Active NPI
Kevin P McRedmond, MD
- Pediatric Hematology & Oncology Physician
- Columbia, SC
National Provider Identifier
1487621959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 15441
- Practice address
- 7 Medical Park Rd
Suite 203
Columbia, SC 29203-6873 - Phone
- (803) 434-3533
- Fax
- (803) 434-3094
- NPI assigned
- Mar 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 15441 | SC | Primary |
Addresses
Primary practice location
7 Medical Park Rd
Suite 203
Columbia, SC 29203-6873
Mailing address
PO Box 402145
Atlanta, GA 30384-2145
Phone (803) 296-7313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TL4573 | Medicaid | SC |
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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248825600000",
"number": "1487621959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 402145",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303842145",
"telephone_number": "803-296-7313",
"fax_number": "803-296-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 MEDICAL PARK RD",
"address_2": "SUITE 203",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036873",
"telephone_number": "803-434-3533",
"fax_number": "803-434-3094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCREDMOND",
"first_name": "KEVIN",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2009-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "SC",
"license": "15441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TL4573",
"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 Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.