DR. PAUL DOUGLAS DEHOLL (NPI# 1124029103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124029103 |
| Entity Type | Individual |
| Full Name | DR. PAUL DOUGLAS DEHOLL |
| Credential | MD |
| Practice Address |
14 Richland Medical Park Dr Ste 200 Columbia SC 29203-6882 |
| Mailing Address |
Po Box 22265 Belfast ME 04915-4473 |
| Practice Telephone | 8032967846 |
| Practice Fax Number | 8032969699 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2018-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
24024 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | T79821 | 05 |
| Street Address |
14 RICHLAND MEDICAL PARK DR STE 200 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558972 | Freda Yin | Physician Assistant | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2019-10-02 |
| 1265096135 | Emilie Elizabeth Brown | Physician Assistant | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2019-04-26 |
| 1649748336 | Anna Claire Miller | Physician Assistant | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2018-11-12 |
| 1346761897 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2017-07-05 |
| 1104209691 | Kelly A Kage | Physician Assistant | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2015-07-02 |
| 1750786059 | Sarah Humphrey | Physician Assistant | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2014-10-29 |
| 1720420284 | Jennifer Brearley Cooper | Physician Assistant | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2013-07-25 |
| 1154687861 | James Lucas Mcfadden | Orthopaedic Surgery | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2012-04-06 |
| 1740577477 | Kristen Miller Nathe | Orthopaedic Surgery | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2011-07-01 |
| 1083907125 | Kevin Murr | Orthopaedic Surgery | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2011-05-23 |
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| 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 | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861971731 | Carolina Spine and Ortho LLC | Orthopaedic Surgery | 2730 Devine St, Columbia, SC 29205-2433 | 2018-08-10 |
| 1245503135 | Erion Qamirani | Orthopaedic Surgery | 1050 N James Campbell Blvd, Suite 200, Columbia, TN 38401-2754 | 2012-02-22 |
| 1417272709 | Ali Nourbakhsh | Orthopaedic Surgery | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2010-03-30 |
| 1598803462 | Ivan Esteban Lamotta | Orthopaedic Surgery | 1910 Blanding St, Columbia, SC 29201-3520 | 2007-02-02 |
| 1992739312 | Jason Theodore Koreckij | Orthopaedic Surgery | 1 S Keene St, Columbia, MO 65201-7199 | 2006-07-10 |
| 1740223841 | Michael W Peelle | Orthopaedic Surgery | 14 Richland Medical Park Dr, Suite 200, Columbia, SC 29203-6877 | 2006-06-14 |
| 1710970306 | John D Miles | Orthopaedic Surgery | 1 S Keene St, Columbia, MO 65201-7199 | 2005-08-30 |
| 1447251814 | Ross David Lynch | Orthopaedic Surgery | 1910 Blanding St, Columbia, SC 29201-3520 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136267 | Joint Replacement Cin of South Carolina LLC | Orthopaedic Surgery | 6650 Rivers Ave Ste 401, North Charleston, SC 29406-4809 | 2018-03-06 |
| 1962904946 | Select Health of Sc, LLC | Orthopaedic Surgery | 6650 Rivers Ave Ste 410, North Charleston, SC 29406-4809 | 2018-03-06 |
| 1760741953 | Southeastern Spine Institute, LLC | Orthopaedic Surgery | 1122 Chuck Dawley Blvd, Mt Pleasant, SC 29464-4183 | 2012-05-09 |
| 1760534358 | Southeastern Spine Institute,llc | Orthopaedic Surgery | 1625 Hospital Dr Ste 200, Mt Pleasant, SC 29464-3698 | 2007-01-17 |
| 1003986514 | William L. Mills | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2006-11-09 |
| 1497742720 | R. Blake Dennis | Orthopaedic Surgery | 1106 Chuck Dawley Blvd, Suite 100, Mount Pleasant, SC 29464-4183 | 2005-10-03 |
| 1073514139 | John Talley Parrott | Orthopaedic Surgery | 40 Pinnacle Pkwy Ste 100, Elgin, SC 29045-8390 | 2005-08-10 |
| 1396745485 | Anthony Wayne Alexander | Orthopaedic Surgery | 800 E Cheves St Ste 480-b, Florence, SC 29506-2650 | 2005-07-29 |
| 1215232020 | Jeffery M. Reuben, M. D., Pa | Orthopaedic Surgery | 15 Moss Creek Vlg, Hilton Head Island, SC 29926-1105 | 2011-01-26 |
| 1235302969 | Erkan Alci | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2008-04-02 |
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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.