Comprehensive Foot Care of Orangeburg

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

598 Issued in SC

Legal business name

COMPREHENSIVE FOOT CARE OF ORANGEBURG

Practice address

1717 Village Park Dr
Orangeburg, SC 29118-2475

Phone

(803) 937-5876

Fax

(803) 937-5879

NPI assigned

Mar 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Khadijah H Allen, D.P.M.NPI 1447498621

Title

Podiatrist

Phone

(803) 937-5876

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khadijah Halima Allen, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Orangeburg, SC
  • NPI 1447498621
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1790925634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 VILLAGE PARK DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182475",
            "telephone_number": "803-937-5876",
            "fax_number": "803-937-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 VILLAGE PARK DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182475",
            "telephone_number": "803-937-5876",
            "fax_number": "803-937-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE FOOT CARE OF ORANGEBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KHADIJAH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "803-937-5876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "SC",
            "license": "598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalyn Collier, PHARMD
• Columbia Vamc
• Communication Station, LLC
• Community Care Therapy LLC
• Community of Care Health Services
• Confident Communicators, LLC
• Karen L. Connelly, M.D.
• Susan K. Connor, M.D.
• Connors Healthcare for Women PA
• Barbara Leverne Connors

• Podiatric Clinic/Center in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Podiatric Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.