| Timothy P Close, MD | |
|
2000 Park St, Ste 202, Columbia, SC 29201-2011 | |
| (803) 462-3770 | |
| (803) 462-3771 |
| Full Name | Timothy P Close |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 42 Years |
| Location | 2000 Park St, Columbia, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700859485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 14574 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lexington Medical Center | West columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Image Care Radiology Associates, Llc | 3577991975 | 2 |
| Lexington Radiology Associates | 7315342185 | 30 |
| Imagecare Llc | 8325949332 | 9 |
| Entity Name | Imagecare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174596852 PECOS PAC ID: 8325949332 Enrollment ID: O20040114000131 |
| Entity Name | Image Care Radiology Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851934186 PECOS PAC ID: 3577991975 Enrollment ID: O20200318001542 |
| Entity Name | Lexington Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
| Entity Name | Lexington Radiology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063095628 PECOS PAC ID: 7315342185 Enrollment ID: O20210818000577 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy P Close, MD Po Box 1247, Covington, GA 30015-1247 Ph: (803) 462-3770 | Timothy P Close, MD 2000 Park St, Ste 202, Columbia, SC 29201-2011 Ph: (803) 462-3770 |
Dr. Jason P Eastlack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1519 Marion St, Columbia, SC 29201 Phone: 803-296-5954 Fax: 803-296-3076 | |
Heather Burch, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4500 8th Division Rd, Columbia, SC 29207 Phone: 803-751-2339 | |
Dr. James Joseph Farrell, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: Wjb Dorn Vamc, 6439 Garners Ferry Road, Columbia, SC 29209 Phone: 803-695-6811 Fax: 803-695-6745 | |
Dr. Raleigh J Boulware, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7 Medical Park, Suite 104, Columbia, SC 29223 Phone: 803-434-3400 Fax: 803-434-3938 | |
Gerald Edmund Richmond, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2000 Park St, Columbia, SC 29201 Phone: 803-462-3770 Fax: 803-462-3771 | |
Dr. Robert Wesley Smith, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5 Richland Medical Park Dr, Columbia, SC 29203 Phone: 803-434-7000 | |
Nichole Holmes, RT(R, CT) Radiology Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000 |