Carol A Kooistra (NPI# 1598741837, PAC ID# 5890759328) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1598741837 |
| PAC ID by PECOS | 5890759328 |
| Professional Enrollment ID | I20071008000364 |
| Full Name | Carol A Kooistra |
| Organization Legal Name | CAROLINA NEUROLOGY OF SPARTANBURG |
| Address |
541 Floyd Rd Spartanburg SC 29307-1520 |
| Phone Number | 8645856179 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 1153564463 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420007 | SPARTANBURG MEDICAL CENTER |
| 420043 | MARY BLACK HEALTH SYSTEM GAFFNEY |
| 420108 | UNION MEDICAL CENTER |
| 420103 | PELHAM MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 101 E Wood St, Spartanburg, SC 29303-3040 | SPARTANBURG MEDICAL CENTER | |
| 101 E Wood St, Suite 401, Spartanburg, SC 29303-3040 | 8645606816 | SPARTANBURG MEDICAL CENTER |
| 541 Floyd Rd, Spartanburg, SC 29307-1520 | 8645856179 | CAROLINA NEUROLOGY OF SPARTANBURG |
| Organization Legal Name | CAROLINA NEUROLOGY OF SPARTANBURG |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David D Wilt | Nurse Practitioner | Carolina Neurology of Spartanburg | 541 Floyd Rd, Spartanburg, SC 29307-1520 |
| Street Address |
541 FLOYD RD |
| City | SPARTANBURG |
| State | SC |
| Zip | 29307-1520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David D Wilt | Nurse Practitioner | Carolina Neurology of Spartanburg | 541 Floyd Rd, Spartanburg, SC 29307-1520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mit Kishorchandra Desai | Family Medicine | Spartanburg Medical Center | 1530 Drayton Rd, Spartanburg, SC 29307 |
| Tameka L Garrett | Nurse Practitioner | Spartanburg Medical Center | 1530 Drayton Rd, Spartanburg, SC 29307 |
| Allison R Edwards | Internal Medicine | Spartanburg Medical Center | 1530 Drayton Rd, Spartanburg, SC 29307 |
| Donna-marie Koroma | Family Medicine | Spartanburg Medical Center | 11 Doctors Park Dr, Suite 200, Spartanburg, SC 29307-1008 |
| Deborah Anderson | Nurse Practitioner | Spartanburg Medical Center | 11 Doctors Park Dr, Suite 220, Spartanburg, SC 29307-1008 |
| Bennett H Bruckner | Gastroenterology | Spartanburg Medical Center | 11 Doctors Dr, Suite 240, Spartanburg, SC 29307-1008 |
| Gabor F Sovenyhazy | Colorectal Surgery (proctology) | 11 Doctors Park Dr, Suite 210, Spartanburg, SC 29307-1008 | |
| Angela Nicole Gary | Nurse Practitioner | 110 Dillon Dr, Spartanburg, SC 29307-1018 | |
| Ann Marie Kenney | Internal Medicine | Mary Black Physicians Group LLC | 148 Dillon Dr, Spartanburg, SC 29307-1018 |
| Ramona R Hrysikos | Registered Dietitian Or Nutrition Professional | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Find all physicians in zip 29307 | |||
| City | SPARTANBURG |
| Zip Code | 29307 |
| Specialty | NEUROLOGY |
| City + Specialty | SPARTANBURG + NEUROLOGY |
Please comment or provide details below to improve the information on Carol A Kooistra.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.