DR. JAROM NATHAN GILSTRAP (NPI# 1205157658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205157658 |
| Entity Type | Individual |
| Full Name | DR. JAROM NATHAN GILSTRAP |
| Credential | M.D. |
| Practice Address |
2 Medical Park Rd Ste 302 Columbia SC 29203-6839 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8035455800 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2018-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
40951 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 406515 | 05 |
| Street Address |
2 MEDICAL PARK RD STE 302 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073667085 | Elliott Ho Chen | Plastic Surgery | 2 Medical Park Rd Ste 302, Columbia, SC 29203-6839 | 2007-01-23 |
| 1790253920 | Courtney Prince Mejia | Nurse Practitioner | 2 Medical Park Rd Ste 302, Columbia, SC 29203-6839 | 2018-11-06 |
| 1700374436 | Palmetto Health - University of South Carolina Medical Group | Surgery | 2 Medical Park Rd Ste 302, Columbia, SC 29203-6839 | 2018-04-27 |
| 1184812968 | Mirsad Mujadzic | Plastic Surgery | 2 Medical Park Rd Ste 302, Columbia, SC 29203-6839 | 2007-10-05 |
| 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472251 | Paulina Bao Tran Le | Surgery | Prisma Health Medical Group Plastic Surgery, 2 Medical Park, Ste 302, Columbia, SC 29203 | 2020-06-17 |
| 1285126060 | Ameya Atul Chumble | Surgery | 1 Hospital Dr Rm M349, Columbia, MO 65212-1000 | 2018-06-06 |
| 1689103053 | Angela Hulsey | Surgery | 1 Hospital Dr # M349, Columbia, MO 65212-1000 | 2017-06-08 |
| 1265813950 | Brandon Lambiris | Surgery | 1 Hospital Dr # Dc064.00, Division of Plastic Surgery, Columbia, MO 65212-1000 | 2015-06-18 |
| 1144237751 | Kenneth Dwayne Fulks | Surgery | 1601 Hatcher Ln, Columbia, TN 38401-4826 | 2006-08-03 |
| 1366496515 | Matthew J Concannon | Surgery | 3115 Falling Leaf Ct, Columbia, MO 65201-3579 | 2006-05-20 |
| 1053381202 | Gary A Vela | Surgery | 8600 Snowden River Pkwy, Suite 308, Columbia, MD 21045-1982 | 2006-01-23 |
| 1447876057 | Brooke Elizabeth Porter | Surgery | 1 Hospital Dr Rm M349, Columbia, MO 65212-1000 | 2020-06-19 |
| 1306407309 | Sarah Elizabeth Langsdon | Surgery | 1 Hospital Dr Rm M349, Columbia, MO 65212-1000 | 2019-06-21 |
| 1184284606 | Benjamin Jay Kirby | Surgery | 1 Hospital Dr Rm M349, Columbia, MO 65212-1000 | 2019-06-17 |
| Find all providers in COLUMBIA | ||||
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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.