MEDICARE: PATRIOTMED OF KANSAS, P. A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1003751231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATRIOTMED OF KANSAS, P. A.

Provider Business Mailing Address
First Line	:	5900 CORE RD STE 502
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-6070
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5900 CORE RD STE 502
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-6070
Country	:	US
Telephone Number	:	843-737-0958
Fax Number	:

Authorized Official
Title or Position	:	CHIEF STRATEGY OFFICER
Name	:	ROBERT SCOTT THORNOCK
Credential	:
Telephone Number	:	480-369-1270

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	06/15/2026

Similar Medicare Providers

1598833709 — MRS. HANG CHIEN LI HAMMOND MA,OTR/L,CLT
Practice Location Address:

730 LEEDS CT
NORTH SALT LAKE, UT
84054-6070

Practice Phone: 201-606-5950
Practice Fax:

1508269960 — MRS. ABBEY ELAINE BONASSO
Practice Location Address:

6070 ROYALTON RD
NORTH ROYALTON, OH
44133-5104

Practice Phone: 937-477-8076
Practice Fax:

1629932728 — BRIANA PAIGE
Practice Location Address:

38175 GRAND AVE
NORTH BRANCH, MN
55056-6070

Practice Phone: 651-674-1500
Practice Fax:

1982274064 — AIDAN DAVID LUM KONG M.D.
Practice Location Address:

9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC
29406

Practice Phone: 843-797-7000
Practice Fax:

1689430324 — KAYLANN NICOLE PENNY PT
Practice Location Address:

7800 RIVERS AVE STE 1240
NORTH CHARLESTON, SC
29406-4067

Practice Phone: 843-277-0710
Practice Fax: 843-573-7412

1851024236 — MS. RANI BUSBEE DNP
Practice Location Address:

6650 RIVERS AVE STE 100
NORTH CHARLESTON, SC
29406-4809

Practice Phone: 828-340-9030
Practice Fax: 828-266-6380

Directions to “PATRIOTMED OF KANSAS, P. A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.