Individual provider Active NPI

Carolyn F. Kressler, M.D.

  • Specialist
  • Columbia, SC
National Provider Identifier
1962450791
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10204 Issued in SC
Practice address
1301 Taylor St
St. 7B
Columbia, SC 29201-2942
Phone
(803) 254-9461
Fax
(803) 254-9318
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10204 SC Primary

Addresses

Primary practice location

1301 Taylor St
St. 7B
Columbia, SC 29201-2942

Mailing address

49 Running Fox Rd
Columbia, SC 29223-3018
Phone (803) 788-1965

Other identifiers 1

IdentifierTypeStateIssuer
102043MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10204SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers OB/GYN Associates, PA PastSince Mar 31, 2003 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1962450791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 RUNNING FOX RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292233018",
            "telephone_number": "803-788-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 TAYLOR ST",
            "address_2": "ST. 7B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012942",
            "telephone_number": "803-254-9461",
            "fax_number": "803-254-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESSLER",
        "first_name": "CAROLYN",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "10204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102043",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.