DR. RAYMOND KEELS ALLEN JR. (NPI# 1679700504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679700504 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND KEELS ALLEN JR. |
| Other Name | R. KEELS ALLEN |
| Credential | M.D. |
| Practice Address |
300 Singleton Ridge Rd Conway SC 29526-9142 |
| Mailing Address |
Po Box 1599 Clinical Pathology Consultants, Pa Conway SC 29528-1599 |
| Practice Telephone | 8433477144 |
| Practice Fax Number | 8433477331 |
| Mailing Telephone | 8433477144 |
| Mailing Fax Number | 8433477331 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2019-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
LL31890 | SC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 606 Black River Rd, Georgetown, SC 294403304 | 8435277171 | 8435207882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619039492 | Raymond J. Allen | Social Worker | 25 Forest Ln, Bronxville, NY 10708-1908 | 2006-12-15 |
| 1932192192 | Raymond K Allen | Family Medicine | 512 Nelson Blvd, Suite 200, Kingstree, SC 29556-4027 | 2005-08-23 |
| 1023503174 | Raymond William Allen | Nurse Practitioner | 971 W 1200 S, Woods Cross, UT 84087-2007 | 2018-06-29 |
| 1245428119 | Raymond F Allen | Orthotist | 1015 Swanson St, Houston, TX 77030-5011 | 2007-10-04 |
| 1144230251 | Raymond J. Allen | Obstetrics & Gynecology | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2006-08-09 |
| 1396733705 | Raymond H Allen | Internal Medicine | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2005-10-10 |
| Street Address |
300 SINGLETON RIDGE RD |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-9142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450643 | Kathleen M Chance | Nurse Anesthetist, Certified Registered | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2005-07-12 |
| 1588275101 | Christina Lauren St Clair | Registered Nurse | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-08-17 |
| 1184248569 | Evan Samuel Culp | Nurse Anesthetist, Certified Registered | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-06-02 |
| 1023637352 | Tawsif Nadir | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-16 |
| 1427677053 | Bennett Leanna Haskin | Family Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1174142731 | Jae Hyun Shim | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1891314449 | Eric Yunkwen Choi | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1487273017 | Tooba Anum | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-04-14 |
| 1083242960 | Noman Ghiasi | Family Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-03-27 |
| 1336775154 | Kaila Marnan Robbins | Registered Nurse | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2020-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023259660 | Raymond Leonard Krzyzaniak | Pathology | 402-b Singleton Ridge Road, Conway, SC 29526 | 2009-03-11 |
| 1265483903 | Clinical Pathology Consultants, Pa | Pathology | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2006-05-15 |
| 1497748248 | Robert J Gay | Pathology | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2005-08-26 |
| 1427041284 | David Mark Wilson | Pathology | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932691094 | Yanna Ding | Pathology | 169 Ashley Avenue, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2018-06-05 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1972732162 | Kalli Kole Faulkner | Pathology | 218 Children's Hospital, 171 Ashley Avenue. Msc 908, Charleston, SC 29464 | 2009-07-08 |
| 1932351764 | Kent J Newsom | Pathology | 1 Science Ct Ste 200, Professional Pathology Services, Columbia, SC 29203-9653 | 2008-10-10 |
| 1942409719 | Raford Porter Rogers IIi | Pathology | 165 Ashley Ave Ste 309, Charleston, SC 29425-8905 | 2007-07-12 |
| 1083734529 | Herbert Derman | Pathology | 28 Yorkshire Dr, Hilton Head, SC 29928-3368 | 2007-03-29 |
| 1316063944 | Johann Hertel | Pathology | 165 Ashley Avenue, Suite 337, Charleston, SC 29425 | 2007-03-22 |
| 1861575813 | Mary Kathleen Wren | Pathology | 171 Ashley Ave, Msc 908, Department of Pathology, Charleston, SC 29425-8905 | 2006-10-23 |
| 1629168679 | Danyel Bourgeois Mcevoy | Pathology | 4450 Leeds Pl W Ste A, N Charleston, SC 29405-8405 | 2006-10-13 |
| 1407967953 | John Logan Ward | Pathology | 30 Quinine Hl, Columbia, SC 29204-3414 | 2006-08-31 |
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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.