N K R MEDICAL GROUP INC. (NPI# 1225341290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225341290 |
| Entity Type | Organization |
| Organization Name | N K R MEDICAL GROUP INC. |
| Practice Address |
1107 Belleview St Suite 101 Columbia SC 29201-1810 |
| Practice Telephone | 8033484603 |
| Mailing Telephone | 8033484603 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |
| Authorized Official Name | ANNA KATHRYN RYE (PRESIDENT) |
| Authorized Official Telephone | 8033484603 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 25198 | SC | Allopathic & Osteopathic Physicians |
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
25198 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
1107 BELLEVIEW ST SUITE 101 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411452 | Vernell Kennedy Fogle | Psychologist | 1107 Belleview St, Suite 102, Columbia, SC 29201-1810 | 2005-07-18 |
| 1316459811 | Turning Point Behavioral Health Services | Family Medicine | 1107 Belleview St, Columbia, SC 29201-1810 | 2017-10-25 |
| 1013432004 | Paul Wade | Counselor | 1107 Belleview St, Columbia, SC 29201-1810 | 2017-08-10 |
| 1588036800 | Devoted Care and Transition Services-hospice, LLC | Clinic/Center | 1107 Belleview St, Columbia, SC 29201-1810 | 2015-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285678078 | Prisma Health Medical Group-midlands | Pediatrics | 9 Richland Medical Park Dr Ste 410, Columbia, SC 29203-6859 | 2006-06-15 |
| 1932698511 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2018-05-09 |
| 1083849871 | Christelle Marlyse Ilboudo | Pediatrics | 404 N Keene St, Columbia, MO 65201-6626 | 2009-05-21 |
| 1194761577 | George Stephen Kotchmar Jr. | Pediatrics | 9 Medical Park Rd, Suite 210, Columbia, SC 29203-6873 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497163547 | Marie Jose Moubarak | Pediatrics | 407 N Brown St, West Columbia, SC 29169 | 2014-07-31 |
| 1013244714 | Ghs Partners In Health, Inc. | Pediatrics | 200 Patewood Dr, Suite A200, Greenville, SC 29615-3593 | 2009-11-17 |
| 1134372089 | University Medical Associates | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1427223429 | Terry Carlyle Dixon | Pediatrics | 96 Jonathan Lucas St, Division of Pediatric Infectious Diseases Musc, Charleston, SC 29425-8900 | 2008-04-29 |
| 1295943181 | Joshua Walter Brownlee | Pediatrics | 200 Patewood Dr, Ste A200, Greenville, SC 29615-3593 | 2007-05-21 |
| 1679681621 | Sandra L Fowler | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1457396053 | Laure A.n. Utecht | Pediatrics | 200 Patewood Dr, Suite A200, Greenville, SC 29615-3593 | 2006-06-18 |
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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.