HEALTHWORKS OF PALMETTO BAPTIST (NPI# 1114128824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114128824 |
Entity Type | Organization |
Organization Name | HEALTHWORKS OF PALMETTO BAPTIST |
Practice Address |
1333 Taylor St Suite 3-h Columbia SC 29220-0001 |
Practice Telephone | 8032963304 |
Mailing Telephone | 8032963304 |
Enumeration Date | 2007-05-30 |
Last Update Date | 2008-09-10 |
Authorized Official Name | DR. JACQUELYN FLETCHER VAN DAM (PHYSICIAN) |
Authorized Official Telephone | 8032963304 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | 22508 | SC | Hospitals |
Street Address |
1333 TAYLOR ST SUITE 3-H |
City | COLUMBIA |
State | SC |
Zip Code | 29220-0001 |
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 |
1104195759 | Palmetto Health | Psychiatry & Neurology | 1333 Taylor St, Suite 2a, Columbia, SC 29201-2923 | 2011-12-27 |
1245510122 | Palmetto Health | Surgery | 1333 Taylor St, Suite 3a, Columbia, SC 29201-2923 | 2011-08-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528334372 | Avnik Kirit Patidar | Family Medicine | Taylor and Marion, Columbia, SC 29220 | 2012-03-27 |
1659502276 | Stephanie A. Blease | Nurse Anesthetist, Certified Registered | Taylor At Marion St., Palmetto Health Baptist, Columbia, SC 29220 | 2009-07-30 |
1730389289 | Lillian Blanton Cargile | Registered Nurse | 1333 Taylor Street Suite 4e, Columbia, SC 29220 | 2007-07-23 |
1750580304 | Edwin James Vartanian | Registered Nurse | 1333 Taylor Street Suite 4-e, Columbia, SC 29220 | 2007-07-13 |
1629277264 | Nina Elmore Blanton | Registered Nurse | 1333 Taylor Street, Suite 4e, Columbia, SC 29220 | 2007-07-13 |
1093711228 | John Bruce Martin | Nurse Anesthetist, Certified Registered | Taylor At Marion, Palmetto Health Baptist, Columbia, SC 29220 | 2005-06-22 |
1205252319 | James E Gregory | Nurse Practitioner | Taylor Marion St, Columbia, SC 29220 | 2014-03-13 |
1942563952 | Mitul Ashok Patel | Internal Medicine | Taylor At Marion, Columbia, SC 29220 | 2012-06-25 |
1649533654 | Amit Mahendra Patel | Internal Medicine | Taylor and Marion, Columbia, SC 29220 | 2012-06-25 |
1396001897 | Marcus Owen Vaught | Family Medicine | Taylor At Marion, Columbia, SC 29220 | 2012-04-09 |
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Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710428321 | Palmetto Health Usc Medical Group | General Acute Care Hospital | Taylor Marion Sts, Columbia, SC 29220-0001 | 2017-03-15 |
1003351859 | Palmetto Health | General Acute Care Hospital | 808 Kawana Rd, Columbia, SC 29205-2033 | 2017-01-04 |
1285082040 | Jessica Teschner | General Acute Care Hospital | 3201 Ballard Mill Dr, Columbia, MO 65203-1875 | 2016-06-01 |
1932554466 | Palmetto Health Richland | General Acute Care Hospital | 5 Medical Park Rd., Columbia, SC 29203-6863 | 2016-05-03 |
1811237985 | Prisma Health-midlands | General Acute Care Hospital | 400 Palmettto Health Parkway, Columbia, SC 29212-1760 | 2013-02-26 |
1235402140 | Patience First LLC | General Acute Care Hospital | 9524 Twilight Ct, Columbia, MD 21046-1954 | 2012-02-23 |
1912293291 | Department of Neurology | General Acute Care Hospital | One Hospital Drive, Dc047.00, Columbia, MO 65212 | 2011-06-24 |
1720374044 | University Hospital & Clinics | General Acute Care Hospital | 1 Hospital Dr # Dc047.00, Columbia, MO 65201-5276 | 2011-06-24 |
1285920504 | University of Missouri - Columbia | General Acute Care Hospital | One Hospital Drive, Dc018.00, Columbia, MO 65212 | 2011-06-24 |
1851508089 | Palmetto Health | General Acute Care Hospital | 223 Stoneridge Drive, Suite B, Palmetto Healthy Start, Columbia, SC 29210 | 2007-05-17 |
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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.