PRISMA HEALTH-MIDLANDS (NPI# 1538580584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538580584 |
| Entity Type | Organization |
| Organization Name | PRISMA HEALTH-MIDLANDS |
| Other Organization Name | PRISMA HEALTH BAPTIST PARKRIDGE |
| Practice Address |
400 Palmetto Health Pkwy Columbia SC 29212-1760 |
| Practice Telephone | 8032962548 |
| Practice Fax Number | 8032962548 |
| Mailing Telephone | 8032962548 |
| Mailing Fax Number | 8032962548 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | POLLY H MILLER (VP PAYOR STRATEGIES ALIGNMENT) |
| Authorized Official Telephone | 8645222286 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRISMA HEALTH-MIDLANDS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | SC | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | BL0913 | 05 |
| Other Name | Type Code |
|---|---|
| Palmetto Health Baptist Parkridge | Doing Business As Name - Organization |
| Prisma Health Baptist Parkridge | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134597214 | Prisma Health-midlands | Rehabilitation Unit | 3221 Sunset Blvd Suite B, Columbia, SC 29169-0000 | 2015-09-08 |
| 1902274095 | Prisma Health-midlands | Rehabilitation Unit | 111 Sparkleberry Crossing Rd Suite 5, Columbia, SC 29229 | 2015-09-08 |
| 1639590680 | Prisma Health-midlands | Emergency Medicine | 1200 Colonial Life Blvd W Fl 1, Columbia, SC 29210-7670 | 2013-12-18 |
| 1811237985 | Prisma Health-midlands | General Acute Care Hospital | 400 Palmettto Health Parkway, Columbia, SC 29212-1760 | 2013-02-26 |
| 1598099228 | Prisma Health-midlands | Counselor | 91 Polo Rd, Columbia, SC 29223-2805 | 2009-09-29 |
| 1740452739 | Prisma Health-midlands | Voluntary or Charitable | 1400 Camellia Ave, Newberry, SC 29108-3098 | 2008-03-31 |
| 1558576280 | Prisma Health-midlands | General Acute Care Hospital | 3301 Harden Street Medical Park, Columbia, SC 29203 | 2007-05-14 |
| 1487868097 | Prisma Health-midlands | General Acute Care Hospital | 3301 Harden Street, Columbia, SC 29203 | 2007-05-10 |
| 1063569259 | Prisma Health-midlands | Clinic/Center | Prisma Health Occupational Medicine, 1333 Taylor Streets Suite 3-h, Columbia, SC 29220-0001 | 2007-01-03 |
| 1942369624 | Prisma Health-midlands | Clinic/Center | Palmetto Health - Enhanced Medicaid, 3301 Harden St Ext 7mp, Columbia, SC 29203-9965 | 2006-12-08 |
| Street Address |
400 PALMETTO HEALTH PKWY |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212-1760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679586028 | Jessica A Cannon | Nurse Practitioner | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2006-08-15 |
| 1063022440 | Aubrey Marie Kough | Dietitian, Registered | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2020-07-31 |
| 1689226557 | Anna Iliasova | Nurse Practitioner | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2019-07-11 |
| 1609437417 | Summer Noel | Nurse Practitioner | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2019-06-23 |
| 1841785938 | Laura Miller | Specialist/Technologist | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2018-06-29 |
| 1073001715 | Palmetto Health - University of South Carolina Medical Group | Allergy & Immunology | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2018-04-27 |
| 1316459027 | Matthew Ryan Dunkin | Pharmacist | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2017-11-03 |
| 1053791772 | Neda Azizzadeh | Internal Medicine | 400 Palmetto Health Pkwy, Columbia, SC 29212 | 2015-06-08 |
| 1407277551 | Prisma Health-midlands | General Acute Care Hospital | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2013-12-16 |
| 1871924035 | Prisma Health-midlands | General Acute Care Hospital | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2013-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
| 1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
| 1467975102 | Shelby Clemmer | Behavior Technician | 2 Harbison Way, Columbia, SC 29212 | 2017-07-25 |
| 1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
| 1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
| 1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
| 1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
| 1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
| 1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
| 1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
| Find all providers in zip 29212 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710428321 | Palmetto Health Usc Medical Group | General Acute Care Hospital | Taylor Marion Sts, Columbia, SC 29220-0001 | 2017-03-15 |
| 1003351859 | Palmetto Health | General Acute Care Hospital | 808 Kawana Rd, Columbia, SC 29205-2033 | 2017-01-04 |
| 1285082040 | Jessica Teschner | General Acute Care Hospital | 3201 Ballard Mill Dr, Columbia, MO 65203-1875 | 2016-06-01 |
| 1932554466 | Palmetto Health Richland | General Acute Care Hospital | 5 Medical Park Rd., Columbia, SC 29203-6863 | 2016-05-03 |
| 1811237985 | Prisma Health-midlands | General Acute Care Hospital | 400 Palmettto Health Parkway, Columbia, SC 29212-1760 | 2013-02-26 |
| 1235402140 | Patience First LLC | General Acute Care Hospital | 9524 Twilight Ct, Columbia, MD 21046-1954 | 2012-02-23 |
| 1912293291 | Department of Neurology | General Acute Care Hospital | One Hospital Drive, Dc047.00, Columbia, MO 65212 | 2011-06-24 |
| 1720374044 | University Hospital & Clinics | General Acute Care Hospital | 1 Hospital Dr # Dc047.00, Columbia, MO 65201-5276 | 2011-06-24 |
| 1285920504 | University of Missouri - Columbia | General Acute Care Hospital | One Hospital Drive, Dc018.00, Columbia, MO 65212 | 2011-06-24 |
| 1851508089 | Palmetto Health | General Acute Care Hospital | 223 Stoneridge Drive, Suite B, Palmetto Healthy Start, Columbia, SC 29210 | 2007-05-17 |
| 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.