MR. ROBERT SCOTT DOUGLASS (NPI# 1962524389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962524389 |
| Entity Type | Individual |
| Full Name | MR. ROBERT SCOTT DOUGLASS |
| Credential | A.T.,C. |
| Practice Address |
6671 Saint Andrews Rd Columbia SC 29212-2125 |
| Mailing Address |
228 Rama Ln Lexington SC 29072-2044 |
| Practice Telephone | 8037328400 |
| Mailing Telephone | 8033564581 |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
030 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538594353 | Robert T Douglass | Counselor | 201 Cedar St, Oneida, NY 13421 | 2013-09-11 |
| 1134281587 | Robert Edward Douglass | Physical Therapist | 22 Tompkins St, Waterbury, CT 06708-1458 | 2006-12-14 |
| 1275619637 | Robert Earl Douglass | Surgery | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2006-10-28 |
| Street Address |
6671 SAINT ANDREWS RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750729109 | Alison R Kleckley Gauthier | Speech-Language Pathologist | 6671 Saint Andrews Rd, Columbia, SC 29212-2125 | 2013-06-07 |
| 1528403383 | Carol H. Sanders | Registered Nurse | 6671 Saint Andrews Rd, Columbia, SC 29212-2125 | 2013-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
| 1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
| 1467975102 | Shelby Clemmer | Behavior Technician | 2 Harbison Way, Columbia, SC 29212 | 2017-07-25 |
| 1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
| 1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
| 1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
| 1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
| 1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
| 1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
| 1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
| Find all providers in zip 29212 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969737 | Skylar Brynn Hudgens-wallace | Specialist/Technologist | 208 Amelia Oaks Way, Columbia, SC 29209-1753 | 2020-07-11 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1235757162 | Jordan-lee Elizabeth Dobbins | Specialist/Technologist | 1011 Catawba Cir, Columbia, SC 29201-5252 | 2020-07-07 |
| 1285254425 | Krista Haidle | Specialist/Technologist | 2400 Jackson Blvd, Columbia, SC 29207-7015 | 2020-04-17 |
| 1497392211 | Delores Dalrymple Gulledge | Specialist/Technologist | 424 Leton Dr, Columbia, SC 29210-4218 | 2019-12-01 |
| 1285282236 | Alyssa Faith Hawkins | Specialist/Technologist | 1609 Jennifer Dr, Columbia, TN 38401-5431 | 2019-09-03 |
| 1255989232 | Victoria Simpson | Specialist/Technologist | 886 Brickingham Way, Columbia, SC 29229-9550 | 2019-09-03 |
| 1174171151 | Rachel Marie Gordon | Specialist/Technologist | 1050 Southern Dr Apt 1705, Columbia, SC 29201-5643 | 2019-09-03 |
| 1700432101 | Mitchell Vandel | Specialist/Technologist | 4115 S Providence Rd # 101, Columbia, MO 65203-7113 | 2019-08-13 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| Find all providers in COLUMBIA | ||||
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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.