ANDREW H WOLDORF (NPI# 1376508176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376508176 |
| Entity Type | Individual |
| Full Name | ANDREW H WOLDORF |
| Credential | MD |
| Practice Address |
4840 Forest Dr Pmb #350 Columbia SC 29206-4810 |
| Mailing Address |
3555 Harden Street Ext 15 Medical Park, Suite 300 Columbia SC 29203-6894 |
| Practice Telephone | 8037909002 |
| Mailing Telephone | 8034346410 |
| Mailing Fax Number | 8034341537 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2017-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 23177 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | T73408 | 05 | |
| SC | WOLDORF STATE LICENSE # | 23177 | 01 |
| Street Address |
4840 FOREST DR PMB #350 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29206-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215996046 | Wilson Internal Medicine Pa | Clinic/Center | 4840 Forest Dr, Box 255, Columbia, SC 29206-4810 | 2006-03-21 |
| 1720323330 | Carolyn Lorraine Sober | Pharmacist | 4840 Forest Dr, Suite 10, Columbia, SC 29206-4810 | 2012-12-07 |
| 1326083908 | Folline Opticians Inc | Technician/Technologist | 4840 Forest Dr, Ste 220 Trenholm Plaza, Columbia, SC 29206 | 2006-06-18 |
| 1659336444 | Andrew H. Woldorf Md | Ophthalmology | 4840 Forest Dr, Pmb 350, Columbia, SC 29206-4810 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710403720 | Twila Wilson | Adult Companion | 5741 D Imboden Street, Columbia, SC 29206 | 2017-08-21 |
| 1164978961 | Uri Reisman | Social Worker | 3730 Rockbridge Rd, Columbia, SC 29206 | 2016-08-31 |
| 1902237621 | Ronald Patrick Pellicer | Counselor | 6941 N Trenholm Rd Ste F102, Columbia, SC 29206 | 2013-12-05 |
| 1316376791 | Laraine Kim Jenkins | Counselor | 5211 Trenholm Rd, Suite B, Columbia, SC 29206 | 2013-11-05 |
| 1437409802 | Charles B Roman IIi | Pharmacist | 4711-5 Forest Drive, Columbia, SC 29206 | 2012-09-13 |
| 1306129879 | Rickey Gene Ayers | Counselor | 1800 Forest Drive, C, Columbia, SC 29206 | 2011-09-21 |
| 1285924316 | Lexington County Health Services District, Inc. | Internal Medicine | 4540 Trenholm Road, Columbia, SC 29206 | 2011-04-11 |
| 1144547860 | Alicia K. Harvey | Counselor | 5115 Forest Plaza Suite D, The Art and Play Therapy Center of S.c., Columbia, SC 29206 | 2010-04-21 |
| 1669703880 | Crystal Coleman | Occupational Therapist | 5234 Circle Dr, Columbia, SC 29206 | 2010-01-28 |
| 1689896938 | Carolina Dental Associates, P.a. | Dentist | 5101 Forest Drive, Columbia, SC 29206 | 2007-05-03 |
| Find all providers in zip 29206 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020644 | Matthew Theodore Hirabayashi | Ophthalmology | University Hospital One Hospital Dr Dc052.00, Columbia, MO 65212-0001 | 2020-07-09 |
| 1508484288 | Travis Parker | Ophthalmology | University Hospital One Hospital Drive Dc 052.00, Columbia, MO 65212-0001 | 2020-07-09 |
| 1003437641 | Goel Vision Columbia | Ophthalmology | 8850 Columbia 100 Pkwy Ste 101, Columbia, MD 21045-2375 | 2020-05-06 |
| 1568083103 | Columbia Parkway Surgery Center LLC | Ophthalmology | 8850 Columbia 100 Pkwy Ste 102, Columbia, MD 21045-2375 | 2020-05-06 |
| 1952965493 | Eric Jiaming Zhang | Ophthalmology | University Hospital One Hospital Dr Dc.052.00, Columbia, MO 65212-0001 | 2019-04-30 |
| 1801236302 | Jason T Rodier | Ophthalmology | 3215 Wingate Court, Suite 102, Columbia, MO 65201-7214 | 2013-06-28 |
| 1093057630 | Maggie A Cardonell | Ophthalmology | 3215 Wingate Court, Ste 102, Columbia, MO 65201-7214 | 2013-03-21 |
| 1013257575 | Mohannad Al-samarraie | Ophthalmology | 3215 Wingate Ct, Suite 102, Columbia, MO 65201-7214 | 2013-02-21 |
| 1558608786 | Thompson & Sjaarda, P.a. | Ophthalmology | 9700 Patuxent Woods Dr Ste 110, Columbia, MD 21046-2938 | 2013-01-08 |
| 1912299884 | Timothy D Mcgarity Md PC | Ophthalmology | 1410 Forum Katy Pkwy., Suite 100, Columbia, MO 65203-2191 | 2011-05-10 |
| 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.