DR. MARK JOSEPH KRZYSTON (NPI# 1508923194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508923194 |
| Entity Type | Individual |
| Full Name | DR. MARK JOSEPH KRZYSTON |
| Credential | M.D. |
| Practice Address |
1175 Cook Rd Ste 225 Orangeburg SC 29118-8201 |
| Practice Telephone | 8035348723 |
| Practice Fax Number | 8035360030 |
| Mailing Telephone | 8035348723 |
| Mailing Fax Number | 8035360030 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2015-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
SC12677 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PA4003 | 05 |
| Street Address |
1175 COOK RD STE 225 |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29118-8201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982680336 | Julius W Babb IIi | Surgery | 1175 Cook Rd, Suite 320, Orangeburg, SC 29118-8201 | 2005-12-19 |
| 1912378290 | Tjuana Faith Durden Seidl | Physician Assistant | 1175 Cook Rd, Suite 225, Orangeburg, SC 29118-8201 | 2015-10-13 |
| 1497187744 | Lisa Gordon | Nurse Practitioner | 1175 Cook Rd, Suite 230, Orangeburg, SC 29118-8201 | 2013-08-08 |
| 1023457389 | The Regional Medical Center of Orangeburg and Calhoun Counties | Surgery | 1175 Cook Rd, Orangeburg, SC 29118-8201 | 2013-06-20 |
| 1740592476 | Drs. Williamson & Gillespie, Pa | Clinic/Center | 1175 Cook Rd, Suite 145, Orangeburg, SC 29118-8201 | 2010-07-10 |
| 1851527717 | Family Health Centers, Inc. At Cook Road | Specialist | 1175 Cook Rd, Medical Arts Center, Suite 305, Orangeburg, SC 29118-8201 | 2009-06-05 |
| 1164665428 | Kimberly Evonne Miller-hammond | Surgery | 1175 Cook Rd, Suite 320, Orangeburg, SC 29118-8201 | 2009-04-15 |
| 1164690012 | Internal Medicine & Infectious Diseases Specialists | Specialist | 1175 Cook Rd, Suite 115, Orangeburg, SC 29118-8201 | 2008-02-13 |
| 1669654448 | Jerome B Degen | Obstetrics & Gynecology | 1175 Cook Rd, Suite 305, Orangeburg, SC 29118-8201 | 2007-12-03 |
| 1518177807 | Orangeburg Oral Surgery & Implant Center | Dentist | 1175 Cook Rd, Ste 135, Orangeburg, SC 29118-8201 | 2007-05-23 |
| Find all providers in the same location | ||||
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194921593 | George E Castro | Internal Medicine | 1137 Cook Road, Orangeburg, SC 29118 | 2007-06-22 |
| 1316012735 | James Leroy Wells Jr. | Internal Medicine | 1595 Carolina Avenue, Orangeburg, SC 29115-4940 | 2006-11-21 |
| 1154496560 | John Oxford Hutto Sr. | Internal Medicine | 2664 St Matthews Road, Orangeburg, SC 29118-1344 | 2006-11-21 |
| 1093721334 | George E Castro | Internal Medicine | 1137 Cook Rd, Orangeburg, SC 29118-8204 | 2006-07-31 |
| 1558336990 | Richard Edelstein | Internal Medicine | 1 Pfc Dorcey Ct, Orangeburg, NY 10962-1019 | 2006-02-21 |
| 1386985620 | The Regional Medical Center of Orangeburg and Calhoun Counties | Internal Medicine | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2013-03-12 |
| 1295800613 | Samuel Van King | Internal Medicine | 2664 St Matthews Road, Orangeburg, SC 29118-1344 | 2006-11-21 |
| 1891745709 | Cardiovascular Institute | Internal Medicine | 1175 Cook Rd, Suite 225, Orangeburg, SC 29118-8201 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366070237 | Richard Ying Lim | Internal Medicine | 1752 Greenspoint Ct, Mt Pleasant, SC 29466-8132 | 2020-03-27 |
| 1205499217 | Spartanburg Medical Center | Internal Medicine | 104 Professional Park Ste C, Gaffney, SC 29340-2319 | 2019-04-16 |
| 1316416688 | Spartanburg Medical Center | Internal Medicine | 104 Professional Park Ste B, Gaffney, SC 29340-2319 | 2018-11-16 |
| 1376050534 | Khoury Cardiology, Pa | Internal Medicine | 151 Saluda Ave, Columbia, SC 29205-3080 | 2018-01-09 |
| 1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
| 1669919247 | Hari Gnanasekeram, PC | Internal Medicine | 207 Zeigler St, Columbia, SC 29217-0001 | 2017-01-20 |
| 1649636390 | Jeffrey Clyde Sloan | Internal Medicine | 1565 Blanchard Bnd, Rock Hill, SC 29732-9658 | 2016-01-11 |
| 1033514120 | Palmetto Health | Internal Medicine | 6 Richland Medical Park Dr, Suite 2100, Columbia, SC 29203-6864 | 2014-10-31 |
| 1164821104 | Hilton Head Cardiology, Consultants, LLC | Internal Medicine | 25 Hospital Center Blvd Ste 309, Hilton Head, SC 29926-2739 | 2014-08-15 |
| 1033522610 | Ashley Arana Waring | Internal Medicine | 30 Courtney Drive Msc 592, Charleston, SC 29425-8905 | 2014-06-11 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 29118 |
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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.