PRISMA HEALTH-MIDLANDS


Address: 1200 Colonial Life Blvd W Fl 1, Columbia, SC 29210-7670
Phone: 8032962548

PRISMA HEALTH-MIDLANDS (NPI# 1639590680) 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) 1639590680
Entity Type Organization
Organization Name PRISMA HEALTH-MIDLANDS
Other Organization Name PRISMA HEALTH EMERGENCY PHYSICIAN PARKRIDGE
Practice Address 1200 Colonial Life Blvd W Fl 1
Columbia
SC 29210-7670
Mailing Address 400 Palmetto Health Pkwy
Columbia
SC 29212-1760
Practice Telephone 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine SC Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Palmetto Health Baptist Parkridge ER Physicians Doing Business As Name - Organization
Prisma health Emergency Physician Parkridge Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
293 Greystone Blvd, Columbia, SC 292108004 8032962548 8032962548

Other Provider IDs and Locations

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
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
1174604201 Prisma Health-midlands Clinic/Center 1333 Taylor St Ste 4e, Palmetto Health, Columbia, SC 29201-2923 2006-10-17

Office Location

Street Address 1200 COLONIAL LIFE BLVD W FL 1
City COLUMBIA
State SC
Zip Code 29210-7670

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700413838 Alexis Koreema Brown Social Worker 3205 Montcrest Rd., Columbia, SC 29210 2020-03-26
1942767843 Thomas Edwin Cromer Social Worker 409 Evelyn Drive, Columbia, SC 29210 2019-02-27
1184193542 Helen Hoffman Coleman Pharmacist 16 Berryhill Road, Ste 109, Columbia, SC 29210 2018-11-15
1356828040 Latia Kelly Mcdonald Counselor 105 Beth Hope Lane, Columbia, SC 29210 2018-07-25
1356892848 Butterfly Effects LLC Community/Behavioral Health 1607 Bentley Court, Columbia, SC 29210 2016-10-19
1114373651 Lilian Emetu Nurse Practitioner 822 Statler Road, Columbia, SC 29210 2016-05-13
1154776433 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 507 Piney Grove Rd, Columbia, SC 29210 2016-04-25
1790167690 Wanda Al-lahabi Specialist 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 2015-06-26
1285040279 Debra R. Smart Counselor 652 Bush Road, Suite 216, Columbia, SC 29210 2014-07-10
1144665282 Snf Transportation LLC Home Health 810 Dutch Center Blvd, Columbia, SC 29210 2013-05-02
Find all providers in zip 29210

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 29210

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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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