Active NPI
Kershawhealth
- Obstetrics & Gynecology Physician
- Lugoff, SC
National Provider Identifier
1750609889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- KERSHAWHEALTH
- Practice address
- 1165 Highway 1 S
Suite 500
Lugoff, SC 29078-8966 - Phone
- (803) 438-3800
- Fax
- (803) 438-3898
- NPI assigned
- May 13, 2010
- Organization subpart
- Yes
- Parent organization
- KERSHAWHEALTH
NPPES NPI Registry
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) 713-6227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
1165 Highway 1 S
Suite 500
Lugoff, SC 29078-8966
Mailing address
1 Windsor CV
Suite 402
Columbia, SC 29223-1833
Phone (803) 788-5916
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 369382 | Medicaid | SC | |
| 400480 | Medicaid | SC | |
| 328735 | Medicaid | SC |
Other names 1
- KershawHealth Women's Care
National Provider Directory
National Provider Directory- Part of
- Kershaw County Medical
Locations
1 Windsor Cv
Ste 402
Columbia, SC 29223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277337600000",
"number": "1750609889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WINDSOR CV",
"address_2": "SUITE 402",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292231833",
"telephone_number": "803-788-5916",
"fax_number": "803-788-9564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 HIGHWAY 1 S",
"address_2": "SUITE 500",
"city": "LUGOFF",
"state": "SC",
"postal_code": "290788966",
"telephone_number": "803-438-3800",
"fax_number": "803-438-3898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KERSHAWHEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KERSHAWHEALTH",
"enumeration_date": "2010-05-13",
"last_updated": "2010-06-24",
"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": "803-713-6227",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "369382",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400480",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "328735",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KershawHealth Women's Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lugoff, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.