Active NPI
Daniel Francis Noltkamper, MD
- Emergency Medicine Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 33931
- Practice address
- 14 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6896 - Phone
- (803) 434-3894
- Fax
- (803) 434-1663
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 200201262 | NC | |
| Emergency Medicine Physician | 207P00000X | J0165 | TX | |
| Emergency Medicine Physician | 207P00000X | 46920 | TN | |
| Emergency Medicine Physician | 207P00000X | 33931 | SC | Primary |
Addresses
Primary practice location
14 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6896
Mailing address
PO Box 935722
Atlanta, GA 31193-5722
Phone (843) 792-6200
Other practice location 1
2435 Forest Dr
Emergency Department
Columbia, SC 29204-2026
Phone (803) 256-5320
Other practice location 2
300 E McBee Ave Fl 4
Greenville, SC 29601-2842
Phone (803) 434-1483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 339315 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.musc.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200201262 | NC | MD | Emergency Medicine Physician |
| 46920 | TN | MD | Emergency Medicine Physician |
| J0165 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Emergency Medicine | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Emergency Medicine | Current | Accepting new patients |
| Prisma Health-Midlands | Current | Accepting new patients | |
| Prisma Health-Midlands | Emergency Medicine | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
14 Richland Medical Park Dr
Ste 350
Columbia, SC 29203
Phone (803) 434-1663
1330 Taylor St
Ste 100
Columbia, SC 29201
Phone (803) 434-6410
400 Palmetto Health Pkwy
Columbia, SC 29212
Phone (803) 296-5579
2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
Interoperability endpoints
- dnoltkamper380500@direct.musc.edu
- dnoltkamper413379@direct.ghs.myhfn.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Emergency Medicine
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1205889458
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
- Emergency Medicine Physician
- Columbia, SC
- NPI 1639590680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1942292115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 935722",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311935722",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 RICHLAND MEDICAL PARK DR STE 350",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036896",
"telephone_number": "803-434-3894",
"fax_number": "803-434-1663"
}
],
"practiceLocations": [
{
"address_1": "2435 Forest Dr",
"address_2": "Emergency Department",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292042026",
"country_code": "US",
"telephone_number": "803-256-5320",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 E McBee Ave Fl 4",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296012842",
"country_code": "US",
"telephone_number": "803-434-1483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLTKAMPER",
"first_name": "DANIEL",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "200201262",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "J0165",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "46920",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "33931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "339315",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.musc.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2435 Forest Dr",
"address_2": "Emergency Department",
"city": "Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "292042026",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.