Active NPI
Kristen Miller Nathe, MD
- Orthopaedic Surgery Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 33727
- Practice address
- 14 Richland Medical Park Dr Ste 200
Columbia, SC 29203-6882 - Phone
- (803) 296-7846
- NPI assigned
- Jul 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 57.028163 | OH | |
| Orthopaedic Surgery Physician | 207X00000X | 33727 | SC | Primary |
Addresses
Primary practice location
14 Richland Medical Park Dr Ste 200
Columbia, SC 29203-6882
Mailing address
PO Box 22265
Belfast, ME 04915-4473
Phone (803) 296-7320
Other practice location 1
3333 Burnet Ave
Orthopaedic Surgery
Cincinnati, OH 45229-3026
Phone (513) 636-1383
Other practice location 2
3333 Burnet Ave
Orthopaedic Surgery
Cincinnati, OH 45229-3026
Phone (513) 636-1383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 337273 | Medicaid | SC |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Wright State University Boonshoft School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14 Richland Medical Park Dr
Suite 200
Columbia, SC 29203-6882
Phone (803) 296-7846
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.028163 | OH | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Orthopaedic Surgery | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Orthopaedic Surgery | Current | Accepting new patients |
Locations
14 Richland Medical Park Dr
Ste 200
Columbia, SC 29203
Phone (803) 296-9200
3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
1120 Roberts Branch Pkwy
#200
Columbia, SC 29203
Interoperability endpoints
- knathe382796@direct.ghs.myhfn.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Columbia, SC
- NPI 1346761897
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1740577477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22265",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154473",
"telephone_number": "803-296-7320",
"fax_number": "803-296-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 RICHLAND MEDICAL PARK DR STE 200",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036882",
"telephone_number": "803-296-7846"
}
],
"practiceLocations": [
{
"address_1": "3333 Burnet Ave",
"address_2": "Orthopaedic Surgery",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452293026",
"country_code": "US",
"telephone_number": "513-636-1383",
"fax_number": "513-636-3928",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 Burnet Ave",
"address_2": "Orthopaedic Surgery",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452293026",
"country_code": "US",
"telephone_number": "513-636-1383",
"fax_number": "513-636-3928",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NATHE",
"first_name": "KRISTEN",
"middle_name": "MILLER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "OH",
"license": "57.028163",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "33727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "337273",
"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 Mar 17, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.