Kevin Anthony Rasberry, SDVOSB

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

482 Marsh Pointe Dr
Columbia, SC 29229-7025

Phone

(803) 414-7017

Fax

(843) 806-3479

NPI assigned

May 8, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1447749130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 MARSH POINTE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297025",
            "telephone_number": "803-414-7017",
            "fax_number": "843-806-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 MARSH POINTE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297025",
            "telephone_number": "803-414-7017",
            "fax_number": "843-806-3479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 Hampton St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292013535",
            "country_code": "US",
            "telephone_number": "803-875-1493",
            "fax_number": "843-806-3479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASBERRY",
        "first_name": "KEVIN",
        "middle_name": "ANTHONY",
        "credential": "SDVOSB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jacques M Rathle, MD

• Durable Medical Equipment & Medical Supplies in Columbia, SC
• Providers in Columbia, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.