Provider Demographics
NPI:1881600963
Name:KNOEPP, LOUIS F III (MD)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:F
Last Name:KNOEPP
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HEALTH WAY
Mailing Address - Street 2:SUITE 1240
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-7917
Mailing Address - Country:US
Mailing Address - Phone:864-225-8671
Mailing Address - Fax:864-225-1651
Practice Address - Street 1:100 HEALTH WAY
Practice Address - Street 2:SUITE 1240
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-7917
Practice Address - Country:US
Practice Address - Phone:864-225-8671
Practice Address - Fax:864-225-1651
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC218472086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP01078666OtherRR MEDICARE
SCT59282Medicaid
SCPA1177Medicare ID - Type Unspecified
SC7111Medicare PIN
SC1739Medicare ID - Type Unspecified
SCT59282Medicaid