DR. CHARLES MIDDLETON MCKENZIE JR. (NPI# 1124008867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124008867 |
Entity Type | Individual |
Full Name | DR. CHARLES MIDDLETON MCKENZIE JR. |
Credential | MD |
Practice Address |
1409 Devine St Columbia SC 29208-0001 |
Practice Telephone | 8037773175 |
Mailing Telephone | 8037773175 |
Enumeration Date | 2006-01-19 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | SC10824 | SC | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699151837 | Charles Phillip Mckenzie | Pharmacist | 2015 S Irby St, Florence, SC 29505-3419 | 2015-08-10 |
1306093984 | Charles Mckenzie | Dentist | 40815 N Ironwood Drive, Ste A102, Queen Creek, AZ 85242 | 2008-08-26 |
Street Address |
1409 DEVINE ST |
City | COLUMBIA |
State | SC |
Zip Code | 29208-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982252565 | Sabrina Johnson | Counselor | 1409 Devine St, Columbia, SC 29208-3902 | 2019-08-28 |
1831747351 | Talisha L Telsee | Counselor | 1409 Devine St, Columbia, SC 29208-3902 | 2019-08-28 |
1811545601 | Angela L Harrington | Psychologist | 1409 Devine St, Columbia, SC 29208-3902 | 2019-08-27 |
1679120117 | Tiffany Howard | Counselor | 1409 Devine St, Columbia, SC 29208-3902 | 2019-08-20 |
1194372656 | Susan Collins | Psychologist | 1409 Devine St, Columbia, SC 29208-3902 | 2019-08-20 |
1437614039 | Misty Bell Dix | Physical Therapist | 1409 Devine St, Columbia, SC 29208-3902 | 2019-02-07 |
1689159642 | Jordan Celest Cooler | Pharmacist | 1409 Devine St, Columbia, SC 29208-3902 | 2018-09-26 |
1487165205 | Margaret Coughlin | Specialist/Technologist | 1409 Devine St, Columbia, SC 29208-2139 | 2017-10-19 |
1679006118 | Corey Ingram | Social Worker | 1409 Devine St, Columbia, SC 29208-3902 | 2017-04-11 |
1225417710 | Ryan Brad Carsten | Nurse Practitioner | 1409 Devine St, Columbia, SC 29208-3902 | 2015-05-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306409834 | Nathan Orth | Specialist/Technologist | 1304 Heyward St, Columbia, SC 29208 | 2019-04-19 |
1710434253 | Talley Young | Specialist/Technologist | 1300 Wheat Street, Columbia, SC 29208 | 2016-09-01 |
1720368871 | Anwar Merchant | Student in an Organized Health Care Education/Training Program | 800 Sumter Street, Department of Epidemiology and Biostatistics, Columbia, SC 29208 | 2011-08-22 |
1730202805 | Cynthia Mcintyre Thompson | Registered Nurse | 1409 Devine Street, University of Sc Thomason Student Health Center, Columbia, SC 29208 | 2007-04-06 |
1841837481 | Stephanie Jo Beeler | Registered Nurse | 1601 Greene St, Columbia, SC 29208 | 2019-12-02 |
1003161696 | Toni Marie Torres-mcgehee | Specialist/Technologist | 1300 Wheat St, Blatt Pe Center 218, Columbia, SC 29208 | 2012-07-19 |
1841812591 | Chasitie Ann Mcintosh | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia South Carolina 29208, Columbia, SC 29208-0001 | 2020-05-15 |
1053933267 | Allyson Derrick | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia, Columbia, SC 29208-0001 | 2020-05-11 |
1235764580 | Cheedy Jaja | Registered Nurse | College of Nursing 1601 Greene Street, Columbia, SC 29208-0001 | 2020-03-06 |
1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
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Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972128742 | Emily Anne Cloessner | Pediatrics | Prisma Health Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-06-08 |
1043833890 | Lauren F. Cook | Pediatrics | Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-27 |
1619598158 | Zeel Hiren Patel | Pediatrics | Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-06 |
1427695824 | Naseem Khan | Pediatrics | 10851 Clarksville Pike, Columbia, MD 21044-1338 | 2019-12-04 |
1164089124 | Mercy Clinic Illinois, LLC | Pediatrics | 1019 Valmeyer Rd, Columbia, IL 62236-4123 | 2019-05-24 |
1629568480 | Heather Kay Lynn | Pediatrics | Pediatric Outpatient Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2018-05-16 |
1174013932 | Dalton Mark Renick | Pediatrics | Pediattric Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2018-05-16 |
1033630330 | Brian Bradley Johnson | Pediatrics | Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2017-06-28 |
1316350226 | Duncan Lee Norton | Pediatrics | 14 Medical Park, Ste 400, Children's Hospital Outpatient Center, Columbia, SC 29203 | 2014-06-09 |
1225440910 | Michael Mitchell | Pediatrics | 14 Medical Park Ste 400, Pediatric Clinic, Columbia, SC 29203 | 2014-05-29 |
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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.