KYLE PENTTI KOKKO (NPI# 1902984990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902984990 |
| Entity Type | Individual |
| Full Name | KYLE PENTTI KOKKO |
| Credential | M.D., PH.D. |
| Practice Address |
202 Nexton Square Drive Summerville SC 29486 |
| Practice Telephone | 8544294263 |
| Mailing Telephone | 8544294263 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | LL28914 | SC | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
28914 | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 264927-1 | NY | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 171 Ashley Ave, Charleston, SC 294258908 | 8437921414 | |
| 851 Leonard Fulghum Dr Ste 101, Mt Pleasant, SC 294643793 | 8439719350 | 8439719351 |
| Street Address |
202 NEXTON SQUARE DRIVE |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921454 | Cooper River Pediatric Therapy LLC | Speech-Language Pathologist | 119 Callibluff Dr, Summerville, SC 29486 | 2020-04-24 |
| 1750928164 | Tidewater Eyecare, LLC | Optometrist | 301 Front St., Summerville, SC 29486 | 2019-12-04 |
| 1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1699256081 | Denise Michelle Richardson | Speech-Language Pathologist | 201 School House Ln, Summerville, SC 29486 | 2018-08-24 |
| 1497243588 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 2205 2nd Avenue, Summerville, SC 29486 | 2018-04-25 |
| 1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
| 1023511144 | Grace Physical Therapy and Sports Rehab At Nexton | Clinic/Center | 5500 Front St, Suite 201, Summerville, SC 29486 | 2018-03-15 |
| 1295253086 | Dillon Robert Gregory | Specialist/Technologist | 313 Springdale Ct., Summerville, SC 29486 | 2017-09-01 |
| 1013456987 | Sfd Kids LLC | Dentist | 108 Parish Farms Drive, Summerville, SC 29486 | 2017-02-13 |
| Find all providers in zip 29486 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760810576 | Arcis Healthcare, LLC | Orthopaedic Surgery | 130 E 3rd North St, Summerville, SC 29483-6810 | 2013-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538680004 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 300 Palmetto Health Pkwy Ste 200, Columbia, SC 29212-1762 | 2017-07-05 |
| 1255852901 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 100 Palmetto Health Pkwy Ste 320, Columbia, SC 29212-1756 | 2017-07-03 |
| 1295976967 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 8950 University Blvd., Ste 200, N Charleston, SC 29406 | 2009-03-10 |
| 1598906265 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 2093 Henry Tecklenburg Dr Ste 200e, Charleston, SC 29414-5742 | 2009-03-10 |
| 1992754865 | Seraphin John Millon | Orthopaedic Surgery | 1011 Frontage Rd, Greenville, SC 29615-4240 | 2006-05-09 |
| 1619945540 | David B. Fulton | Orthopaedic Surgery | 14 Richland Medical Park Dr, Suite 200, Columbia, SC 29203-6877 | 2006-03-08 |
| 1104448208 | Anmed Health | Orthopaedic Surgery | 100 Healthy Way Ste 1200, Anderson, SC 29621-7916 | 2020-05-12 |
| 1346761897 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2017-07-05 |
| 1922529668 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 104 Saluda Pointe Dr, Lexington, SC 29072-7295 | 2017-07-03 |
| 1972054021 | Palmetto Health | Orthopaedic Surgery | 101 Business Park Blvd, 2nd Floor, Columbia, SC 29203-8401 | 2016-10-24 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29486 |
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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.