Derek Jakes
Medical Specialty
Professional ID
- NPI: 1124066527
- PECOS ID: 7113939968
- Enrollment ID: I20060619000335
- Credential(MD, DO, DPM): MD
- Medical School: Texas Tech University Health Science Center School Of Medicine
- Medical School Graduation Year: 2000
Hospital Service
- Hospital CCN1: 420018
- Business Name (LBN)1: Palmetto Health Richland
- Hospital CCN2: 420026
- Business Name (LBN)2: Providence Hospital
- Hospital CCN3: 420086
- Business Name (LBN)3: Palmetto Health Baptist
- Hospital CCN4: 420106
- Business Name (LBN)4: Palmetto Health Baptist Parkridge
- Hospital CCN5: 420048
- Business Name (LBN)5: Kershawhealth
Medical Practices
- Organization Name: Pitts Radiological Associates, P.a.
- Group Practice ID assigned by PECOS: 1355245747
- Number of Group Practice member: 29
Location
- Address1: 1519 Marion St
- Address2:
- City: Columbia
- State: South Carolina
- Zip Code: 29220
- Phone Number: (803)296-5513
Location
- Address1: 190 Parkridge Dr
- Address2:
- City: Columbia
- State: South Carolina
- Zip Code: 29212
- Phone Number: (803)434-2112
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):