Katherine A Minnick, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

19855 Issued in SC

Practice address

1481 Tobias Gadson Blvd Ste 1
Charleston, SC 29407-4879

Phone

(843) 402-3093

Fax

(843) 402-3094

NPI assigned

Jun 24, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Roper Hospital, Inc.

  • Infectious Disease Physician
  • Charleston, SC
  • NPI 1104150739
  Medicare reassignment NPD
• Roper Hospital Inc.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • N. Charleston, SC
  • NPI 1104563758
  NPD
• Roper Hospital, Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Charleston, SC
  • NPI 1053640078
  NPD
• Infectious Diseases Consultants & Travel Medicine

  • Infectious Disease Physician
  • Charleston, SC
  • NPI 1073592937
  NPD (past)
• Roper Saint Francis Physicians Network

  • Obstetrics & Gynecology Physician
  • Charleston, SC
  • NPI 1811857352
  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1649276502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "843-789-1620",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 TOBIAS GADSON BLVD STE 1",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074879",
            "telephone_number": "843-402-3093",
            "fax_number": "843-402-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNICK",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "SC",
            "license": "19855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T38938",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adriana Mineweaser
• Christina Marie Mingora, M.D.
• Minimed Distribution Corp
• Mink Total LLC
• Caroline Elissa Minnick, MD
• Christian Todd Minshall, MD PHD
• Angela R Minter, OT
• Sandra Lorraine Minter, LCSW, LISW-CP
• Emily Dare Mintz
• Lillian Grace Mintz, RN

• Infectious Disease Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Infectious Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.