Organization Active NPI

Kershawhealth

Doing business as Kershawhealthgastroenterology

  • Gastroenterology Physician
  • Camden, SC
National Provider Identifier
1659686004
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
KERSHAWHEALTH
Doing business as
Kershawhealthgastroenterology
Practice address
1303 Monument SQ
Camden, SC 29020-3529
Phone
(803) 425-4337
NPI assigned
Aug 10, 2010
Organization subpart
Yes
Parent organization
KERSHAWHEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Mr. Donnie J Weeks
Title
President & Ceo
Phone
(803) 713-6227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1303 Monument SQ
Camden, SC 29020-3529

Mailing address

1303 Monument SQ
Camden, SC 29020-3529
Phone (803) 425-4337

Other identifiers 1

IdentifierTypeStateIssuer
400480MedicaidSC

Other names 1

  • KERSHAWHEALTHGASTROENTEROLOGY Doing business as

National Provider Directory

National Provider Directory
Part of
Kershaw County Medical

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1659686004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 MONUMENT SQ",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203529",
            "telephone_number": "803-425-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MONUMENT SQ",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203529",
            "telephone_number": "803-425-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSHAWHEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KERSHAWHEALTH",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "803-713-6227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400480",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KERSHAWHEALTHGASTROENTEROLOGY",
            "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 Aug 10, 2010; 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.