SOUTH CAROLINA PEDIATRICS ALLIANCE, LLC (NPI# 1184016941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184016941 |
Entity Type | Organization |
Organization Name | SOUTH CAROLINA PEDIATRICS ALLIANCE, LLC |
Practice Address |
601 Clemson Rd Columbia SC 29229-4341 |
Practice Telephone | 8037886146 |
Practice Fax Number | 8034620312 |
Mailing Telephone | 8037886146 |
Mailing Fax Number | 8034620312 |
Enumeration Date | 2015-03-03 |
Last Update Date | 2019-07-11 |
Authorized Official Name | SARAH GRUBBS (CFO) |
Authorized Official Telephone | 8037886146 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
601 CLEMSON RD |
City | COLUMBIA |
State | SC |
Zip Code | 29229-4341 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720075393 | Laura Barnhart Alberg | Pediatrics | 601 Clemson Rd, Columbia, SC 29229-4341 | 2005-09-29 |
1942659073 | Brittany Watson Page | Pediatrics | 601 Clemson Rd, Columbia, SC 29229-4341 | 2016-06-09 |
1932232212 | Kiersten Leigh Lofton | Pediatrics | 601 Clemson Rd, Columbia, SC 29229-4341 | 2007-03-14 |
1376651943 | Richard D Shrouds | Pediatrics | 601 Clemson Rd, Columbia, SC 29229-4341 | 2006-08-25 |
1740397918 | Nada J Hamzy | Pediatrics | 601 Clemson Rd, Columbia, SC 29229-4341 | 2006-08-24 |
1184634081 | Barry W Cabiness | Pediatrics | 601 Clemson Rd, Columbia, SC 29229-4341 | 2006-08-09 |
1598719700 | Jennifer M Soroos | Pediatrics | 601 Clemson Rd, Columbia, SC 29229-4341 | 2006-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194332619 | Candid South Carolina, P.C. | Dentist | 136-4 Forum Drive #a20, Columbia, SC 29229 | 2020-09-29 |
1275166761 | Isis Marie Pearson | Behavior Technician | 4611 Hardscrabble Rd, #239, Columbia, SC 29229 | 2020-02-13 |
1083254338 | Lintiya Mccleary | Behavior Technician | 1048 Wildewood Center Dr, Columbia, SC 29229 | 2020-01-14 |
1538702873 | Genuine Care LLC | Home Health Aide | 112 Denby Cir, Columbia, SC 29229 | 2019-10-18 |
1588218028 | John Calvin Thorne Iv | Pharmacist | 175 Forum Drive, Columbia, SC 29229 | 2019-08-01 |
1801303839 | Eye Associates of Columbia Inc | Clinic/Center | 470-5 Town Center Pl, Lenscrafters, Columbia, SC 29229 | 2017-12-28 |
1508385469 | Palmetto Community Group | Counselor | 402 Nautique Circle, Columbia, SC 29229 | 2017-09-12 |
1245754472 | Fernandez Interpreter & Translator Solutions | Interpreter | 140 Rivendale Drive, Columbia, SC 29229 | 2017-07-30 |
1770935744 | Yasmine Gamil Gabr | Family Medicine | 103 Summit Centre Drive, Columbia, SC 29229 | 2016-07-01 |
1386095164 | Mack's Loving Care | Home Health | 55 Crooked Creek Place, Columbia, SC 29229 | 2016-06-23 |
Find all providers in zip 29229 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346401189 | Rose - Marie St Jean Sylla | Pediatrics | 5209 Eliots Oak Rd, Columbia, MD 21044-1826 | 2008-06-24 |
1174695670 | Kenneth M. Klebanow, M.d. & Associates, P.a. | Pediatrics | 8821 C0lumbia 100 Pkwy, Columbia, MD 21045 | 2006-11-14 |
1063528305 | Aruna V Khurana | Pediatrics | 10804 Hickory Ridge Rd, Columbia, MD 21044-3622 | 2006-08-21 |
1164487955 | Mojibola Olayinka Solaja | Pediatrics | 120 Wildewood Park Dr, Suite B, Columbia, SC 29223-4300 | 2006-04-18 |
1396991741 | John Khoury | Pediatrics | 2113 Adams Grv, Suite 110, Columbia, SC 29203-6951 | 2008-08-15 |
1033322318 | Lisa D. Monsees | Pediatrics | 401 N Keene St, Columbia, MO 65201-6625 | 2007-05-07 |
1376683391 | Medogun Pa | Pediatrics | 120 Wildewood Park Dr, Suite B, Columbia, SC 29223-4300 | 2007-02-07 |
1609940790 | Aneesh Kumar Tosh | Pediatrics | 404 N Keene St Ste 101, Columbia, MO 65201-6626 | 2006-11-20 |
1326143611 | Jacqueline A Brown | Pediatrics | 8821 Columbia 100 Pkwy, Columbia, MD 21045-2168 | 2006-09-13 |
1619989407 | Kenneth Michael Klebanow | Pediatrics | 8821 Columbia 100 Pkwy, Columbia, MD 21045-2168 | 2006-08-12 |
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.