George Stephen Kotchmar Jr., MD

Primary specialty

Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X

License

8652 Issued in SC

Practice address

9 Medical Park Rd
Suite 210
Columbia, SC 29203-6873

Phone

(803) 434-7995

Fax

(803) 434-8606

NPI assigned

Jun 22, 2006

Last updated

Dec 1, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Prisma Health Medical Group-Midlands

  • Pediatric Infectious Diseases Physician
  • Columbia, SC
  • NPI 1285678078
  NPD (past)
• University Pediatrics

  • Pediatrics Physician
  • Columbia, SC
  • NPI 1083657233
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1194761577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PARK RD",
            "address_2": "SUITE 200A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038003",
            "telephone_number": "803-434-7956",
            "fax_number": "803-434-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PARK RD",
            "address_2": "SUITE 210",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036873",
            "telephone_number": "803-434-7995",
            "fax_number": "803-434-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTCHMAR",
        "first_name": "GEORGE",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "SC",
            "license": "8652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086524",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Korten
• Brianna Koshy, DPT
• Betty Koski
• Meredith Bond Koss, MSW, LISW-CP
• Theresa Jean Kossler, AGACNP - AG
• Radhika Jamanadas Kothadia, MD
• Ravish Ashokkumar Kothari, MD
• Timothy Joseph Kowalski, D.O.
• Richard Patrick Kozinski, MD
• Lindsey Michelle Kozlowski, PHARMD

• Pediatric Infectious Diseases Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Pediatric Infectious Diseases Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.