John Ksor (NPI# 1346384971, PAC ID# 8123090305) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1346384971 |
| PAC ID by PECOS | 8123090305 |
| Professional Enrollment ID | I20040809000765 |
| Full Name | John Ksor |
| Organization Legal Name | CAROLINA PODIATRY CLINIC LLC |
| Address |
2502 Broad St Camden SC 29020-2225 |
| Phone Number | 8034255510 |
| Gender | M |
| Credential | DPM |
| Medical School | BARRY UNIVERSITY SCHOOL PODIATRIC MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 5092846774 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420048 | KERSHAWHEALTH |
| Address | Phone | Organization |
|---|---|---|
| 2502 Broad St, Camden, SC 29020-2225 | 8034255510 | CAROLINA PODIATRY CLINIC LLC |
| Organization Legal Name | CAROLINA PODIATRY CLINIC LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Braun Ksor | Podiatry | Carolina Podiatry Clinic LLC | 2502 Broad St, Camden, SC 29020-2225 |
| Street Address |
2502 BROAD ST |
| City | CAMDEN |
| State | SC |
| Zip | 29020-2225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Braun Ksor | Podiatry | Carolina Podiatry Clinic LLC | 2502 Broad St, Camden, SC 29020-2225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Nicole Jones | Nurse Practitioner | Lowcountry Urgent Care LLC | 2010 W Dekalb St, Camden, SC 29020-2058 |
| Sandra D Randolph | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Chanelle C Jackson | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Janette M Capaci | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Sandra A Jones | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| Patricia A Siefferman | Nurse Practitioner | Wal-mart Stores East Lp | 2240 W Dekalb St, Camden, SC 29020-2069 |
| James Huger Richardson | Cardiovascular Disease (cardiology) | Providence Group Practices II LLC | 1330 Haile St, Camden, SC 29020-3002 |
| Venkateshwar K Gottipaty | Cardiac Electrophysiology | Providence Group Practices II LLC | 1330 Haile St, Camden, SC 29020-3002 |
| Shelly C Wilkerson | Nurse Practitioner | Providence Group Practices LLC | 1330 Haile St, Camden, SC 29020-3002 |
| Anne Marie Hendrix | Physician Assistant | Providence Group Practices LLC | 1330 Haile St, Camden, SC 29020-3002 |
| Find all physicians in zip 29020 | |||
| City | CAMDEN |
| Zip Code | 29020 |
| Specialty | PODIATRY |
| City + Specialty | CAMDEN + PODIATRY |
Please comment or provide details below to improve the information on John Ksor.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.