Active NPI
Total Foot Care, LLC
- Podiatrist
- Columbia, SC
National Provider Identifier
1316185010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 581
- Legal business name
- TOTAL FOOT CARE, LLC
- Practice address
- 104 Traditions Cir
Columbia, SC 29229-8050 - Phone
- (888) 548-2388
- Fax
- (800) 230-8028
- NPI assigned
- Feb 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Keshia Elaine Oliver, D.P.M.
- Title
- Podiatrist
- Phone
- (917) 445-5158
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 581 | SC | Primary |
Addresses
Primary practice location
104 Traditions Cir
Columbia, SC 29229-8050
Mailing address
104 Traditions Cir
Columbia, SC 29229-8050
Phone (888) 548-2388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP9904 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090319000432 | SC | Part B Supplier - Clinic/Group Practice | 2365509221 | Practice locations: Columbia, SC |
National Provider Directory
National Provider DirectoryLocations
4100 N Main St
Ste 204
Columbia, SC 29203
Phone (803) 401-5356
1195 Saint Matthews Rd
Orangeburg, SC 29115
Phone (803) 614-4131
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Columbia, SC
- NPI 1952612871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289520000000",
"number": "1316185010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 TRADITIONS CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292298050",
"telephone_number": "888-548-2388",
"fax_number": "800-230-8028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 TRADITIONS CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292298050",
"telephone_number": "888-548-2388",
"fax_number": "800-230-8028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL FOOT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-03",
"last_updated": "2010-11-12",
"status": "A",
"authorized_official_last_name": "OLIVER",
"authorized_official_first_name": "KESHIA",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "917-445-5158",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "SC",
"license": "581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP9904",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.