WILLIAM RUSSELL JENNINGS JR. (NPI# 1508825035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508825035 |
| Entity Type | Individual |
| Full Name | WILLIAM RUSSELL JENNINGS JR. |
| Credential | MD |
| Practice Address |
5 Medical Park Drive Ste 350 Palmetto Health Richland Dept of Emergency Med Columbia SC 29203 |
| Mailing Address |
5 Medical Park Drive Dept of Emergency Medicine Palmetto Health Richland Columbia SC 29203 |
| Practice Telephone | 8034346690 |
| Practice Fax Number | 8034343946 |
| Mailing Telephone | 8034346690 |
| Mailing Fax Number | 8034343946 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2008-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 24096 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 240965 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265785737 | William M Jennings IIi | Internal Medicine | 1448 10th Avenue, Suite 100, Huntington, WV 25704 | 2012-10-22 |
| 1992935266 | William T Jennings | Family Medicine | 826 Clayton Ave, Tupelo, MS 38804-1918 | 2009-07-21 |
| 1871781484 | William Stanley Jennings | Psychologist | 73 Highland St, Dunstable, MA 01827-1320 | 2007-10-09 |
| 1902829070 | William Robert Jennings | Dentist | 209 W 8th St, Tyler, TX 75701-4102 | 2006-07-26 |
| 1245280908 | William Wesley Jennings IIi | Obstetrics & Gynecology | 1050 W Galleria Dr, Henderson, NV 89011-4800 | 2006-05-11 |
| 1306849047 | William Bryan Jennings | Orthopaedic Surgery | 170 Kimel Park Dr, Winston Salem, NC 27103 | 2005-05-26 |
| 1851651822 | William R Jennings | Physical Therapist | 6098 Debra Rd, Chattanooga, TN 37411-5702 | 2012-05-23 |
| 1790012276 | William Patrick Jennings | Internal Medicine | 8122 Datapoint Dr, Suite 1010, San Antonio, TX 78229-3272 | 2009-11-04 |
| 1134353071 | William Jerald Jennings | Dentist | 1401 Sparta St, Mc Minnville, TN 37110-1301 | 2009-05-06 |
| 1902073299 | William B Jennings | Specialist/Technologist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2008-05-15 |
| Street Address |
5 MEDICAL PARK DRIVE STE 350 PALMETTO HEALTH RICHLAND DEPT OF EMERGENCY MED |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073006854 | Amy Naughton | Nurse Anesthetist, Certified Registered | 5 Medical Park Drive, Columbia, SC 29203 | 2018-06-07 |
| 1447741970 | Richard Lawrence Guy IIi | Nurse Anesthetist, Certified Registered | 5 Medical Park Drive, Columbia, SC 29203 | 2018-05-21 |
| 1790235331 | Lindsay J Rothrock | Nurse Anesthetist, Certified Registered | 5 Medical Park Drive, Columbia, SC 29203-6897 | 2016-10-06 |
| 1568811172 | Erica Reed Godwin | Registered Nurse | 5 Medical Park Drive, Columbia, SC 29203 | 2016-06-06 |
| 1972957652 | Jessica Bradley | Registered Nurse | 5 Medical Park Drive, Columbia, SC 29203 | 2016-04-19 |
| 1144619321 | Nicole M Skipper | Nurse Anesthetist, Certified Registered | 5 Medical Park Drive, Columbia, SC 29210 | 2015-01-12 |
| 1275930448 | Sarah Lynne Blandy | Pharmacist | 5 Medical Park Drive, First Floor, Inpatient Pharmacy Department, Columbia, SC 29203 | 2014-12-03 |
| 1649697772 | Sara Krafft | Nurse Practitioner | 5 Medical Park Drive, Columbia, SC 29210 | 2014-03-26 |
| 1255767182 | Jessica A Justice | Dietitian, Registered | 5 Medical Park Drive, Palmetto Health Richland, Columbia, SC 29210 | 2013-09-24 |
| 1487875704 | Shawna M.w. Vanvalkenburg | Nurse Anesthetist, Certified Registered | 5 Medical Park Drive, Columbia, SC 29010 | 2007-05-02 |
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| 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 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053972349 | Alanna Diamond | Emergency Medicine | One Hospital Drive Emergency Medicine M652 Dc029.10, Columbia, MO 65212-0001 | 2019-06-26 |
| 1942867767 | Robert Lee Stanley | Emergency Medicine | Emergency Medicine Dept, 14 Medical Park, Ste 350, Columbia, SC 29203 | 2019-05-28 |
| 1013573146 | Michael Habhab | Emergency Medicine | 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212-0001 | 2019-05-14 |
| 1790349355 | Romie Sarand Barnes | Emergency Medicine | Emergency Medicine Administration, 14 Medical Park, Ste 350, Columbia, SC 29203 | 2019-04-29 |
| 1043730716 | Ian James Becker | Emergency Medicine | 1 Hospital Dr # Dc029.10, Columbia, MO 65212-1000 | 2017-06-23 |
| 1487002523 | Christopher Adam Waranch | Emergency Medicine | University of Missouri Columbia, Department of Emergency Medicine, Columbia, MO 65212-0001 | 2016-05-31 |
| 1639542202 | Doctors Care Sc, Pa | Emergency Medicine | 1538 Main St, Columbia, SC 29201-2808 | 2015-11-04 |
| 1548649627 | Brian Edward Snyder | Emergency Medicine | 14 Medical Park, Ste 350 Emergency Medicine Department, Columbia, SC 29203 | 2015-05-22 |
| 1447664974 | Christopher Daniel Kohls | Emergency Medicine | 14 Medical Park Ste 350, Emergency Medicine Dept, Columbia, SC 29203 | 2014-06-12 |
| 1407268113 | James Fallin | Emergency Medicine | 14 Medical Park, Ste 350, Emergency Medicine Dept, Columbia, SC 29203 | 2014-05-29 |
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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.