PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP (NPI# 1073000378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073000378 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Practice Address |
300 Palmetto Health Pkwy Ste 400 Columbia SC 29212-1764 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034343800 |
| Practice Fax Number | 8037442759 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |
| Authorized Official Name | WILLIAM D. ANDERSON III, (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8035455226 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245720747 | Palmetto Health - University of South Carolina Medical Group | Urology | 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203-6870 | 2018-05-10 |
| 1295224871 | Palmetto Health - University of South Carolina Medical Group | Nurse Practitioner | 2113 Adams Grv Ste 200, Columbia, SC 29203-6957 | 2018-05-09 |
| 1235614462 | Palmetto Health - University of South Carolina Medical Group | Family Medicine | 116 Hospital Sq, Bishopville, SC 29010-7081 | 2018-10-03 |
| 1295211894 | Palmetto Health - University of South Carolina Medical Group | Family Medicine | 115 N Sumter St Ste 315, Sumter, SC 29150-4967 | 2018-07-17 |
| 1619468774 | Palmetto Health - University of South Carolina Medical Group | Surgery | 1850 Laurel St, Columbia, SC 29201-2627 | 2018-05-24 |
| 1164913224 | Palmetto Health - University of South Carolina Medical Group | Internal Medicine | 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 | 2018-05-24 |
| 1437649936 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 14 Richland Medical Park Dr Ste 400, Columbia, SC 29203-6878 | 2018-05-10 |
| 1154811651 | Palmetto Health - University of South Carolina Medical Group | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2018-05-10 |
| 1144710641 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 9 Richland Medical Park Drive, Suite 260, Columbia, SC 29203 | 2018-05-10 |
| 1134619638 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 9 Richland Medical Park Dr Ste 230, Columbia, SC 29203-6859 | 2018-05-10 |
| Street Address |
300 PALMETTO HEALTH PKWY STE 400 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212-1764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942208707 | John Kevin Baugh | Internal Medicine | 300 Palmetto Health Pkwy Ste 400, Columbia, SC 29212 | 2005-07-14 |
| 1841854502 | Laquinta Jamette Glenn-reese | Nurse Practitioner | 300 Palmetto Health Pkwy Ste 400, Columbia, SC 29212-1764 | 2019-04-29 |
| 1821442633 | Erin Sullivan | Nurse Practitioner | 300 Palmetto Health Pkwy Ste 400, Columbia, SC 29212-1764 | 2016-04-18 |
| 1205920709 | Guillermo Enrique Pineda | Internal Medicine | 300 Palmetto Health Pkwy Ste 400, Columbia, SC 29212-1764 | 2006-10-02 |
| 1285691931 | Vince M Vismara | Internal Medicine | 300 Palmetto Health Pkwy Ste 400, Columbia, SC 29212 | 2006-04-27 |
| 1962404772 | Lillian Grace Baugh | Nurse Practitioner | 300 Palmetto Health Pkwy Ste 400, Columbia, SC 29212 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
| 1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
| 1467975102 | Shelby Clemmer | Behavior Technician | 2 Harbison Way, Columbia, SC 29212 | 2017-07-25 |
| 1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
| 1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
| 1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
| 1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
| 1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
| 1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
| 1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
| Find all providers in zip 29212 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376050534 | Khoury Cardiology, Pa | Internal Medicine | 151 Saluda Ave, Columbia, SC 29205-3080 | 2018-01-09 |
| 1669919247 | Hari Gnanasekeram, PC | Internal Medicine | 207 Zeigler St, Columbia, SC 29217-0001 | 2017-01-20 |
| 1033514120 | Palmetto Health | Internal Medicine | 6 Richland Medical Park Dr, Suite 2100, Columbia, SC 29203-6864 | 2014-10-31 |
| 1639516636 | Namit Rohant | Internal Medicine | 2 Medical Park Rd Ste 402, Columbia, SC 29203-6839 | 2013-05-30 |
| 1720358112 | William Fox | Internal Medicine | 11837 Winterlong Way, Columbia, MD 21044-4412 | 2012-01-03 |
| 1134418874 | Daniel A Kim | Internal Medicine | 10710 Charter Dr Ste 400, Columbia, MD 21044 | 2011-04-04 |
| 1730321035 | Columbia Cardiology, LLC | Internal Medicine | 130 Corporate Blvd, Columbia, SC 29204 | 2009-04-01 |
| 1447415211 | Anil Purohit | Internal Medicine | 6 Richland Medical Park Drive Suite 2100, Columbia, SC 29203 | 2008-07-22 |
| 1679740195 | Warren F Holland | Internal Medicine | 3628 Cassina Cir, Columbia, SC 29205-1854 | 2008-05-14 |
| 1386826824 | Sirisha Donekal | Internal Medicine | 11055 Little Patuxent Pkwy Ste 205, Columbia, MD 21044 | 2007-11-27 |
| Find all providers in COLUMBIA | ||||
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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.