Active NPI
Rudolf Jan Jokl, MD
- Emergency Medicine Physician
- Hartsville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 17202
- Practice address
- 1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710 - Phone
- (770) 874-5400
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 17202 | SC | |
| Emergency Medicine Physician | 207P00000X | 17202 | SC | Primary |
Addresses
Primary practice location
1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710
Mailing address
769 Dragoon Dr
Mount Pleasant, SC 29464-3016
Phone (843) 881-8770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T13367 | Medicaid | SC |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 E Jackson St
Dillon, SC 29536-2509
Phone (843) 367-5690
Hospital & facility affiliations
- McLeod Medical Center - Dillon
- McLeod Health Clarendon
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17202 | SC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RJ Health, LLC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| App of South Carolina Ed PLLC | Emergency Medicine | Current | Accepting new patients |
| Pee Dee Foot Center, PA | Past | Accepting new patients | |
| Williamsburg Regional Hospital | Past | Accepting new patients | |
| Emergency Physician Specialists Inc | Emergency Medicine | Past | Accepting new patients |
| Santee Cooper Urgent Care Inc | Past | Accepting new patients | |
| Marlboro Emergency Group PC | Emergency Medicine | Past | Accepting new patients |
Locations
1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311
1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366
800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214
1014 Professional Ct
Manning, SC 29102
Phone (803) 433-7262
Interoperability endpoints
- rjokl25465@directmcleodehealth.org
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
-
- Emergency Medicine Physician
- Hartsville, SC
- NPI 1457878084
-
- Endocrinology, Diabetes & Metabolism Physician
- Manning, SC
- NPI 1427317064
-
- Emergency Medicine Physician
- Bennettsville, SC
- NPI 1942364674
-
- Foot & Ankle Surgery Podiatrist
- Kingstree, SC
- NPI 1518048404
-
- Urgent Care Clinic/Center
- Manning, SC
- NPI 1538481577
-
- Podiatrist
- Kingstree, SC
- NPI 1962949933
-
- Emergency Medicine Physician
- Davenport, FL
- NPI 1912973850
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Manning, SC
- NPI 1205284411
-
- General Acute Care Hospital
- Dillon, SC
- NPI 1598746141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1417065467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "769 DRAGOON DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643016",
"telephone_number": "843-881-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 W BOBO NEWSOM HWY",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504710",
"telephone_number": "770-874-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOKL",
"first_name": "RUDOLF",
"middle_name": "JAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "SC",
"license": "17202",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "17202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T13367",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.