KATHERINE WILLETT DAHLBERG (NPI# 1629314836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629314836 |
| Entity Type | Individual |
| Full Name | KATHERINE WILLETT DAHLBERG |
| Credential | M.D. |
| Practice Address |
146 E Hospital Dr Ste 120a West Columbia SC 29169 |
| Mailing Address |
Po Box 6069 West Columbia SC 29171-6069 |
| Practice Telephone | 8039367076 |
| Practice Fax Number | 8039367925 |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
35316 | SC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8 Medical Park, Neurology Dept - Ste 420, Columbia, SC 29203 | 8035456072 | 8035456051 |
| 1333 Taylor St Ste 1c, Columbia, SC 292012944 | 8032546391 | 8037990682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336298934 | Katherine L Dahlberg | Social Worker | 3235 Vollmer Rd, Suite 119, Flossmoor, IL 60422-2013 | 2007-01-10 |
| Street Address |
146 E HOSPITAL DR STE 120A |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720099005 | Mark K. Lencke | Psychiatry & Neurology | 146 E Hospital Dr Ste 120a, West Columbia, SC 29169-4800 | 2006-08-11 |
| 1720685159 | Lexington Health Inc | Neurological Surgery | 146 E Hospital Dr Ste 120a, West Columbia, SC 29169-4800 | 2020-10-08 |
| 1083169940 | Jordan R Barham | Nurse Practitioner | 146 E Hospital Dr Ste 120a, West Columbia, SC 29169 | 2016-08-22 |
| 1487031860 | Susan Marie Drinkwater | Nurse Practitioner | 146 E Hospital Dr Ste 120a, West Columbia, SC 29169-4800 | 2015-05-05 |
| 1356404107 | Douglas R Sinclair | Psychiatry & Neurology | 146 E Hospital Dr Ste 120a, West Columbia, SC 29169 | 2006-12-19 |
| 1255415139 | Donald Schmechel | Psychiatry & Neurology | 146 E Hospital Dr Ste 120a, West Columbia, SC 29169 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720099005 | Mark K. Lencke | Psychiatry & Neurology | 146 E Hospital Dr Ste 120a, West Columbia, SC 29169-4800 | 2006-08-11 |
| 1891002283 | Sleepmanage LLC | Psychiatry & Neurology | 3231 Sunset Blvd, Suite C, West Columbia, SC 29169-3483 | 2010-09-07 |
| 1598886855 | Alan Richmond Morgan | Psychiatry & Neurology | 110 Medical Ln E, Suite 230, West Columbia, SC 29169-4817 | 2007-04-03 |
| 1356404107 | Douglas R Sinclair | Psychiatry & Neurology | 146 E Hospital Dr Ste 120a, West Columbia, SC 29169 | 2006-12-19 |
| 1255415139 | Donald Schmechel | Psychiatry & Neurology | 146 E Hospital Dr Ste 120a, West Columbia, SC 29169 | 2006-10-25 |
| 1730277732 | Frank Olin Pusey Jr. | Psychiatry & Neurology | 421 Hulon Ln, West Columbia, SC 29169-4832 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693039 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 5500 Front St Ste 230, Summerville, SC 29486-7735 | 2020-09-14 |
| 1093323875 | Carolina Neurology & Neuroimaging LLC | Psychiatry & Neurology | 111 Shire Dr, Anderson, SC 29621-3675 | 2020-07-17 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| 1336764240 | Jal Ankeeth Ved | Psychiatry & Neurology | Prisma Health Medical Group Neurology, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2020-06-16 |
| 1427608819 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 9221 University Blvd Ste 2d, North Charleston, SC 29406-9148 | 2019-09-17 |
| 1801454830 | Mark Joshua Rosenberg | Psychiatry & Neurology | 96 Jonathan Lucas St Csb 301, Msc 606, Charleston, SC 29425-0001 | 2019-06-04 |
| 1851955413 | David Alan Lockwood Jr. | Psychiatry & Neurology | Neurology Patient Care, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2019-04-29 |
| 1164995700 | Amy Elizabeth Gallozzi | Psychiatry & Neurology | 531 Tributary Dr, Fort Lawn, SC 29714-8625 | 2019-01-07 |
| 1952896789 | Lauren Crawford | Psychiatry & Neurology | 96 Jonathan Street Suite 301, Charleston, SC 29425-0001 | 2018-06-25 |
| 1831610989 | Christopher Bruck Zust | Psychiatry & Neurology | 8 Medical Park Ste 420, Neurology Clinic, Columbia, SC 29203 | 2017-06-29 |
| Find all providers with the same taxonomy | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.