Robert Nicholas Kish, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

144 Issued in SC

Practice address

411 Lockman Rd
Elgin, SC 29045-8715

Phone

(803) 466-0504

NPI assigned

Dec 7, 2005

Last updated

Nov 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dpmkishnrsc LLC

  • Primary Podiatric Medicine Podiatrist
  • Elgin, SC
  • NPI 1447389051
  Authorized official Same address or phone

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1891770319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24293",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292244293",
            "telephone_number": "803-466-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LOCKMAN RD",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458715",
            "telephone_number": "803-466-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISH",
        "first_name": "ROBERT",
        "middle_name": "NICHOLAS",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD1448",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kershaw Hospital LLC
• Kershaw Hospital LLC (KershawHealth Urgent Care)
• Keymed Cpap Services LLC
• Sara Abigail Kim
• Michelle Marie King, BCBA
• Shellyann Kornegay-Brooks, LPN
• Austin Charles Kuhn, MSW, PHD
• Esther Labrador, LPC-S
• Lindon Leach
• Tamika Monique Lee, LMT

• Podiatrist in Elgin, SC
• Providers in Elgin, SC by specialty
• Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.