PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP (NPI# 1154811651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154811651 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Practice Address |
9 Richland Medical Park Dr Ste 500 Columbia SC 29203-6870 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034344555 |
| Practice Fax Number | 8034344599 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |
| Authorized Official Name | WILLIAM D. ANDERSON III, (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8035455005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP7530 | 05 |
| 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 |
| 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 |
| 1235629734 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6883 | 2018-05-10 |
| Street Address |
9 RICHLAND MEDICAL PARK DR STE 500 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104866771 | Elizabeth M Berg | Nurse Practitioner | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2006-06-08 |
| 1417428111 | Mallory Elizabeth Sessions | Nurse Practitioner | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2018-12-07 |
| 1497982110 | Frank John Penna IIi | Urology | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2009-06-20 |
| 1699937219 | Bhairav V Shah | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2008-06-25 |
| 1447412127 | Varun Kumar Bhalla | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203 | 2008-06-25 |
| 1801917877 | Daniel F. Saad | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2007-04-03 |
| 1679507065 | David Eugene Brown IIi | Pediatrics | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2006-07-10 |
| 1962431304 | Jeffrey Thomas Ehreth | Urology | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2006-06-30 |
| 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 | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740250521 | Juan I Camps | Surgery | 9 Richland Medical Park Dr 500, Columbia, SC 29203-6870 | 2006-01-25 |
| 1699937219 | Bhairav V Shah | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2008-06-25 |
| 1801917877 | Daniel F. Saad | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2007-04-03 |
| 1003844556 | Palmetto Health | Surgery | 9 Richland Medical Park Dr, Suite 500, Columbia, SC 29203-6859 | 2006-06-30 |
| 1588634265 | Elijah Stanton Adkins IIi | Surgery | 9 Richland Medical Park Dr, Suite 500, Columbia, SC 29203-6859 | 2006-01-25 |
| 1669442711 | Pringle Prithvi Reddy | Surgery | 1 Richland Medical Park, Suite 230, Columbia, SC 29203-6834 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124077524 | Laurel Paige Davis | Surgery | 1026 Barfield St, Daniel Island, SC 29492-7583 | 2006-05-10 |
| 1659363133 | Robert L Gates | Surgery | 48 Cross Park Ct, Greenville, SC 29605-4263 | 2005-08-19 |
| 1710269261 | Lucas Aaron Mcduffie | Surgery | 171 Ashley Ave, Charleston, SC 29425-5112 | 2011-09-11 |
| 1124263587 | Laura Elizabeth Hollinger | Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-12-12 |
| 1053564963 | University Medical Associates | Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1780809947 | Christian John Streck Jr. | Surgery | 96 Jonathan Lucas St, Suite 418 Csb Msc 613, Charleston, SC 29425-8900 | 2007-04-14 |
| 1063544922 | Robert A Cina | Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2007-03-09 |
| 1073628913 | Henry Othersen Jr. | Surgery | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-20 |
| 1639284573 | Charles D Smith IIi | Surgery | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-20 |
| 1902825532 | James Franklin Green Jr. | Surgery | 48 Cross Park Ct, Greenville, SC 29605-4263 | 2006-07-18 |
| Find all providers with the same taxonomy | ||||
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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.