John Ksor, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

563 Issued in SC

Practice address

2502 Broad St
Camden, SC 29020-2238

Phone

(803) 425-5510

NPI assigned

Feb 16, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Podiatry Clinic LLCGroup PAC ID 5092846774, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kershawhealth Hospital, Camden, SC, CCN 420048

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Carolina Podiatry Clinic LLC

  • Primary Podiatric Medicine Podiatrist
  • Camden, SC
  • NPI 1932421385
  Medicare reassignment Care Compare group NPD Authorized official
• Camden Foot Clinic

  • Podiatrist
  • Camden, SC
  • NPI 1255421988
  NPD (past)

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

• Medical University Hospital Authority

  dba MUSC Health Senior Retreat

  • Psychiatric Hospital
  • Camden, SC
  • NPI 1306416680
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health Kershaw Medical Center

  • General Acute Care Hospital
  • Camden, SC
  • NPI 1487220307
  Care Compare affiliation

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1346384971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 BROAD ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290202238",
            "telephone_number": "803-425-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 BROAD ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290202238",
            "telephone_number": "803-425-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KSOR",
        "first_name": "JOHN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "SC",
            "license": "563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD5630",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leland H King, MD
• Scott Patrick King
• Jennifer Hancock Knight
• Dean M Kot, PA-C
• Jacqueline C Kramer
• Jonathan Braun Ksor, D.P.M.
• Yasseen Kuzbary, MD
• Cathy A Large, PSS
• Rachael Laughlin, BA, NON-MHP, INTERN
• William Haley Lawhon, DMD

• Primary Podiatric Medicine Podiatrist in Camden, SC
• Providers in Camden, SC by specialty
• Primary Podiatric Medicine Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.