MR. KENNETH PHYLEX JONES (NPI# 1548344096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548344096 |
Entity Type | Individual |
Full Name | MR. KENNETH PHYLEX JONES |
Credential | M.D. |
Practice Address |
3870 Leeds Avenue Suite 114 North Charleston SC 29405-7493 |
Mailing Address |
Po Box 62945 North Charleston SC 29419-2945 |
Practice Telephone | 8432077130 |
Practice Fax Number | 8432123674 |
Mailing Telephone | 8432077130 |
Mailing Fax Number | 8432123674 |
Enumeration Date | 2006-10-24 |
Last Update Date | 2015-05-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | SCMD11629 | SC | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 116298 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 11629 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588152573 | Kenneth Jones Jr. | Psychologist | 13634 Mayflower St, Victorville, CA 92392-8366 | 2018-04-25 |
1184054207 | Kenneth Jones | Case Manager/Care Coordinator | 545 W Iroquois Rd, Pontiac, MI 48341-2024 | 2013-11-26 |
1881934743 | Kenneth Neil Jones | General Practice | 5802 Bob Bullock Loop # C, Ste 328c93, Laredo, TX 78041-8807 | 2013-02-28 |
1992057046 | Kenneth L Jones | Physician Assistant | 3591 Twin Pond Rd, Vernon, FL 32462-3362 | 2012-10-12 |
1366739112 | Kenneth Jones | Counselor | 720 South B Street, San Mateo, CA 94401 | 2011-06-30 |
1871815357 | Kenneth Jones | Nurse Practitioner | 600 Corvette Dr, Bowling Green, KY 42101-9109 | 2010-02-24 |
1154535417 | Kenneth B. Jones | Psychologist | 310 Mid-continent Plaza, Suite 606, West Memphis, AR 72301 | 2007-05-09 |
1376762963 | Kenneth C. Jones | Social Worker | 906 W Henderson St, Cleburne, TX 76033-4836 | 2007-04-24 |
1063533248 | Kenneth J Jones | Massage Therapist | 8977 Alexandra Cir, West Palm Beach, FL 33414-6437 | 2007-04-03 |
1447382239 | Kenneth Jones | Physical Therapist | 116 S 1st Ave, Othello, WA 99344-1304 | 2007-03-09 |
Street Address |
3870 LEEDS AVENUE SUITE 114 |
City | NORTH CHARLESTON |
State | SC |
Zip Code | 29405-7493 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
Find all providers in zip 29405 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578115911 | Whole Heart Family Medicine | Family Medicine | 2891 Tricom St Ste C, North Charleston, SC 29406-7110 | 2019-07-16 |
1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
1366816977 | Paladina Health, LLC | Family Medicine | 5401 Netherby Rd Ste 101, North Charleston, SC 29420-7363 | 2015-11-19 |
1235434713 | Julie All Med Services Inc | Family Medicine | 1455 Remount Rd Ste I, North Charleston, SC 29406-3355 | 2011-01-14 |
1760642821 | Laura Lee Smith | Family Medicine | 1670 Dry Dock Ave, Building 10: Harvest Free Medical Clinic, North Charleston, SC 29405-2114 | 2008-06-12 |
1306033634 | Katherine Jaudon Richardson | Family Medicine | 4050 Bridge View Dr Ste 600, North Charleston, SC 29405 | 2007-10-01 |
1033316641 | Julie Fritz Casasco | Family Medicine | 3337 Business Cir, North Charleston, SC 29418-7415 | 2007-06-27 |
1528288560 | Stela Susac-pavic | Family Medicine | 8983 University Blvd # 104-334, North Charleston, SC 29406-7102 | 2007-05-01 |
1013087949 | Christopher James Raispis | Family Medicine | 1670 Drydock Ave, Bldg 10a Detyens Medical Center, North Charleston, SC 29405 | 2006-11-08 |
1487687448 | Health First Rapid Care, Inc. | Family Medicine | 8740 Rivers Avenue, North Charleston, SC 29406-9211 | 2006-07-09 |
Find all providers in NORTH CHARLESTON |
City | NORTH CHARLESTON |
Zip Code | 29405 |
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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.