COLUMBIA PLASTIC SURGERY, PC (NPI# 1356549505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356549505 |
| Entity Type | Organization |
| Organization Name | COLUMBIA PLASTIC SURGERY, PC |
| Practice Address |
3020 Sunset Blvd Suite 100 West Columbia SC 29169-3493 |
| Practice Telephone | 8037962770 |
| Practice Fax Number | 8037962755 |
| Mailing Telephone | 8037962770 |
| Mailing Fax Number | 8037962755 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2009-04-16 |
| Authorized Official Name | DR. JOHN D NEWKIRK (PRES/OWNER) |
| Authorized Official Telephone | 8037962770 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 23116 | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PROVIDER NPI | 1508837345 | 01 |
| Street Address |
3020 SUNSET BLVD SUITE 100 |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-3493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417932351 | Freddie Reynolds | Obstetrics & Gynecology | 3020 Sunset Blvd, Ste 105, West Columbia, SC 29169-3494 | 2005-12-14 |
| 1013324128 | Midlands Exams and Drug Screening, Inc | Clinic/Center | 3020 Sunset Blvd, Suite 102, West Columbia, SC 29169-3493 | 2014-07-21 |
| 1760633960 | The Medical Place Family Practice, P.a. | Clinic/Center | 3020 Sunset Blvd, Suite 101, West Columbia, SC 29169-3493 | 2008-10-06 |
| 1871504985 | Sleepmed Inc. | Clinic/Center | 3020 Sunset Blvd, Suite 103 and 104, West Columbia, SC 29169-3424 | 2006-08-11 |
| 1912915299 | Philip A. Levin | Obstetrics & Gynecology | 3020 Sunset Blvd, Suite 105, West Columbia, SC 29169-3494 | 2006-08-03 |
| 1588633275 | Midlands Primary Care Inc | Internal Medicine | 3020 Sunset Blvd, Suite 106, West Columbia, SC 29169-3424 | 2006-03-15 |
| 1508837345 | John Doliver Newkirk | Specialist | 3020 Sunset Blvd, Suite 100, West Columbia, SC 29169 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891149258 | Three Rivers Pain Management | Specialist | 169a Medical Cir, West Columbia, SC 29169-3655 | 2016-04-21 |
| 1215323951 | Robert Richard Shealey Sr. | Specialist | 238 Marabou Cir, West Columbia, SC 29169-4737 | 2015-04-09 |
| 1447395066 | Carolina Urology Practice | Specialist | 111 Hospital Dr W, West Columbia, SC 29169-3405 | 2007-02-21 |
| 1578653671 | Thomas Alan Kantor | Specialist | 110 Quail Creek Dr, West Columbia, SC 29169-3435 | 2006-10-13 |
| 1750319935 | Scott M Sweazy | Specialist | 111 West Hospital Drive, West Columbia, SC 29169-3405 | 2006-06-28 |
| 1164402376 | Kristine E. Mccorquodale | Specialist | 206 Medical Cir, Suite 1b, West Columbia, SC 29169-3654 | 2006-01-23 |
| 1972580694 | Gail Whitman-elia | Specialist | 2728 Sunset Blvd. Suite 305, West Columbia, SC 29169 | 2005-12-22 |
| 1063413359 | Ralph S Owings Jr. | Specialist | 110 Medical Ln E, Suite 225, West Columbia, SC 29169-4817 | 2005-08-09 |
| 1679118657 | Pain Medicine Specialists, Pa | Specialist | 3410 Sunset Blvd, West Columbia, SC 29169-3042 | 2019-11-13 |
| 1447793146 | Lois Jean Pavkov | Specialist | 100 Joseph Walker Dr, West Columbia, SC 29169-6971 | 2016-11-29 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
Please comment or provide details below to improve the information on COLUMBIA PLASTIC SURGERY, PC.
| 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.