Individual provider Active NPI

Edward Martin Kowal III, MD

  • Obstetrics Physician
  • Florence, SC
National Provider Identifier
1144630690
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
84954 Issued in SC
Practice address
101 William H Johnson St Ste 500
Florence, SC 29506-2769
Phone
(843) 777-7400
NPI assigned
May 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 84954 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

101 William H Johnson St Ste 500
Florence, SC 29506-2769

Mailing address

2530 Rainford Rd
Florence, SC 29501-1997
Phone (304) 634-2707

Other practice location 1

3110 MacCorkle Ave SE
Charleston, WV 25304-1210
Phone (304) 388-2068

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210416000946 SC Practitioner - Obstetrics/Gynecology 1850516436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

101 William H Johnson St
Suite 500
Florence, SC 29506-2769
Phone (843) 777-7400

Hospital & facility affiliations

  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince May 27, 2022 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc. CurrentSince May 27, 2022 Accepting new patients
McLeod Physician Associates II CurrentSince Apr 1, 2021 Accepting new patients
McLeod Physician Associates II CurrentSince Apr 1, 2021 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc. Past Accepting new patients
McLeod Physician Associates II Past Accepting new patients

Locations

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

101 William H Johnson St
Ste 500
Florence, SC 29506
Phone (843) 777-7400

506 E Cheves St
#202
Florence, SC 29506

144 N Ravenel St
Florence, SC 29506
Phone (843) 777-2566

Interoperability endpoints

  • Direct secure messaging: ekowal27885@directmcleodehealth.org

Organizations & group practices 7

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

Hospital & facility affiliations 1

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": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1144630690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 RAINFORD RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295011997",
            "telephone_number": "304-634-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILLIAM H JOHNSON ST STE 500",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062769",
            "telephone_number": "843-777-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041210",
            "country_code": "US",
            "telephone_number": "304-388-2068",
            "fax_number": "304-388-2437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOWAL",
        "first_name": "EDWARD",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "SC",
            "license": "84954",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.