AZIZ PETIWALA


Address: 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203-8006
Phone: 8032566511

AZIZ PETIWALA (NPI# 1417560889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417560889
Entity Type Individual
Full Name AZIZ PETIWALA
Credential ACNP
Practice Address 8 Richland Medical Park Dr Ste 100
Columbia
SC 29203-8006
Mailing Address Po Box 743904
Atlanta
GA 30374-3904
Practice Telephone 8032566511
Mailing Telephone 8032967320
Enumeration Date 2020-08-26
Last Update Date 2020-10-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
23959 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC NP7037 05

Office Location

Street Address 8 RICHLAND MEDICAL PARK DR STE 100
City COLUMBIA
State SC
Zip Code 29203-8006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598764276 Barry Jay Feldman Internal Medicine 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 2005-07-15
1972072114 Kim Carollo Nurse Practitioner 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203-8006 2018-11-16
1457848749 Palmetto Health - University of South Carolina Medical Group Internal Medicine 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203-8006 2018-04-23
1871099093 Kathryn Page Rarick Nurse Practitioner 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203-8006 2018-04-05
1649702267 Karen Dolezal Physician Assistant 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 2017-04-02
1457764516 Sarah Slone Nurse Practitioner 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203-8006 2014-06-06
1881933885 Micheal William Bunger Nurse Practitioner 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 2013-02-11
1639418940 Jamez Marisha Fletcher Nurse Practitioner 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 2013-02-06
1942588793 Jodi Myers Nurse Practitioner 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203-8006 2011-07-28
1730317314 Rebecca Suzanne Napier Internal Medicine 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 2009-06-23
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407484041 Vistina Metts Johnson Nurse Practitioner 121 Executive Center Dr Ste 131, Columbia, SC 29210-8492 2020-03-30
1265078570 Paula Nicole Allen Nurse Practitioner 133 Beaver Dam Rd, Columbia, SC 29223-3101 2019-11-21
1922511054 Anne Louise Grogan-hanford Nurse Practitioner 1317 Quail Vly W, Columbia, SC 29212-1554 2017-11-11
1639613813 University of Missouri Nurse Practitioner 1100 Virginina Ave, Columbia, MO 65212-0001 2016-12-07
1861428625 Linda Ann Poquette Nurse Practitioner 10832 Symphony Way, Columbia, MD 21044-4921 2006-06-24
1134751084 James Stewart Morgan Nurse Practitioner 1601 Greene St, Columbia, SC 29208-4001 2020-02-09
1457831125 Deidra M Singleton Nurse Practitioner 6439 Garners Ferry Rd, Columbia, SC 29209-1638 2018-08-21
1033697362 Kyle Gross Nurse Practitioner 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 2018-07-30
1407333446 Kimberly Ann Robertson Nurse Practitioner 1600 E Broadway, Columbia, MO 65201-5844 2018-07-23
1962989020 Alexandra Budnyk Nurse Practitioner 6334 Cedar Ln Ste 103, Columbia, MD 21044-3898 2018-07-22
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 29203

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Dataset Information

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.

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