DR. COURTNEY DAVIS BORDENKECHER (NPI# 1396734117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396734117 |
Entity Type | Individual |
Full Name | DR. COURTNEY DAVIS BORDENKECHER |
Credential | DPM |
Practice Address |
135 Express Lane Orangeburg SC 29118-9501 |
Mailing Address |
135 Express Lane Orangeburg SC 29118 |
Practice Telephone | 8035362100 |
Practice Fax Number | 8035364399 |
Mailing Telephone | 8035362100 |
Mailing Fax Number | 8035364399 |
Enumeration Date | 2005-10-14 |
Last Update Date | 2016-02-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
621 | SC | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD000965 | GA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 086562158 | 05 | |
GA | 086562158A | 05 |
Street Address |
135 EXPRESS LANE |
City | ORANGEBURG |
State | SC |
Zip Code | 29118-9501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
Find all providers in zip 29118 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194752253 | Kevin L. Ray | Podiatrist | 718 Broughton St, Orangeburg, SC 29115 | 2006-06-26 |
1346777927 | Ibn Ansari | Podiatrist | 718 Broughton St, Orangeburg, SC 29115-6648 | 2017-05-15 |
1174901425 | Sabina K Abbasova | Podiatrist | 718 Broughton St, Orangeburg, SC 29115 | 2015-05-07 |
1447498621 | Khadijah Halima Allen | Podiatrist | 1717 Village Park Dr, Orangeburg, SC 29118-2475 | 2009-01-27 |
1689683666 | Carolina Foot Institute, LLC | Podiatrist | 718 Broughton St, Orangeburg, SC 29115 | 2006-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
1568827814 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1190, Sc-9, Lancaster, SC 29720 | 2015-12-30 |
1285006981 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 700 N A St, Easley, SC 29640-2142 | 2015-10-21 |
1598136996 | Gregory Santamaria | Podiatrist | 1112 Johnnie Dodds Blvd, Mount Pleasant, SC 29464-3131 | 2015-10-12 |
1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
1952727992 | Genesis Foot & Leg Specialists, LLC | Podiatrist | 21563 Wyhte Hardee Blvd, Hardeeville, SC 29927 | 2014-03-14 |
1922424423 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 166 Waccamaw Medical Park Ct, Conway, SC 29526-8965 | 2014-03-09 |
1255756797 | Foot Clinic of South Carolina, LLC | Podiatrist | 1035 Medical Ridge Rd, Clinton, SC 29325-4542 | 2014-02-20 |
1144645722 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1 Medical Park Dr Ste C, Chester, SC 29706-9769 | 2014-02-19 |
1699190272 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 9789 Charlotte Hwy Ste 200, Fort Mill, SC 29707-7182 | 2014-02-19 |
Find all providers with the same taxonomy |
City | ORANGEBURG |
Zip Code | 29118 |
Please comment or provide details below to improve the information on DR. COURTNEY DAVIS BORDENKECHER.
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.