ROBERT LEROY WALDRON II (NPI# 1215991112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215991112 |
| Entity Type | Individual |
| Full Name | ROBERT LEROY WALDRON II |
| Credential | MD |
| Practice Address |
5 Richland Medical Park Rd Columbia SC 29203 |
| Mailing Address |
1420 Adger Road Columbia SC 29205 |
| Practice Telephone | 8034346301 |
| Practice Fax Number | 8032541106 |
| Mailing Telephone | 8032542991 |
| Mailing Fax Number | 8032541106 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
9764 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | TL9924 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558634824 | Robert John Waldron | Pediatrics | 536 Ocean Terrace, Normandy Beach, NJ 08739 | 2012-02-17 |
| 1437446978 | Robert Eric Waldron | Speech-Language Pathologist | 29 Jefferson Pl, Montvale, NJ 07645-2338 | 2011-07-05 |
| 1952386492 | Robert Alexander Waldron | Physical Therapist | 363 Vanadium Rd, Pittsburgh, PA 15243-1497 | 2005-12-07 |
| Street Address |
5 RICHLAND MEDICAL PARK RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203 |
| 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 | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934186 | Imagecare Radiology Associates, LLC | Radiology | 710 Rabon Rd Ste 100, Columbia, SC 29203-8903 | 2019-10-18 |
| 1386115715 | Ayman Mohamed Nada | Radiology | 1 Hospital Dr, Columbia, MO 65212-0001 | 2018-12-11 |
| 1477978534 | Carlos Leiva Salinas | Radiology | 1 Hospital Dr, Columbia, MO 65212-0001 | 2014-02-26 |
| 1194984096 | Harry Simms Hardin Iv | Radiology | 1519 Marion St, Pitts Radiology, Columbia, SC 29201-2910 | 2008-06-05 |
| 1245420116 | Jonathan Paul Musco | Radiology | 1 Hospital Dr, Columbia, MO 65212-0001 | 2007-07-27 |
| 1366535353 | Minh-tri Dang | Radiology | One Hospital Drive, Columbia, MO 65212-0001 | 2006-10-02 |
| 1093748873 | Joseph P. Cousins | Radiology | One Hospital Dr, Columbia, MO 65212-0001 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447316963 | Carolina Imaging Consultants P A | Radiology | 582 Long Point Road, Mt Pleasant, SC 29464 | 2006-12-29 |
| 1477640647 | David Dwight Goltra Jr. | Radiology | 582 Lone Tree Drive, 582 Long Point Rd, Mt Pleasant, SC 29464 | 2006-10-06 |
| 1649248519 | Aquilla Turk IIi | Radiology | 109 Doctors Dr, Greenville, SC 29605 | 2006-03-08 |
| 1710963624 | William L Woodard | Radiology | 43 Laurens St, Charleston, SC 29401-1561 | 2005-12-22 |
| 1437566965 | Roshan Kumar Arjal | Radiology | 169 Ashley Ave Rm 202, Msc 333, Charleston, SC 29425-8905 | 2014-07-16 |
| 1447699970 | Andrew Fayette Barnes | Radiology | 316 Calhoun St, Charleston, SC 29401-1113 | 2013-06-18 |
| 1790028868 | Richard Christopher Leach | Radiology | 1210 W Faris Rd, Greenville, SC 29605-4444 | 2013-03-27 |
| 1750642096 | Todd Michael Danziger | Radiology | 1210 W Faris Rd, Greenville, SC 29605 | 2012-06-04 |
| 1366762502 | Joseph Clayton Holladay IIi | Radiology | 1210 W Faris Rd, Greenville, SC 29605-4444 | 2010-06-10 |
| 1447493762 | Milad Yazdani | Radiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2009-04-16 |
| 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.