NPIMap

Organization Active NPI

Pee Dee Neurosurgical Service PA

Doing business as Kenneth S Kammer MD

  • Neurological Surgery Physician
  • Florence, SC
National Provider Identifier
1801054853
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD9716 Issued in SC
Legal business name
PEE DEE NEUROSURGICAL SERVICE PA
Doing business as
Kenneth S Kammer MD
Practice address
101 S Ravenel St Ste 300
Florence, SC 29506-2644
Phone
(843) 665-4758
Fax
(843) 669-4956
NPI assigned
May 27, 2008
Last updated
Feb 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Kenneth S Kammer, M.D.NPI 1801890298
Title
Owner
Phone
(843) 665-4758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD9716 SC Primary

Addresses

Primary practice location

101 S Ravenel St Ste 300
Florence, SC 29506-2644

Mailing address

101 S Ravenel St Ste 300
Florence, SC 29506-2644
Phone (843) 665-4758

Other identifiers 1

IdentifierTypeStateIssuer
097166MedicaidSC

Other names 1

  • Kenneth S Kammer MD Doing business as

National Provider Directory

National Provider Directory

Locations

101 S Ravenel St
Ste 300
Florence, SC 29506
Phone (843) 665-4758

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1801054853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S RAVENEL ST STE 300",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062644",
            "telephone_number": "843-665-4758",
            "fax_number": "843-669-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S RAVENEL ST STE 300",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062644",
            "telephone_number": "843-665-4758",
            "fax_number": "843-669-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE NEUROSURGICAL SERVICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "KAMMER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-665-4758",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SC",
            "license": "MD9716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097166",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth S Kammer MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.