Individual provider Active NPI

Karen Lemacks Gadol, PA-C

  • Physician Assistant
  • Charleston, SC
National Provider Identifier
1396719290
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
531 Issued in SC
Practice address
1694 Old Towne Rd
Charleston, SC 29407-5045
Phone
(843) 571-3100
Fax
(843) 766-7798
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 531 SC Primary

Addresses

Primary practice location

1694 Old Towne Rd
Charleston, SC 29407-5045

Mailing address

1694 Old Towne Rd
Charleston, SC 29407-5045
Phone (843) 571-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
SC531SCMDFoot & Ankle Surgery Podiatrist
531SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hormone and Health USA LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345680000000",
    "number": "1396719290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1694 OLD TOWNE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075045",
            "telephone_number": "843-571-3100",
            "fax_number": "843-766-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1694 OLD TOWNE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075045",
            "telephone_number": "843-571-3100",
            "fax_number": "843-766-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADOL",
        "first_name": "KAREN",
        "middle_name": "LEMACKS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2012-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.