PROVIDENCE CARDIOLOGY LLC (NPI# 1265716039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265716039 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE CARDIOLOGY LLC |
| Other Organization Name | SOUTH CAROLINA HEART CENTER |
| Practice Address |
2001 Laurel St Columbia SC 29204-1018 |
| Practice Telephone | 8032543278 |
| Practice Fax Number | 8033768010 |
| Mailing Telephone | 8032543278 |
| Mailing Fax Number | 8033768010 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2016-01-19 |
| Authorized Official Name | KATHLEEN L KOENIG (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8032543278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 2904 | 05 |
| Other Name | Type Code |
|---|---|
| South Carolina Heart Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083995641 | Providence Cardiology LLC | Internal Medicine | 3103 Sunset Blvd, West Columbia, SC 29169-4817 | 2011-09-08 |
| 1790196293 | Providence Cardiology LLC | Internal Medicine | 114 Gateway Corporate Blvd, Suite 300, Columbia, SC 29203-9740 | 2014-05-19 |
| 1336497742 | Providence Cardiology LLC | Internal Medicine | 114 Gateway Corporate Blvd, Suite 330, Columbia, SC 29203-9740 | 2012-08-16 |
| 1235410887 | Providence Cardiology LLC | Internal Medicine | 904 S 4th St Ste B, Hartsville, SC 29550-0704 | 2011-09-08 |
| 1003197666 | Providence Cardiology LLC | Internal Medicine | 124 Wren St, Barnwell, SC 29812-1527 | 2011-09-08 |
| 1376824920 | Providence Cardiology LLC | Internal Medicine | 506 North St, Bamberg, SC 29003-1319 | 2011-09-08 |
| 1760763312 | Providence Cardiology LLC | Internal Medicine | 1330 Haile St, Camden, SC 29020-3002 | 2011-09-08 |
| 1588945141 | Providence Cardiology LLC | Internal Medicine | 595 Newberry Hwy, Saluda, SC 29138-7808 | 2011-09-08 |
| Street Address |
2001 LAUREL ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265434088 | Melissa Rowland | Nurse Practitioner | 2001 Laurel St, Columbia, SC 29204-1018 | 2005-08-11 |
| 1174180699 | Erin Jaynes Belk | Registered Nurse | 2001 Laurel St, Columbia, SC 29204-1018 | 2019-05-20 |
| 1598123549 | Providence Group Practices LLC | Internal Medicine | 2001 Laurel St, Columbia, SC 29204-1018 | 2016-02-05 |
| 1689030595 | Providence Physician Practices LLC | Internal Medicine | 2001 Laurel St, Ste 300, Columbia, SC 29204-1018 | 2016-01-07 |
| 1518248459 | Providence Cardiology | Internal Medicine | 2001 Laurel St, Columbia, SC 29204-1018 | 2011-09-06 |
| 1679737720 | South Carolina Heart Center Pa | Internal Medicine | 2001 Laurel St, Columbia, SC 29204-1018 | 2008-07-17 |
| 1255517728 | Jamie D Cunningham | Nurse Practitioner | 2001 Laurel St, Columbia, SC 29204-1018 | 2008-01-15 |
| 1003822693 | Brenda Ligon | Physician Assistant | 2001 Laurel St, Columbia, SC 29204-1018 | 2006-08-01 |
| 1750396388 | Rebecca Fullam | Nurse Practitioner | 2001 Laurel St, Columbia, SC 29204-1018 | 2006-07-30 |
| 1386673879 | Mark L Orlandini | Internal Medicine | 2001 Laurel St, Columbia, SC 29204-1018 | 2006-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376050534 | Khoury Cardiology, Pa | Internal Medicine | 151 Saluda Ave, Columbia, SC 29205-3080 | 2018-01-09 |
| 1669919247 | Hari Gnanasekeram, PC | Internal Medicine | 207 Zeigler St, Columbia, SC 29217-0001 | 2017-01-20 |
| 1033514120 | Palmetto Health | Internal Medicine | 6 Richland Medical Park Dr, Suite 2100, Columbia, SC 29203-6864 | 2014-10-31 |
| 1639516636 | Namit Rohant | Internal Medicine | 2 Medical Park Rd Ste 402, Columbia, SC 29203-6839 | 2013-05-30 |
| 1720358112 | William Fox | Internal Medicine | 11837 Winterlong Way, Columbia, MD 21044-4412 | 2012-01-03 |
| 1134418874 | Daniel A Kim | Internal Medicine | 10710 Charter Dr Ste 400, Columbia, MD 21044 | 2011-04-04 |
| 1730321035 | Columbia Cardiology, LLC | Internal Medicine | 130 Corporate Blvd, Columbia, SC 29204 | 2009-04-01 |
| 1447415211 | Anil Purohit | Internal Medicine | 6 Richland Medical Park Drive Suite 2100, Columbia, SC 29203 | 2008-07-22 |
| 1679740195 | Warren F Holland | Internal Medicine | 3628 Cassina Cir, Columbia, SC 29205-1854 | 2008-05-14 |
| 1386826824 | Sirisha Donekal | Internal Medicine | 11055 Little Patuxent Pkwy Ste 205, Columbia, MD 21044 | 2007-11-27 |
| 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.