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Dr. John Evans Stavrakos

Physical Medicine & Rehabilitation Doctor Sports Medicine

103 Sum Mor Dr
West Columbia , South Carolina 29169-4828

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Dr. John Evans Stavrakos

Physical Medicine & Rehabilitation Doctor Sports Medicine

103 Sum Mor Dr
West Columbia , South Carolina 29169-4828

(803) 244-9212

Write a Review Save Call

Dr. John Evans Stavrakos

Physical Medicine & Rehabilitation Doctor Sports Medicine

103 Sum Mor Dr
West Columbia , South Carolina 29169-4828

(803) 244-9212 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Physical Medicine & Rehabilitation Doctor
  • Sports Medicine

Languages spoken

  • English

Location

103 Sum Mor Dr West Columbia , South Carolina 29169-4828

First Address

  • Dr. John Evans Stavrakos
  • Po Box 1320
  • Lexington, SC
  • Zip : 29071-1320
  • Phone : (803) 244-9212

Second Address

  • Dr. John Evans Stavrakos
  • 103 Sum Mor Dr
  • West Columbia, SC
  • Zip : 29169-4828
  • Phone : (803) 244-9212

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FAQs


Where did Dr. John Evans Stavrakos attend graduate school?

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Where did Dr. John Evans Stavrakos do his residency?

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Where did Dr. John Evans Stavrakos do his fellowship?

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Is Dr. John Evans Stavrakos board certified?

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What type of doctor is Dr. John Evans Stavrakos

Physical Medicine & Rehabilitation Doctor

In what state does Dr. John Evans Stavrakos practice in?

South Carolina

Where is Dr. John Evans Stavrakos ’s practice located?

103 Sum Mor Dr , West Columbia, South Carolina, 29169-4828

What is Dr. John Evans Stavrakos ’s gender?

Male

Is Dr. John Evans Stavrakos a sole practitioner?

No

Is Dr. John Evans Stavrakos accepting new patients?

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What languages does Dr. John Evans Stavrakos speak?

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Does Dr. John Evans Stavrakos accept insurance?

Yes, Dr. John Evans Stavrakos accepts insurance

Does Dr. John Evans Stavrakos offers telemedicine?

Dr. John Evans Stavrakos has not indicated if he offers telemedicine

What is Dr. John Evans Stavrakos ’s professional license number?

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What is Dr. John Evans Stavrakos ’s NPI number?

1063426724

Does Dr. John Evans Stavrakos have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 208100000X Physical Medicine & Rehabilitation Doctor 39963 SC
N 2081S0010X Sports Medicine 39963 SC
N 213ES0000X Sports Medicine 39963 SC

National Provider Identifier

NPI 1063426724
Provider Name Dr. John Evans Stavrakos
First Address Lexington, SC 29071-1320
Second Address West Columbia, SC 29169-4828
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 28/07/2006
Last Update Date 13/07/2016

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
I36957 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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