NPIMap

Organization Active NPI

Kershawhealth

Doing business as Kershawhealth Infectious Diseases

  • Infectious Disease Physician
  • Camden, SC
National Provider Identifier
1528207172
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
KERSHAWHEALTH
Doing business as
Kershawhealth Infectious Diseases
Practice address
1315 Roberts St
Camden, SC 29020-3737
Phone
(803) 432-4311
Fax
(803) 713-6384
NPI assigned
Feb 5, 2009
Last updated
Sep 23, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
KERSHAW COUNTY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Mr. Donnie J Weeks
Title
Ceo
Phone
(803) 432-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X Primary

Addresses

Primary practice location

1315 Roberts St
Camden, SC 29020-3737

Mailing address

1315 Roberts St
Camden, SC 29020-3737
Phone (803) 432-4311

Other identifiers 3

IdentifierTypeStateIssuer
369382MedicaidSC
328735MedicaidSC
400480MedicaidSC

Other names 1

  • KERSHAWHEALTH INFECTIOUS DISEASES Doing business as

National Provider Directory

National Provider Directory
Part of
Kershaw Health Primary Care

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1528207172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ROBERTS ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203737",
            "telephone_number": "803-432-4311",
            "fax_number": "803-713-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ROBERTS ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203737",
            "telephone_number": "803-432-4311",
            "fax_number": "803-713-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSHAWHEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KERSHAW COUNTY MEDICAL CENTER",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-432-4111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369382",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328735",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400480",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KERSHAWHEALTH INFECTIOUS DISEASES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, SC

Sources for this page

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

Verify at the official NPI Registry.