JEFFREY THOMAS EHRETH MD - NPI 1962431304

Q: What is Jeffrey Ehreth's NPI number?

The NPI number for Jeffrey Ehreth is 1962431304. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Q: What is Jeffrey Ehreth's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Ehreth was last updated on April 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jeffrey Thomas Ehreth Md NPPES

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

JEFFREY THOMAS EHRETH MD (NPI 1962431304) is an individual pediatric urology provider in Columbia, South Carolina, licensed in South Carolina (18730) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1989).

NPPES Registry Identity

NPI1962431304

Entity TypeIndividualMale

Primary Taxonomy2088P0231X

Provider Legal NameJEFFREY THOMAS EHRETHCredential: MD

Location Address9 RICHLAND MEDICAL PARK DR STE 500Columbia, SC 29203-6870

Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330

Phone(803) 434-2833

Fax(803) 434-2834

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1989

Enumeration DateJune 30, 2006

Last NPPES UpdateApril 16, 20213 updates tracked since enumeration

NPPES CertifiedApril 16, 2021

✔ NPI 1962431304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

License✔ Licensed in SC · 18730

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

Also ListedUrologyTaxonomy 208800000X · License 18730 (SC)

9 RICHLAND MEDICAL PARK DR STE 500, Columbia, SC 29203

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Other Identifiers 2

OtherG17963F935SC · Medicare

MedicaidQ00563SC

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffrey Thomas Ehreth Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921066556

PECOS Enrollment IDI20041229000089

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

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

ELIZABETH M BERG CPNP

Nurse Practitioner (Pediatrics)