| Pennsylvania Kidney Care, P.c. | |
|
1320 Main St Ste 300 Columbia SC 29201-3266 | |
| (980) 443-4852 | |
| Not Available |
| Full Name | Pennsylvania Kidney Care, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1320 Main St Ste 300, Columbia, South Carolina |
| Authorized Official Name and Position | Aaron Molitor (COO) |
| Authorized Official Contact | 9132321472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennsylvania Kidney Care, P.c. 1600 Stout St Ste 2000 Attn Strive Health Credentialing Team Denver CO 80202-3113 Ph: (980) 443-4852 | Pennsylvania Kidney Care, P.c. 1320 Main St Ste 300 Columbia SC 29201-3266 Ph: (980) 443-4852 |
| NPI Number | 1477155638 |
|---|---|
| Provider Enumeration Date | 11/12/2020 |
| Last Update Date | 07/10/2024 |
| Medicare PECOS PAC ID | 9032524343 |
|---|---|
| Medicare Enrollment ID | O20210219000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477155638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Larissa Ann Bower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952709982 PECOS PAC ID: 3577881150 Enrollment ID: I20150410000797 |
| Provider Name | Taylor C Junod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669836771 PECOS PAC ID: 5294024592 Enrollment ID: I20160510000374 |
| Provider Name | Victoria A Culp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639441991 PECOS PAC ID: 9436580768 Enrollment ID: I20200520002111 |
| Provider Name | Muhammad Sohaib |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679972905 PECOS PAC ID: 3476861337 Enrollment ID: I20200819001909 |
| Provider Name | Matthew Kerr |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659029585 PECOS PAC ID: 3476930371 Enrollment ID: I20220516000911 |
| Provider Name | Haley D Justus |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861896672 PECOS PAC ID: 9638565633 Enrollment ID: I20220517000001 |
| Provider Name | Margaret Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093843732 PECOS PAC ID: 3779552690 Enrollment ID: I20220713002440 |
| Provider Name | Keli Perino |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154841328 PECOS PAC ID: 0042589749 Enrollment ID: I20220812003167 |
| Provider Name | Amanda L Mcclanahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821733544 PECOS PAC ID: 1951788801 Enrollment ID: I20230929001888 |
| Provider Name | Syed Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710211669 PECOS PAC ID: 1153562376 Enrollment ID: I20231214001355 |
| Provider Name | Alina H Egolf |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205550266 PECOS PAC ID: 3678939238 Enrollment ID: I20240201004547 |
| Provider Name | Tracy Rozansky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194487892 PECOS PAC ID: 6901288711 Enrollment ID: I20240308003507 |
| Provider Name | Anteo Pashaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386026193 PECOS PAC ID: 3678886512 Enrollment ID: I20240326001685 |
Palmetto Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Barton Creek Ct, Columbia, SC 29229 Phone: 803-256-2286 Fax: 803-419-8430 | |
South Carolina Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1320 Main St Ste 300, Columbia, SC 29201 Phone: 657-400-5180 | |
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Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781 | |
Five Points Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259 | |
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