Kevin O Wessinger, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

14297 Issued in SC

Practice address

1749 Marshall St
Columbia, SC 29203-6952

Phone

(803) 252-1801

Fax

(803) 462-0312

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• South Carolina Pediatrics Alliance, LLC

  • Pediatric Adolescent Medicine Physician
  • Columbia, SC
  • NPI 1184016941
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1871576074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CLEMSON RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292294341",
            "telephone_number": "803-788-6146",
            "fax_number": "803-462-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 MARSHALL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036952",
            "telephone_number": "803-252-1801",
            "fax_number": "803-462-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSINGER",
        "first_name": "KEVIN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "14297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142973",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Zoe Werkheiser, PHARMD
• Kimberly High Werts, O.T.
• Toni Wertz
• Wesley B Phillips, DDS, PA (Vista Smiles of Columbia)
• Amanda Lashaun Wesley, LPCA
• Andrew Sean West, DR OF CHIROPRACTIC
• Kiara Tyshana West, PA-C
• Laquile West
• Ryan Anthony West, BS, PTA
• Sara Rebecca West

• Pediatrics Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.