SOUTH CAROLINA ONCOLOGY ASSOC PA – NPI #1467406918
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

SOUTH CAROLINA ONCOLOGY ASSOC PA is a provider located in COLUMBIA, SC. NPPES has assigned the NPI number 1467406918 to SOUTH CAROLINA ONCOLOGY ASSOC PA on May 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 3 years ago on Jun 30, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH CAROLINA ONCOLOGY ASSOC PA below.

NPI Profile for
SOUTH CAROLINA ONCOLOGY ASSOC PA

NPI Number
1467406918
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH CAROLINA ONCOLOGY ASSOC PA
Primary location
166 STONERIDGE DR
SOUTH CAROLINA ONCOLOGY ASSOC
COLUMBIA, SC 29210
Phone: (803) 461-3000 Fax: (803) 461-4917
Mailing address
PO BOX 2046
WEST COLUMBIA, SC 29171
Phone: (803) 461-3000 Fax: (803) 461-4917
Organization Subpart
No
Authorized Official
FRED KUDRIK
PRESIDENT
Phone: (803) 461-3000
Updated
Certification Date
Jun 30, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.