PALMETTO PEDIATRIC GASTROENTEROLOGY (NPI# 1558320275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558320275 |
| Entity Type | Organization |
| Organization Name | PALMETTO PEDIATRIC GASTROENTEROLOGY |
| Practice Address |
2113 Adams Grv Suite 200 Columbia SC 29203-7102 |
| Practice Telephone | 8032541006 |
| Practice Fax Number | 8032542090 |
| Mailing Telephone | 8032541006 |
| Mailing Fax Number | 8032542090 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | DR. RATHNA P. AMARNATH (PHYSICIAN) |
| Authorized Official Telephone | 8032541006 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
14383 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3080 | 05 |
| Street Address |
2113 ADAMS GRV SUITE 200 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-7102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801356324 | Morgan Heermann | Occupational Therapist | 2113 Adams Grv, Columbia, SC 29203-6951 | 2019-03-21 |
| 1063988418 | Caroline Hill | Speech-Language Pathologist | 2113 Adams Grv, Columbia, SC 29203-6951 | 2018-10-23 |
| 1386122570 | Ashley Funderburk Brigman | Speech-Language Pathologist | 2113 Adams Grv, Columbia, SC 29203-6951 | 2018-07-31 |
| 1801389077 | Jennifer Perez | Physical Therapist | 2113 Adams Grv, Columbia, SC 29203-6951 | 2018-06-12 |
| 1851899025 | Raven Pearce Fair | Speech-Language Pathologist | 2113 Adams Grv, Columbia, SC 29203-6951 | 2018-01-23 |
| 1457890741 | Katelyn Brooke Harvey | Physical Therapist | 2113 Adams Grv, Columbia, SC 29203-6951 | 2017-02-20 |
| 1801330311 | Chelsea Dause | Occupational Therapist | 2113 Adams Grv, Columbia, SC 29203-6951 | 2016-12-19 |
| 1962869883 | Effective Expression L.L.C. | Speech-Language Pathologist | 2113 Adams Grv, Columbia, SC 29203-6951 | 2016-01-22 |
| 1245637826 | Misti Smith | Counselor | 2113 Adams Grv, Suite 110, Columbia, SC 29203-6951 | 2014-11-26 |
| 1942598735 | Carolina Pediatrics and Adolescent Care, Pa | Non-Pharmacy Dispensing Site | 2113 Adams Grv, Ste. 103, Columbia, SC 29203-6951 | 2011-07-14 |
| Find all providers in the same location | ||||
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1811224967 | Maryland Ivf Health & Wellness Center | Clinic/Center | 9250 Bendix Road North, Columbia, MD 21045-1832 | 2009-11-11 |
| 1033319140 | Missouri Ear Nose and Throat Center | Clinic/Center | 3401 Berrywood Dr, Suite 201, Columbia, MO 65201-6515 | 2007-07-18 |
| 1265486807 | The Robert M. Lombard Hyperbaric Oxygenation Medical Center | Clinic/Center | 255 N 6th St, Columbia, PA 17512-2107 | 2006-05-19 |
| 1639524432 | Hammett Clinic, Pa | Clinic/Center | 3710 Landmark Dr, Suite 114, Columbia, SC 29204-4062 | 2016-04-29 |
| 1417317264 | Thomas J Carzoli Md Pa | Clinic/Center | 1301 Taylor St, Suite 5k, Columbia, SC 29201-2942 | 2016-03-07 |
| 1932575313 | Marion County Internal Medicine Clinic | Clinic/Center | 104 Partnership Way, Columbia, MS 39429-4502 | 2015-08-19 |
| 1417356437 | Christina P Lynn, Md | Clinic/Center | 3612 Landmark Dr, Columbia, SC 29204-4039 | 2014-08-14 |
| 1154607430 | Allergy and Asthma Educational Specialists, LLC | Clinic/Center | 1601 E Broadway, Ste 250, Columbia, MO 65201-8020 | 2011-10-31 |
| 1215186465 | Gebreye W. Rufael, M.d, Pa | Clinic/Center | 10840 Little Patuxent Pkwy, 302, Columbia, MD 21044-3115 | 2008-09-11 |
| 1053585661 | Patricia M. Sullivan, Md, LLC | Clinic/Center | 10796 Hickory Ridge Rd, Columbia, MD 21044-3646 | 2008-04-15 |
| 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.