KERSHAWHEALTH (NPI# 1750609889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750609889 |
| Entity Type | Organization |
| Organization Name | KERSHAWHEALTH |
| Other Organization Name | KERSHAWHEALTH WOMEN'S CARE |
| Practice Address |
1165 Highway 1 S Suite 500 Lugoff SC 29078-8966 |
| Mailing Address |
1 Windsor Cv Suite 402 Columbia SC 29223-1833 |
| Practice Telephone | 8034383800 |
| Practice Fax Number | 8034383898 |
| Mailing Telephone | 8037885916 |
| Mailing Fax Number | 8037889564 |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-06-24 |
| Authorized Official Name | MR. DONNIE J WEEKS (CEO) |
| Authorized Official Telephone | 8037136227 |
| Is Organization Subpart | Y |
| Parent Organization Name | KERSHAWHEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 328735 | 05 | |
| SC | 400480 | 05 | |
| SC | 369382 | 05 |
| Other Name | Type Code |
|---|---|
| KershawHealth Women's Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528203205 | Kershawhealth | Internal Medicine | 1218 Roberts St, Camden, SC 29020-3736 | 2008-12-09 |
| 1457764169 | Kershawhealth | Surgery | 1102 Roberts St, Camden, SC 29020-3734 | 2014-06-10 |
| 1164834487 | Kershawhealth | Family Medicine | 1111 Mill St, Camden, SC 29020-3763 | 2014-05-21 |
| 1912288093 | Kershawhealth | Family Medicine | 116 Standard Warehouse Rd, Lugoff, SC 29078-9670 | 2011-09-02 |
| 1659686004 | Kershawhealth | Internal Medicine | 1303 Monument Sq, Camden, SC 29020-3529 | 2010-08-10 |
| 1528207172 | Kershawhealth | Internal Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2009-02-05 |
| 1689878357 | Kershawhealth | Clinic/Center | 1315 Roberts St, Camden, SC 29020-3737 | 2007-06-14 |
| 1740344118 | Kershawhealth | Ambulance | 1315 Roberts St, Camden, SC 29020-3737 | 2006-12-20 |
| 1467525378 | Kershawhealth | Pharmacy | 1315 Roberts St, Camden, SC 29020-3737 | 2006-11-16 |
| 1073686994 | Kershawhealth | Clinic/Center | 1315 Roberts St, Camden, SC 29020-3737 | 2006-11-16 |
| Street Address |
1165 HIGHWAY 1 S SUITE 500 |
| City | LUGOFF |
| State | SC |
| Zip Code | 29078-8966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093705121 | Kershaw Hospital LLC | Home Health | 1165 Highway 1 S, Lugoff, SC 29078-8966 | 2005-10-28 |
| 1578850947 | Kelly Lynn Warnock | Nurse Practitioner | 1165 Highway 1 S, Suite 300, Lugoff, SC 29078-8966 | 2011-07-06 |
| 1538395710 | Sheila T Hoskins | Speech-Language Pathologist | 1165 Highway 1 S, Suite 300, Lugoff, SC 29078-8966 | 2009-06-02 |
| 1659550275 | Center for Pain Control LLC | Pain Medicine | 1165 Highway 1 S, Suite 300, Lugoff, SC 29078-8966 | 2007-10-31 |
| 1447379938 | Sandhills Medical Foundation | Durable Medical Equipment & Medical Supplies | 1165 Highway 1 S, Suite 400, Lugoff, SC 29078-8966 | 2007-03-28 |
| 1508958216 | Apexcare Pa | Pediatrics | 1165 Highway 1 S, Suite 200, Lugoff, SC 29078-8966 | 2006-09-29 |
| 1154435741 | Cathy Porter | Nurse Practitioner | 1165 Highway 1 S, Suite 400, Lugoff, SC 29078-8966 | 2006-08-19 |
| 1215997820 | Olajide A. Balogun | Internal Medicine | 1165 Highway 1 S, Suite 200, Lugoff, SC 29078-8966 | 2006-03-27 |
| 1922099522 | Kershaw County Medical Center | Internal Medicine | 1165 Highway 1 S, Suite 200, Lugoff, SC 29078-8966 | 2005-11-02 |
| 1093706970 | Kershaw Hospital LLC | Hospice Care, Community Based | 1165 Highway 1 S, Lugoff, SC 29078-8966 | 2005-10-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477006179 | Retireease Senior Services, Inc. | In Home Supportive Care | 12 Dooley Drive, Lugoff, SC 29078 | 2016-07-28 |
| 1770613515 | Claude Harold Varn Jr. | Dentist | P.0.box 325, Lugoff, SC 29078 | 2007-03-07 |
| 1316087364 | Ark Therapeutic Services, Inc | Speech-Language Pathologist | 862a Highway 1 South, Lugoff, SC 29078 | 2007-02-07 |
| 1326104837 | Allyson Varn Monferdini | Dentist | 25 Ward Road, Lugoff, SC 29078 | 2006-12-29 |
| 1275612269 | Wateree Plaza Drug Corp | Durable Medical Equipment & Medical Supplies | 1053 Hwy 1, Patterson Plaza, Lugoff, SC 29078 | 2006-11-02 |
| 1336589233 | Matthew Allen Nettles | Dentist | 25 Ward Road, Lugoff, SC 29078 | 2013-06-25 |
| 1316214638 | Lynnette Glasscho Tomlin | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078 | 2011-12-01 |
| 1013124429 | Debra C Lowsky | Speech-Language Pathologist | 862a Highway 1 South, Lugoff, SC 29078 | 2007-05-16 |
| 1285826396 | Durham Russell Maples | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-13 |
| 1508059403 | Dina Maples Blankenship | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-23 |
| Find all providers in zip 29078 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124201280 | Kraemer Womens Care, LLC | Obstetrics & Gynecology | 20 Townlee Ln, Ste D, Lugoff, SC 29078-8989 | 2007-12-12 |
| 1497747141 | Milford Berten Hutchinson IIi | Obstetrics & Gynecology | 1165 Highway 1 S Ste 500, Lugoff, SC 29078-8966 | 2005-08-18 |
| 1679607246 | Julie Ann Mullins | Obstetrics & Gynecology | 1165 Highway 1 S Ste 500, Lugoff, SC 29078-8966 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988036 | Lexington Health Inc | Obstetrics & Gynecology | 700 Gervais St Ste 300, Columbia, SC 29201-3061 | 2020-10-08 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1407411895 | Silki Pankajkumar Modi | Obstetrics & Gynecology | The Women's Center, 1801 Sunseet Drive, Columbia, SC 29203 | 2019-05-01 |
| 1548755788 | Catherine Anne Boniface | Obstetrics & Gynecology | 96 Jonathan Lucas St Obgyn Dept, Charleston, SC 29425 | 2018-06-29 |
| 1972021483 | New Hope Integrative Medicine, Inc | Obstetrics & Gynecology | 775 Saint James Ave Ste B, Goose Creek, SC 29445-2836 | 2017-09-05 |
| 1780105080 | Jennifer Irene Higdon | Obstetrics & Gynecology | Women's Center, 1801 Sunset Drive, Columbia, SC 29203 | 2017-06-28 |
| 1205356581 | Kyle Aaron Brong | Obstetrics & Gynecology | 96 Jonathan Lucas St., Ste. 634, Charleston, SC 29425 | 2017-06-27 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1396298725 | Highlands Center for Women, P.a. | Obstetrics & Gynecology | 369 Halton Rd, Greenville, SC 29607-3405 | 2016-08-02 |
| 1508215401 | Danielle Wright | Obstetrics & Gynecology | 1574 Bluewater Way, Charleston, SC 29414-7925 | 2016-06-10 |
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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.