COMPREHENSIVE FOOT CARE OF ORANGEBURG (NPI# 1790925634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790925634 |
Entity Type | Organization |
Organization Name | COMPREHENSIVE FOOT CARE OF ORANGEBURG |
Practice Address |
1717 Village Park Dr Orangeburg SC 29118-2475 |
Practice Telephone | 8039375876 |
Practice Fax Number | 8039375879 |
Mailing Telephone | 8039375876 |
Mailing Fax Number | 8039375879 |
Enumeration Date | 2009-03-05 |
Last Update Date | 2010-03-15 |
Authorized Official Name | DR. KHADIJAH H ALLEN (PODIATRIST) |
Authorized Official Telephone | 8039375876 |
Authorized Official Credential | D.P.M. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
598 | SC | Ambulatory Health Care Facilities |
Street Address |
1717 VILLAGE PARK DR |
City | ORANGEBURG |
State | SC |
Zip Code | 29118-2475 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174795900 | Gordon R. Weigle, Md Pa | Family Medicine | 1717 Village Park Dr, Orangeburg, SC 29118-2475 | 2008-04-01 |
1447498621 | Khadijah Halima Allen | Podiatrist | 1717 Village Park Dr, Orangeburg, SC 29118-2475 | 2009-01-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
Find all providers in zip 29118 |
Taxonomy Code | 261QP1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Podiatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568926954 | Carolina Commons Foot & Ankle Specialist, LLC | Clinic/Center | 6237 Carolina Commons Dr Ste 330, Indian Land, SC 29707-6014 | 2019-01-30 |
1669589834 | Columbia Foot Clinic | Clinic/Center | 1516 Calhoun St, Columbia, SC 29201-2607 | 2006-08-24 |
1598717910 | Summerville Footcare Center, Pa | Clinic/Center | 105 N Cedar St, Summerville, SC 29483-6401 | 2006-05-16 |
1912525916 | Doctor Jordanna Baker | Clinic/Center | 230 Cherokee Rd, Florence, SC 29501-5225 | 2020-07-07 |
1619479342 | Upstate Podiatry Group, Pa | Clinic/Center | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 | 2018-03-08 |
1972960722 | Sandhills Foot Clinic | Clinic/Center | 1821 Clemson Rd, Columbia, SC 29229-7832 | 2016-01-25 |
1164816211 | Keyoka S Smith Dpm LLC | Clinic/Center | 4100 N Main St Ste 202, Columbia, SC 29203-5800 | 2015-03-26 |
1184926750 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 2414 Bull St, Columbia, SC 29201-1906 | 2010-12-02 |
1578744843 | Carolina Foot Clinic, P.C. | Clinic/Center | 1900 Hampton St, Columbia, SC 29201-3536 | 2007-11-15 |
City | ORANGEBURG |
Zip Code | 29118 |
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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.