NPIMap

Individual provider Active NPI

Kathleen Valeska Woschkolup, MD

  • Neurology Physician
  • Greenville, SC
National Provider Identifier
1003013616
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
29966 Issued in SC
Practice address
801 Roper Creek Dr
Greenville, SC 29615-6938
Phone
(864) 516-1170
Fax
(877) 249-9483
NPI assigned
Jun 27, 2007
Last updated
Dec 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 29966 SC Primary

Addresses

Primary practice location

801 Roper Creek Dr
Greenville, SC 29615-6938

Mailing address

PO Box 743294
Atlanta, GA 30374-3294
Phone (864) 516-1170

Other identifiers 1

IdentifierTypeStateIssuer
299661MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110929000139 SC Practitioner - Neurology 5496926149 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BG Neurology LLCGroup PAC ID 3971827171, 7 clinicians

Practice addresses (Care Compare)

1071 Boiling Springs Rd
Spartanburg, SC 29303-2201
Phone (864) 577-9107

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29966SCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Physician Services Inc CurrentSince Jul 1, 2016 Accepting new patients
BG Neurology LLC CurrentSince Jun 1, 2025 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince May 21, 2022 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC Neurology CurrentSince May 21, 2022 Accepting new patients
St Francis Physician Services Inc CurrentSince Jul 1, 2016 Accepting new patients
St Francis Physician Services Inc Past Accepting new patients

Locations

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

801 Roper Creek Dr
Greenville, SC 29615
Phone (864) 255-1554

1071 Boiling Springs Rd
Spartanburg, SC 29303
Phone (864) 278-7088

1770 Skylyn Dr
Spartanburg, SC 29307
Phone (864) 582-7200

Networks

  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1003013616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743294",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743294",
            "telephone_number": "864-516-1170",
            "fax_number": "877-249-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ROPER CREEK DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156938",
            "telephone_number": "864-516-1170",
            "fax_number": "877-249-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOSCHKOLUP",
        "first_name": "KATHLEEN",
        "middle_name": "VALESKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "29966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299661",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.