DR. JONATHAN BRAUN KSOR (NPI# 1326254848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326254848 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN BRAUN KSOR |
| Credential | D.P.M. |
| Practice Address |
2502 Broad St Camden SC 29020-2238 |
| Practice Telephone | 8034255510 |
| Practice Fax Number | 8034324776 |
| Mailing Telephone | 8034255510 |
| Mailing Fax Number | 8034324776 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2017-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD.614 POD | SC | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | PO3095 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PD6149 | 05 |
| Street Address |
2502 BROAD ST |
| City | CAMDEN |
| State | SC |
| Zip Code | 29020-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346384971 | John Ksor | Podiatrist | 2502 Broad St, Camden, SC 29020-2238 | 2007-02-16 |
| 1932421385 | Carolina Podiatry Clinic LLC | Durable Medical Equipment & Medical Supplies | 2502 Broad St, Camden, SC 29020 | 2010-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1205493871 | Kershaw County Board of Disabilities and Special Needs | Early Intervention Provider Agency | 1619 Jefferson Davis Highway, Camden, SC 29020 | 2019-05-20 |
| 1831669415 | Jennifer Dawn Colby | Counselor | 709 Mill Street, Camden, SC 29020 | 2018-11-27 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
| 1811414675 | Audra Rowell Scott | Registered Nurse | Kershaw County Health Department, 1116 Church Street, Camden, SC 29020 | 2017-08-23 |
| 1386173789 | Robert James Mccarthy | Specialist/Technologist | 410 Chewning Street, Camden, SC 29020 | 2017-06-08 |
| 1902357205 | First Physical Therapy LLC | Clinic/Center | 1114 Mill St, Camden, SC 29020 | 2016-10-21 |
| 1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
| 1154748424 | Diane Mcdonald | Registered Nurse | 1611 Church St, Camden, SC 29020 | 2014-03-25 |
| Find all providers in zip 29020 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013140243 | Warren A Rubin Dpm Pa | Podiatrist | 1807 S Broadway Front 1st Fl., Camden, NJ 08104-1333 | 2009-09-04 |
| 1427140920 | Barbara Ann Porchia | Podiatrist | 238 Cash Rd Sw, Camden, AR 71701-3737 | 2006-09-29 |
| 1679678122 | Richard A Burnell | Podiatrist | 133 Sparkleberry Ln, Camden, SC 29020-9197 | 2006-09-13 |
| 1679683320 | Warren A Rubin Dpm | Podiatrist | 431 Kaighn Ave, Camden, NJ 08103-2209 | 2006-08-30 |
| 1720198468 | Warren A Rubin | Podiatrist | 1807 S Broadway Front, 1st Floor, Camden, NJ 08104-1333 | 2006-08-30 |
| 1619985330 | Armand Louis Pro | Podiatrist | 211 S Broadway, Camden, NJ 08103-1207 | 2006-08-04 |
| 1083006852 | Sukhwinder Bhular | Podiatrist | 1000 Atlantic Ave, Camden, NJ 08104-1132 | 2015-03-03 |
| 1255421988 | Camden Foot Clinic | Podiatrist | 133 Sparkleberry Ln, Camden, SC 29020-9197 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331132 | Emad Youssef Dpm LLC | Podiatrist | 218 Granito Dr, Greer, SC 29650-2771 | 2020-09-16 |
| 1922618016 | Dr. Ashley Williams, LLC | Podiatrist | 3223 Hatchet Bay Dr Apt 7203, Charleston, SC 29414-5219 | 2020-08-04 |
| 1700424769 | Instride Foot & Ankle Specialists, Pllc | Podiatrist | 223 Herlong Ave S Ste 115, Rock Hill, SC 29732-1089 | 2019-12-20 |
| 1871011387 | Honored To Serve | Podiatrist | 1850 Atlantic Dr Unit 712, Columbia, SC 29210-7992 | 2017-09-05 |
| 1467989632 | Frederick Garland | Podiatrist | 767 Wintercreeper Dr, Longs, SC 29568-9229 | 2017-05-17 |
| 1245764430 | Aiken Podiatry Center | Podiatrist | 148 Waterloo St Sw Ste 4, Aiken, SC 29801-3766 | 2017-04-14 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1669859104 | Mobile Podiatry South Carolina | Podiatrist | 10 Summerlea Ln, Columbia, SC 29203-3915 | 2015-05-05 |
| 1063829471 | Heather Driessen, Dpm, LLC | Podiatrist | 4072 Corner Stroll Ln, Aiken, SC 29801-1158 | 2014-07-17 |
| 1164855227 | Coastal Medical Services LLC | Podiatrist | 616 Churchill Rd, Walterboro, SC 29488-3622 | 2013-08-13 |
| 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.