Robert Wayne Kaemmerlen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10231 Issued in SC

Practice address

840 W Floyd Baker Blvd
Gaffney, SC 29341-1845

Phone

(864) 489-3300

Fax

(864) 488-3744

NPI assigned

Jan 27, 2006

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 7

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cherokee Medical Center

  • Family Medicine Physician
  • Gaffney, SC
  • NPI 1285275305
  Medicare reassignment NPD
• Spartanburg Medical Center

  • Neuromusculoskeletal Medicine & OMM Physician
  • Spartanburg, SC
  • NPI 1043309917
  Medicare reassignment NPD
• Cherokee Medical Center

  • Rural Health Clinic/Center
  • Gaffney, SC
  • NPI 1265073381
  NPD
• Spartanburg Medical Center

  • Urgent Care Clinic/Center
  • Spartanburg, SC
  • NPI 1083953491

  Family Medicine

  NPD
• Gaffney Hma LLC

  • General Acute Care Hospital
  • Gaffney, SC
  • NPI 1508800186
  NPD (past)
• SC Cherokee Emergency Physicians

  • Emergency Medicine Physician
  • Gaffney, SC
  • NPI 1689836751
  NPD (past)
• Upstate Emergency Service

  • Emergency Medicine Physician
  • Gaffney, SC
  • NPI 1902976426
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1275504359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 W FLOYD BAKER BLVD",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293411845",
            "telephone_number": "864-489-3300",
            "fax_number": "864-488-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAEMMERLEN",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "10231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4571262",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC7632J577",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890518I",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "26185",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "B916606121",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102310",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC76326067",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Johnson
• Henry L. Jolly Jr., D.M.D., P.C.
• Brianne Jones, MA, ATC
• Sherri Jones
• Tom Scott Jones
• Craig Stephen Karriker, DMD
• Durwin Lee Kelly
• Frieda Leeann Kerr, SLP
• Maddison Dawn Kesler, LPC-A
• Austin King

• Family Medicine Physician in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.