2019-12-18 |
| 1518522077 | Sarah Partin | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2019-05-09 |
| 1629436050 | Jessica F Bailey | Physician Assistant | 9 Richland Medical Park Dr, Suite 450, Columbia, SC 29203-6859 | 2016-01-30 |
| 1346625332 | Megan Iseman | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2015-07-20 |
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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.