DEAN T KOUKOS (NPI# 1780606640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780606640 |
| Entity Type | Individual |
| Full Name | DEAN T KOUKOS |
| Credential | DO |
| Practice Address |
86 Wren St Barnwell SC 29812 |
| Mailing Address |
86 Wren St Barnwell SC 29812-1529 |
| Practice Telephone | 8032595762 |
| Practice Fax Number | 8032593050 |
| Mailing Telephone | 8032595762 |
| Mailing Fax Number | 8032593050 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2017-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 826 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 008262 | 05 |
| Street Address |
86 WREN ST |
| City | BARNWELL |
| State | SC |
| Zip Code | 29812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902307598 | Heather Nolan | Family Medicine | 86 Wren St, Barnwell, SC 29812-1529 | 2018-02-28 |
| 1609301530 | Ashley Boulware Romero | Nurse Practitioner | 86 Wren St, Barnwell, SC 29812 | 2017-04-28 |
| 1063876084 | Low Country Health Care System | Pharmacy | 86 Wren St, Barnwell, SC 29812-1529 | 2016-04-06 |
| 1689094666 | Jennifer Denise Rahn | Family Medicine | 86 Wren St, Barnwell, SC 29812-1529 | 2014-04-17 |
| 1093143836 | Marsha Wren Carroll | Nurse Practitioner | 86 Wren St, Barnwell, SC 29812-1529 | 2013-10-14 |
| 1740543164 | Mari Suarez Bridges | Family Medicine | 86 Wren St, Barnwell, SC 29812-1529 | 2012-06-20 |
| 1841583788 | Richard Jeremy Wallace | Physician Assistant | 86 Wren St, Barnwell, SC 29812-1529 | 2011-05-25 |
| 1306912530 | John C Young | Social Worker | 86 Wren St, Barnwell, SC 29812-1529 | 2006-11-28 |
| 1437162260 | Naomi R Richardson | Advanced Practice Midwife | 86 Wren St, Barnwell, SC 29812-1529 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265952261 | Heritage Healthcare System | Clinic/Center | 914 Reynolds Road, Barnwell, SC 29812 | 2017-06-21 |
| 1417335340 | Colleen Goodwin | Counselor | 1644 Jackson Street, Barnwell, SC 29812 | 2015-05-12 |
| 1205246550 | Lenzie Beasley Brant | Counselor | 916 Reynolds Road, Barnwell, SC 29812 | 2014-05-07 |
| 1366864902 | Janelle Pruett Beasley | Psychologist | 770 Hagood Ave, Barnwell, SC 29812 | 2014-01-16 |
| 1033419247 | Adrian Miller | Speech-Language Pathologist | 445 Calhoun St, Barnwell, SC 29812 | 2010-10-22 |
| 1346386802 | Joel Curtis Greene Jr. | Chiropractor | 11022 Ellenton Street, Barnwell, SC 29812 | 2007-01-30 |
| 1164598165 | Martin Layne Shealy | Chiropractor | 76 Irving Street, Barnwell, SC 29812 | 2006-11-28 |
| 1447331822 | State of South Carolina | Public Health or Welfare | 11015 Ellenton Street, Hwy 278, Barnwell, SC 29812 | 2006-10-18 |
| 1578659942 | Low Country Health Care System | Clinic/Center | 86 Wren St., Barnwell, SC 29812 | 2006-10-05 |
| 1891804928 | Dca of Barnwell LLC | Clinic/Center | 10708 Marlboro Avenue, Barnwell, SC 29812 | 2006-08-30 |
| Find all providers in zip 29812 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437297 | Barnwell County Hospital | General Practice | 811 Reynolds Road, Barnwell, SC 29812-1573 | 2005-06-16 |
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| 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.