PALMETTO PEDIATRIC (NPI# 1457361669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457361669 |
| Entity Type | Organization |
| Organization Name | PALMETTO PEDIATRIC |
| Practice Address |
74 Polo Rd Columbia SC 29223-2806 |
| Practice Telephone | 8037886146 |
| Practice Fax Number | 8034620312 |
| Mailing Telephone | 8037886146 |
| Mailing Fax Number | 8034620312 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. NANCY J HART (PRACTICE MANAGER) |
| Authorized Official Telephone | 8037886146 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP0803 | 05 |
| Street Address |
74 POLO RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700810116 | Andrew James Malinchak | Family Medicine | 74 Polo Rd, Columbia, SC 29223-2806 | 2006-07-10 |
| 1093348518 | Crocodile Pharmacy Services, LLC | Internal Medicine | 74 Polo Rd, Columbia, SC 29223-2806 | 2020-02-13 |
| 1689130734 | Heather Nicole Pastva | Physician Assistant | 74 Polo Rd, Columbia, SC 29223-2806 | 2019-02-13 |
| 1407322167 | Megan Annette Kirkland | Physician Assistant | 74 Polo Rd, Columbia, SC 29223-2806 | 2018-10-22 |
| 1700351285 | Daniela Murphy | Physician Assistant | 74 Polo Rd, Columbia, SC 29223-2806 | 2018-10-10 |
| 1992212385 | Sonya J Arrington | Health Educator | 74 Polo Rd, Columbia, SC 29223-2806 | 2018-01-07 |
| 1023564622 | Lagniappe Medical Clinics, LLC | Family Medicine | 74 Polo Rd, Columbia, SC 29223-2806 | 2016-09-01 |
| 1093262628 | 74 Polo Road, LLC | Clinic/Center | 74 Polo Rd, Columbia, SC 29223-2806 | 2016-09-01 |
| 1538179601 | Teresa N Baggett | Pediatrics | 74 Polo Rd, Columbia, SC 29223-2806 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1972128742 | Emily Anne Cloessner | Pediatrics | Prisma Health Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-06-08 |
| 1043833890 | Lauren F. Cook | Pediatrics | Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-27 |
| 1619598158 | Zeel Hiren Patel | Pediatrics | Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-06 |
| 1427695824 | Naseem Khan | Pediatrics | 10851 Clarksville Pike, Columbia, MD 21044-1338 | 2019-12-04 |
| 1164089124 | Mercy Clinic Illinois, LLC | Pediatrics | 1019 Valmeyer Rd, Columbia, IL 62236-4123 | 2019-05-24 |
| 1629568480 | Heather Kay Lynn | Pediatrics | Pediatric Outpatient Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2018-05-16 |
| 1174013932 | Dalton Mark Renick | Pediatrics | Pediattric Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2018-05-16 |
| 1033630330 | Brian Bradley Johnson | Pediatrics | Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2017-06-28 |
| 1316350226 | Duncan Lee Norton | Pediatrics | 14 Medical Park, Ste 400, Children's Hospital Outpatient Center, Columbia, SC 29203 | 2014-06-09 |
| 1225440910 | Michael Mitchell | Pediatrics | 14 Medical Park Ste 400, Pediatric Clinic, Columbia, SC 29203 | 2014-05-29 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on PALMETTO PEDIATRIC.
| 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.