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SOUTH CAROLINA ONCOLOGY ASSOC PA
NPI 1467406918
Internal Medicine - Hematology & Oncology in Columbia, SC

Active since May 20, 2006
166 STONERIDGE DR, SOUTH CAROLINA ONCOLOGY ASSOC, COLUMBIA, SC 29210(803) 461-3000(803) 461-4917 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Carolina Oncology Assoc Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH CAROLINA ONCOLOGY ASSOC PA (NPI 1467406918) is a healthcare organization registered as a hematology & oncology in Columbia, South Carolina and active in the NPI registry since May 2006. The organization lists Fred J Kudrik, President, as its authorized official.

NPPES Registry Identity

NPI1467406918
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameSOUTH CAROLINA ONCOLOGY ASSOC PA
Location Address166 STONERIDGE DR, SOUTH CAROLINA ONCOLOGY ASSOCColumbia, SC 29210
Mailing AddressPo Box 2046West Columbia, SC 29171 · (803) 461-3000 · Fax (803) 461-4917
Phone(803) 461-3000
Fax(803) 461-4917
Organization SubpartNo
Authorized OfficialFred J KudrikPresident · (803) 461-3000
Enumeration DateMay 20, 2006
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1467406918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition

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.

Also ListedObstetrics & Gynecology · Gynecologic OncologyTaxonomy 207VX0201X
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
166 STONERIDGE DR, Columbia, SC 29210
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories South Carolina Oncology Assoc PA carries, from the Medicare DMEPOS supplier directory.

South Carolina Oncology Assoc PA

DMEPOS supplier · Columbia, SC
✔

Accepts Medicare assignment

South Carolina Oncology Assoc PA agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20633549
Medicare Participant SinceJune 7, 1999
Supplier Location166 Stoneridge DrColumbia, SC 29210
Phone(803) 461-3000
Provider TypePhysician – Hematology/Oncology
Supplier Specialties
Pharmacy

Medicare Product Categories

Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH CAROLINA ONCOLOGY ASSOCIATES PA
Pharmacy (Community/Retail Pharmacy)
166 STONERIDGE DR
COLUMBIA, SC 29210
Richland County (803) 461-3709
MALSHUNDRIA PROPHET MD
Internal Medicine (Hematology & Oncology)
166 STONERIDGE DR
COLUMBIA, SC 29210
Richland County (803) 461-3049
DR. FRED J KUDRIK MD
Internal Medicine (Hematology & Oncology)
166 STONERIDGE DR
COLUMBIA, SC 29210
Richland County (803) 461-3000
MRS. LUENEATHER MICHELLE CAKLEY PHARM. D.
Pharmacist (Oncology)
166 STONERIDGE DR
COLUMBIA, SC 29210
Richland County (803) 461-3709
SAVANNAH ROOF PA
Physician Assistant (Medical)
166 STONERIDGE DR
COLUMBIA, SC 29210
Richland County (803) 461-3000
SHELLY K GOINS MSN, APRN FNP-C
Nurse Practitioner (Family)
166 STONERIDGE DR
COLUMBIA, SC 29210
Richland County (803) 461-3000
DR. LELAND J MCELVEEN MD
Internal Medicine (Hematology & Oncology)
166 STONERIDGE DR
COLUMBIA, SC 29210
Richland County (803) 461-3000
DR. EDWARD WILLIAM DUFFY III MD
Radiology (Radiation Oncology)
166 STONERIDGE DR
COLUMBIA, SC 29210
Richland County (803) 461-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Carolina Oncology Assoc PA's NPI number?

The NPI number for South Carolina Oncology Assoc PA is 1467406918. It was assigned to this organization in the NPPES registry on May 20, 2006.

Where is South Carolina Oncology Assoc PA located?

South Carolina Oncology Assoc PA is located at 166 Stoneridge Dr South Carolina Oncology Assoc, Columbia, SC 29210. The listed phone number is (803) 461-3000.

What is South Carolina Oncology Assoc PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Does South Carolina Oncology Assoc PA accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, South Carolina Oncology Assoc PA accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does South Carolina Oncology Assoc PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list South Carolina Oncology Assoc PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Carolina Oncology Assoc PA was last updated on June 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.