PRISMA HEALTH MEDICAL GROUP-MIDLANDS (NPI# 1003307166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003307166 |
| Entity Type | Organization |
| Organization Name | PRISMA HEALTH MEDICAL GROUP-MIDLANDS |
| Other Organization Name | PH MEDICAL GROUP MIDLANDS |
| Practice Address |
8 Richland Medical Park Dr Ste 300 Columbia SC 29203-8008 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8032566511 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | JAMES ELLIS (CHIEF INTEGRATIONL OFFICER) |
| Authorized Official Telephone | 8035455048 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP9147 | 05 |
| Other Name | Type Code |
|---|---|
| PH Medical Group Midlands | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1645 J A Cochran Byp Ste D&h, Chester, SC 297062105 | 8032566511 | |
| 500 Thurgood Marshall Hwy Ste A, Kingstree, SC 295564143 | 8032566511 | |
| 2669 Kinard St, Newberry, SC 291082911 | 8032566511 | |
| 511 W Moultrie St, Winnsboro, SC 291801436 | 8032566511 | |
| 8 Richland Medical Park Dr Ste 200, Columbia, SC 292038008 | 8032566511 | |
| 8 Richland Medical Park Dr Ste 100, Columbia, SC 292038006 | 8034343800 | 8037442759 |
| 701 Medical Park Dr Ste 301, Hartsville, SC 295504779 | 8433835978 | 8433835977 |
| 300 Palmetto Health Pkwy Ste 400, Columbia, SC 292121764 | 8034343800 | 8037442759 |
| 115 N Sumter St Ste 410, Sumter, SC 291504969 | 8037749797 | 8039333012 |
| 1013 Professional Ct, Manning, SC 291022827 | 8032566511 | |
| 1017 Professional Ct, Manning, SC 291022827 | 8032566511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518455252 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 100 N Sumter St Ste 200, Sumter, SC 29150-4975 | 2018-04-27 |
| 1992226534 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 101 Business Park Blvd Fl 2, Columbia, SC 29203-8401 | 2017-07-05 |
| 1538680004 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 300 Palmetto Health Pkwy Ste 200, Columbia, SC 29212-1762 | 2017-07-05 |
| 1255852901 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 100 Palmetto Health Pkwy Ste 320, Columbia, SC 29212-1756 | 2017-07-03 |
| 1285678078 | Prisma Health Medical Group-midlands | Pediatrics | 9 Richland Medical Park Dr Ste 410, Columbia, SC 29203-6859 | 2006-06-15 |
| 1417442864 | Prisma Health Medical Group-midlands | Dentist | 10 Richland Medical Park Dr Ste A, Columbia, SC 29203-6892 | 2018-06-28 |
| 1447749510 | Prisma Health Medical Group-midlands | Family Medicine | 115 N Sumter St Ste 115, Sumter, SC 29150 | 2018-05-04 |
| 1295222503 | Prisma Health Medical Group-midlands | Oral & Maxillofacial Surgery | 3304 Forest Dr, Columbia, SC 29204-4024 | 2018-04-23 |
| 1457848848 | Prisma Health Medical Group-midlands | Pediatrics | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2018-04-20 |
| 1871080283 | Prisma Health Medical Group-midlands | Hospitalist | 115 N Sumter St Ste 400, Sumter, SC 29150-4971 | 2018-04-20 |
| Street Address |
8 RICHLAND MEDICAL PARK DR STE 300 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-8008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164422820 | William J Hollins II | Internal Medicine | 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203-8008 | 2005-07-26 |
| 1275016586 | Elizabeth Baker Tumaliuan | Nurse Practitioner | 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203 | 2018-09-12 |
| 1134632581 | Linda Kaye Myers Hentz | Nurse Practitioner | 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203-8008 | 2017-11-08 |
| 1174917710 | Susan Benesh | Nurse Practitioner | 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203 | 2015-03-21 |
| 1396139119 | Stacey Flaherty | Nurse Practitioner | 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203-8008 | 2015-03-19 |
| 1003155755 | Joseph Crawford IIi | Nurse Practitioner | 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203 | 2013-01-31 |
| 1538394630 | Ryan Edward Wilson | Internal Medicine | 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203 | 2009-05-19 |
| 1194928457 | James Ryan Altman | Internal Medicine | 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203-8008 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710189592 | Trung Tran | Internal Medicine | 1605 E Broadway, Suite 300, Columbia, MO 65201-8023 | 2007-06-04 |
| 1760500987 | Michael Allen Brown | Internal Medicine | 1605 E Broadway, Suite 300, Columbia, MO 65201-8023 | 2007-03-26 |
| 1306869060 | Ian Smith | Internal Medicine | 1655 Bernardin Ave, Suite 300, Columbia, SC 29204-2039 | 2006-07-25 |
| 1700836202 | South Central Heart Group Inc | Internal Medicine | 1220 Trotwood Ave, Suite 401, Columbia, TN 38401-6433 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003318080 | Cardiac Cin of South Carolina LLC | Internal Medicine | 6650 Rivers Ave Ste 405, North Charleston, SC 29406-4809 | 2018-03-06 |
| 1376834606 | Heart Associate of Hilton Head PC | Internal Medicine | 14 Westbury Park, Suite 103, Bluffton, SC 29910-7461 | 2011-04-20 |
| 1861485088 | Donald E Saunders IIi | Internal Medicine | 4969 Centre Pointe Dr, Suite 100, North Charleston, SC 29418-6952 | 2005-08-23 |
| 1568455723 | Scott L Woodfield | Internal Medicine | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 | 2005-08-23 |
| 1912400300 | Carolina Cardiology and Vascular Associates LLC | Internal Medicine | 3020 Sunset Blvd Ste 105, West Columbia, SC 29169-3494 | 2018-03-13 |
| 1851656482 | Vinod K Chaubey | Internal Medicine | 2376 Cypress Circle, Suite 102, Conway, SC 29526-8964 | 2012-07-10 |
| 1740569227 | Mohamed Faher Almahmoud | Internal Medicine | 169 Ashley Ave Rm 202, Charleston, SC 29425-0553 | 2011-08-15 |
| 1336439074 | Sebastiano Antonio Virgadamo | Internal Medicine | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2248 | 2011-04-14 |
| 1104123835 | Heart Associate of Hilton Head LLC | Internal Medicine | 35 Hospital Center Cmns, Ste 101, Hilton Head, SC 29926-2845 | 2011-02-15 |
| 1740502822 | Bon Secours St Francis Xavier Hospital, Inc. | Internal Medicine | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2010-02-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.