DR. THADDEUS PAUL OZIMEK


Address: 4500 Stuart Street, Moncrief Army Community Hospital, Fort Jackson, SC 29207-5720
Phone: 8037512157

DR. THADDEUS PAUL OZIMEK (NPI# 1598854507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598854507
Entity Type Individual
Full Name DR. THADDEUS PAUL OZIMEK
Credential M.D.
Practice Address 4500 Stuart Street
Moncrief Army Community Hospital
Fort Jackson
SC 29207-5720
Mailing Address 9 Hunters Pond Dr
Columbia
SC 29229-9011
Practice Telephone 8037512157
Practice Fax Number 8037512650
Mailing Telephone 8036997775
Enumeration Date 2006-10-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273R00000X Psychiatric Unit MD026757E PA Hospital Units

Other Provider Identifier

State Issuer Identifier Type Code
PA STATE LICENSE MD026757E 01

Office Location

Street Address 4500 STUART STREET
MONCRIEF ARMY COMMUNITY HOSPITAL
City FORT JACKSON
State SC
Zip Code 29207-5720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699741447 Angela Robinson Nurse Anesthetist, Certified Registered 4500 Stuart Street, Moncrief Army Community Hospital, Fort Jackson, SC 29207-5700 2006-02-23
1699863175 Clem Donald Mcduffie Optometrist 4500 Stuart Street, Mach, Attn: Mcxl-pq (credentials), Fort Jackson, SC 29207-5720 2006-10-10
1013004829 James P Burns Occupational Therapist 4500 Stuart Street, Moncrief Army Community Hospital/credentials, Fort Jackson, SC 29207-5720 2006-10-05
1568556157 Larry Kenneth Andreo Ophthalmology 4500 Stuart Street, Moncrief Army Community Hospital, Attn: Mcxl-pq (crede, Fort Jackson, SC 29207-5720 2006-10-03
1255422184 Martha Monson Sribnick Pediatrics 4500 Stuart Street, Moncrief Army Community Hosptial/credentials, Fort Jackson, SC 29207-5720 2006-09-27
1639270630 Chad Eric Gosnell Optometrist 4500 Stuart Street, Moncrief Army Community Hospital/credentials, Fort Jackson, SC 29207-5720 2006-09-25
1801993282 Julie Clare Nurse Practitioner 4500 Stuart Street, Moncrief Army Hosital Attn: Mcxl-pq (credentials), Fort Jackson, SC 29207-5720 2006-09-20
1518064930 Jeffrey Earl Trigg Physician Assistant 4500 Stuart Street, Moncrief Army Community Hospital, Fort Jackson, SC 29207-5720 2006-09-20
1558469692 Mandy Shealey Poston Pharmacist 4500 Stuart Street, Moncrief Army Community Hospital/credentials, Fort Jackson, SC 29207-5720 2006-09-20
1235235482 Pennye Murean Hamilton Pharmacist 4500 Stuart Street, Moncrief Army Community Hosp, Fort Jackson, SC 29207-5720 2006-09-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265043756 Steven Mariani Rodriguez Dentist 5330 Moseby Street, Columbia, SC 29207 2020-08-10
1568082493 Nichole Eckrich Dentist 5330 Moseby St., Columbia, SC 29207 2020-04-21
1730733007 Forrest Wane Fullenkamp Student in an Organized Health Care Education/Training Program 5330 Moseby St, Columbia, SC 29207 2019-07-25
1306401625 Kayla Anne Wolcott Pharmacist Moncrief Army Hospital Outpatient Pharmacy 1 Ft Jackson, Columbia, SC 29207 2019-05-02
1588145098 Renetta Denise Green Counselor Fort Jackson/acs 9810 Lee St, Columbia, SC 29207 2018-08-23
1154814028 Amanda Zelnick Dentist Bldg 5330 Moseby St, Ft Jackson, NC 29207 2018-06-14
1790231777 Brittaney Elizabeth Anne Lewelling Specialist/Technologist 5975 Chesnut Road, Columbia, SC 29207 2016-08-30
1376749838 Moncrief Army Community Hospital Clinic/Center 5330 Mosby Street, Fort Jackson, SC 29207 2007-06-22
1902002462 Moncrief Army Community Hospital Clinic/Center 1890 Washington Road, Fort Jackson, SC 29207 2007-06-22
1730279860 Donna L Briquet Pharmacist 4500 Marion Street, Columbia, SC 29207 2006-10-12
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Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326095324 Prisma Health-midlands Psychiatric Unit 3301 Harden Street 11 Medical Park, Columbia, SC 29203-6897 2006-05-27
1598717316 Prisma Health-midlands Psychiatric Unit 1330 Taylor At Marion Street, Columbia, SC 29201-0000 2006-05-17
1902864283 The Regional Medical Center of Orangeburg and Calhoun Counties Psychiatric Unit 3000 St Matthews Rd, Orangeburg, SC 29118-1498 2006-05-03
1033681630 Spartanburg Medical Center Psychiatric Unit 1700 Skylyn Dr, Spartanburg, SC 29307-1041 2018-12-20
1861996142 Kershaw Hospital LLC Psychiatric Unit 1315 Roberts St, Camden, SC 29020-3737 2018-03-21
1972014728 Grand Strand Regional Medical Center, LLC Psychiatric Unit 5050 Highway 17 Byp S, Myrtle Beach, SC 29588-4500 2017-10-19
1386038115 Lancaster Hospital Corporation Psychiatric Unit 800 W Meeting St, Lancaster, SC 29720-2202 2015-03-18
1124443478 Trident Medical Center, LLC Psychiatric Unit 9330 Medical Plaza Dr, Charleston, SC 29406-9104 2014-02-24
1376829952 Walterboro Community Hospital, Inc. Psychiatric Unit 501 Robertson Blvd, Walterboro, SC 29488-2787 2011-10-27
1740314681 Qhg of South Carolina Inc Psychiatric Unit 121 E Cedar St, Florence, SC 29506 2007-03-15
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Competitor

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City FORT JACKSON
Zip Code 29207

Improve Information

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Dataset Information

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.

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