MR. JONATHAN MICHAEL KOOIMAN MD NPI 1598273559

NPI Information

NPI: 1598273559
Provider Name: MR. JONATHAN MICHAEL KOOIMAN, MD
Classification: Hospitalist - 208M00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
701 GROVE RD FL 5
GREENVILLE, SC
ZIP 29605
Phone: (864) 455-4411
Get Directions

MR. Jonathan Michael Kooiman, MD is a hospitalist in Greenville, SC with 7 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. MR. Jonathan Michael Kooiman, MD NPI is 1598273559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

701 GROVE RD FL 5
GREENVILLE, SC
ZIP 29605-210
Phone: (864) 455-4411
Fax: (864) 455-4480

The NPI 1598273559 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/11/2018 and was last updated on 9/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207R00000X	Internal Medicine	MD87590	SOUTH CAROLINA	No
2	208000000X	Pediatrics	MD87590	SOUTH CAROLINA	No
3	390200000X	Student in an Organized Health Care Education/Training Program		ILLINOIS	No
4	390200000X	Student in an Organized Health Care Education/Training Program		TENNESSEE	No
5	208M00000X	Hospitalist	MD87590	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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