JODI DINGLE (NPI# 1083059232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083059232 |
| Entity Type | Individual |
| Full Name | JODI DINGLE |
| Credential | M.D. |
| Practice Address |
9 Richland Medical Park Dr Ste 410 Columbia SC 29203-6859 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034347995 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 84033 | SC | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 54208 | TN | Allopathic & Osteopathic Physicians |
| Y | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
84033 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 840335 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2200 Childrens Way, Nashville, TN 372320005 | 6153223023 | |
| 9 Richland Medical Park Dr Ste 410, Columbia, SC 292036859 | 8034347995 |
| Street Address |
9 RICHLAND MEDICAL PARK DR STE 410 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285678078 | Prisma Health Medical Group-midlands | Pediatrics | 9 Richland Medical Park Dr Ste 410, Columbia, SC 29203-6859 | 2006-06-15 |
| 1104312867 | Angela Kokoska | Registered Nurse | 9 Richland Medical Park Dr Ste 410, Columbia, SC 29203-6859 | 2018-07-06 |
| 1689702698 | Colleen Ann Wunderlich | Physical Medicine & Rehabilitation | 9 Richland Medical Park Dr Ste 410, Columbia, SC 29203-6859 | 2007-03-01 |
| 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 | 2080P0216X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Rheumatology |
| A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891147062 | Palmetto Health | Pediatrics | 7 Richland Medical Park Dr, Suite 7200, Columbia, SC 29203-6863 | 2016-07-12 |
| 1427281823 | Anjali Patwardhan | Pediatrics | 404 N Keene St Ste 101, Columbia, MO 65201-6626 | 2009-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669790267 | Judith Carolyn Anderson | Pediatrics | 3 Oyster Row, Isle of Palms, SC 29451-2714 | 2010-05-07 |
| 1750606174 | Carolinas Physicians Network Inc | Pediatrics | 704 Gold Hill Rd, Ste 203, Fort Mill, SC 29715-8906 | 2010-03-29 |
| 1932336237 | Mileka Richelle Gilbert | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2009-06-15 |
| 1497835748 | Robert Warren | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0100 | 2006-10-17 |
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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.