PALMETTO HEALTH (NPI# 1104195759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104195759 |
Entity Type | Organization |
Organization Name | PALMETTO HEALTH |
Other Organization Name | PALMETTO HEALTH PSYCHIATRY |
Practice Address |
1333 Taylor St Suite 2a Columbia SC 29201-2923 |
Mailing Address |
Po Box 402145 Atlanta GA 30384-2145 |
Practice Telephone | 8032963429 |
Practice Fax Number | 8032962735 |
Mailing Telephone | 8032967305 |
Mailing Fax Number | 8032967330 |
Enumeration Date | 2011-12-27 |
Last Update Date | 2012-01-25 |
Authorized Official Name | MR. DARRELL C COVEN (DIRECTOR-AMBULATORY SERVICES-FINANC) |
Authorized Official Telephone | 8032967301 |
Is Organization Subpart | Y |
Parent Organization Name | PALMETTO HEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Palmetto Health Psychiatry | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891232880 | Palmetto Health | Clinic/Center | 3010 Farrow Rd Ste 110, Columbia, SC 29203-7603 | 2017-01-27 |
1003351859 | Palmetto Health | General Acute Care Hospital | 808 Kawana Rd, Columbia, SC 29205-2033 | 2017-01-04 |
1043688120 | Palmetto Health | Rehabilitation Unit | 3600 Forest Drive-suite 101, Columbia, SC 29204-0000 | 2015-09-08 |
1033514120 | Palmetto Health | Internal Medicine | 6 Richland Medical Park Dr, Suite 2100, Columbia, SC 29203-6864 | 2014-10-31 |
1851642458 | Palmetto Health | Family Medicine | 100 Palmetto Health Parkway, Suite 220, Columbia, SC 29212-1755 | 2012-09-24 |
1932464476 | Palmetto Health | Counselor | 2721 Dutch Fork Rd, Chapin, SC 29036-8565 | 2012-07-11 |
1417211954 | Palmetto Health | Ambulance | 10 Medical Park Drive, Columbia, SC 29203-0000 | 2012-06-29 |
1164796306 | Palmetto Health | Pediatrics | 7 Medical Park Drive, Suite 7215, Columbia, SC 29203-6863 | 2012-03-06 |
1134453863 | Palmetto Health | Counselor | 1001 Highway 378 W, Lexington, SC 29072-8321 | 2009-09-29 |
1124279872 | Palmetto Health | Family Medicine | 300 W. Front St, Liberty, SC 29657-1012 | 2008-09-30 |
Street Address |
1333 TAYLOR ST SUITE 2A |
City | COLUMBIA |
State | SC |
Zip Code | 29201-2923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871571729 | Joseph D Love | Internal Medicine | 1333 Taylor St, Ste 6f, Columbia, SC 29201-2923 | 2006-01-02 |
1497296164 | Bogan Sleep Consultants | Internal Medicine | 1333 Taylor St, Suite 6b, Columbia, SC 29201-2923 | 2017-03-15 |
1609227974 | Gabrielle Rutherford | Nurse Practitioner | 1333 Taylor St, Suite 6f, Columbia, SC 29201-2923 | 2016-06-28 |
1104294438 | Erica Bartley | Registered Nurse | 1333 Taylor St, Suite 4-e, Columbia, SC 29201-2923 | 2015-09-03 |
1134520836 | Morgan Kanwisher | Nurse Practitioner | 1333 Taylor St, Suite 6f, Columbia, SC 29201-2923 | 2014-09-12 |
1740542364 | Joshua Schreiber | Nurse Anesthetist, Certified Registered | 1333 Taylor St, Columbia, SC 29201-2923 | 2012-06-10 |
1881967156 | Columbia Psychatric Associates | Social Worker | 1333 Taylor St, Suite 4h, Columbia, SC 29201-2923 | 2012-02-17 |
1043582471 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1333 Taylor St, 6c, Columbia, SC 29201-2923 | 2012-02-01 |
1245510122 | Palmetto Health | Surgery | 1333 Taylor St, Suite 3a, Columbia, SC 29201-2923 | 2011-08-23 |
1700173390 | Vicky Ann Jervis-rozycki | Registered Nurse | 1333 Taylor St, Suite 4-e, Columbia, SC 29201-2923 | 2011-07-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
Find all providers in zip 29201 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
1336764240 | Jal Ankeeth Ved | Psychiatry & Neurology | Prisma Health Medical Group Neurology, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2020-06-16 |
1356962799 | Mindsmattersmd LLC | Psychiatry & Neurology | 3305 Clark Ln, Pmb 130, Columbia, MO 65202-2404 | 2020-04-27 |
1851955413 | David Alan Lockwood Jr. | Psychiatry & Neurology | Neurology Patient Care, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2019-04-29 |
1831610989 | Christopher Bruck Zust | Psychiatry & Neurology | 8 Medical Park Ste 420, Neurology Clinic, Columbia, SC 29203 | 2017-06-29 |
1629598990 | Nicole Alyssa Hogan | Psychiatry & Neurology | Neurology Department, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2017-06-27 |
1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
1780061234 | Alex Mirzoev | Psychiatry & Neurology | 1333 Taylor St Ste 1c, Columbia, SC 29201-2944 | 2015-05-05 |
1770997108 | Nimit Nakul Patel | Psychiatry & Neurology | 8 Medical Park, Ste 420, Neurology Dept, Columbia, SC 29203 | 2014-06-13 |
1497195390 | Ravish Ashokkumar Kothari | Psychiatry & Neurology | 8 Med Park Ste 420, Neurology, Columbia, SC 29203 | 2013-06-25 |
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.