Active NPI
Robert A Vande Stouwe, MD PH D
- Allergy & Immunology Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 11671
- Practice address
- One Richland Medical Park
Suite 200 Carolina Allergy and Asthma Consultants
Columbia, SC 29203 - Phone
- (803) 765-9233
- Fax
- (803) 779-0344
- NPI assigned
- Aug 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 11671 | SC | Primary |
Addresses
Primary practice location
One Richland Medical Park
Suite 200 Carolina Allergy and Asthma Consultants
Columbia, SC 29203
Mailing address
One Richland Medical Park
Suite 200 Carolina Allergy and Asthma Consultants
Columbia, SC 29203
Phone (803) 765-9233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116715 | Medicaid | SC |
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
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Columbia University College of Physicians and Surgeons, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Richland Medical Park Dr
Columbia, SC 29203-6830
One Richland Medical Park
Suite 200
Columbia, SC 29203-6830
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11671 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Allergy & Asthma Consultants | Allergy & Immunology | Current | Accepting new patients |
Locations
1 Richland Medical Park Dr
Ste 200
Columbia, SC 29203
Phone (803) 765-9233
Organizations & group practices 1
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.
-
- Allergy & Immunology Physician
- Columbia, SC
- NPI 1285723593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1952417800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE RICHLAND MEDICAL PARK",
"address_2": "SUITE 200 CAROLINA ALLERGY AND ASTHMA CONSULTANTS",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-765-9233",
"fax_number": "803-779-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE RICHLAND MEDICAL PARK",
"address_2": "SUITE 200 CAROLINA ALLERGY AND ASTHMA CONSULTANTS",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-765-9233",
"fax_number": "803-779-0344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDE STOUWE",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "MD PH D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "SC",
"license": "11671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116715",
"state": "SC"
}
],
"endpoints": [],
"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 Oct 17, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.