PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP (NPI# 1669969978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669969978 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Practice Address |
103 Saluda Ridge Ct West Columbia SC 29169 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034346420 |
| Practice Fax Number | 8034341581 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-05-16 |
| Authorized Official Name | WILLIAM D. ANDERSON III, (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8035455226 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245720747 | Palmetto Health - University of South Carolina Medical Group | Urology | 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203-6870 | 2018-05-10 |
| 1295224871 | Palmetto Health - University of South Carolina Medical Group | Nurse Practitioner | 2113 Adams Grv Ste 200, Columbia, SC 29203-6957 | 2018-05-09 |
| 1235614462 | Palmetto Health - University of South Carolina Medical Group | Family Medicine | 116 Hospital Sq, Bishopville, SC 29010-7081 | 2018-10-03 |
| 1295211894 | Palmetto Health - University of South Carolina Medical Group | Family Medicine | 115 N Sumter St Ste 315, Sumter, SC 29150-4967 | 2018-07-17 |
| 1619468774 | Palmetto Health - University of South Carolina Medical Group | Surgery | 1850 Laurel St, Columbia, SC 29201-2627 | 2018-05-24 |
| 1164913224 | Palmetto Health - University of South Carolina Medical Group | Internal Medicine | 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 | 2018-05-24 |
| 1437649936 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 14 Richland Medical Park Dr Ste 400, Columbia, SC 29203-6878 | 2018-05-10 |
| 1154811651 | Palmetto Health - University of South Carolina Medical Group | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2018-05-10 |
| 1144710641 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 9 Richland Medical Park Drive, Suite 260, Columbia, SC 29203 | 2018-05-10 |
| 1134619638 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 9 Richland Medical Park Dr Ste 230, Columbia, SC 29203-6859 | 2018-05-10 |
| Street Address |
103 SALUDA RIDGE CT |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437110756 | Leslie M Stuck | Internal Medicine | 103 Saluda Ridge Ct, West Columbia, SC 29169-3455 | 2006-03-28 |
| 1538658687 | Palmetto Health - University of South Carolina Medical Group | Nurse Practitioner | 103 Saluda Ridge Ct, West Columbia, SC 29169-3455 | 2018-05-04 |
| 1437646833 | Palmetto Health - University of South Carolina Medical Group | Internal Medicine | 103 Saluda Ridge Ct, West Columbia, SC 29169-3455 | 2018-04-20 |
| 1891164216 | Lorena Middleton | Nurse Practitioner | 103 Saluda Ridge Ct, West Columbia, SC 29169-3455 | 2015-09-15 |
| 1932490646 | Palmetto Health | Internal Medicine | 103 Saluda Ridge Ct, West Columbia, SC 29169-3455 | 2011-04-28 |
| 1801042643 | Lisa Dianne Niven | Optometrist | 103 Saluda Ridge Ct, West Columbia, SC 29169 | 2008-08-12 |
| 1700045978 | Choice Pharmacies | Pharmacy | 103 Saluda Ridge Ct, West Columbia, SC 29169-3455 | 2008-06-03 |
| 1023129442 | Jay M Markowitz Md & Associates | Internal Medicine | 103 Saluda Ridge Ct, West Columbia, SC 29169-3455 | 2006-08-31 |
| 1710919147 | Reena Mehta | Optometrist | 103 Saluda Ridge Ct, West Columbia, SC 29169 | 2006-07-07 |
| 1225088032 | Michael B Markowitz | Internal Medicine | 103 Saluda Ridge Ct, West Columbia, SC 29169-3455 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679790372 | Carolina Eye Center, Pa | Ophthalmology | 3227 C Sunset Blvd, West Columbia, SC 29169-4895 | 2007-04-20 |
| 1841289154 | John A Wells IIi | Ophthalmology | 124 Sunset Court, West Columbia, SC 29169 | 2005-10-19 |
| 1528143021 | John F Payne | Ophthalmology | 124 Sunset Court, West Columbia, SC 29169 | 2006-10-25 |
| 1811942527 | David L Johnson | Ophthalmology | 124 Sunset Court, West Columbia, SC 29169 | 2006-05-23 |
| 1255322806 | Palmetto Retina Center LLC | Ophthalmology | 124 Sunset Court, West Columbia, SC 29169 | 2005-11-02 |
| 1528057890 | William Lloyd Clark | Ophthalmology | 124 Sunset Court, West Columbia, SC 29169 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453525 | Southern Eye Associates of Sc, Pa | Ophthalmology | 1330 Boiling Springs Rd Ste 2400, Spartanburg, SC 29303-4213 | 2019-08-19 |
| 1568915619 | Susannah Liberty Brown | Ophthalmology | 167 Ashley Ave Rm 503, Charleston, SC 29425-3098 | 2016-07-25 |
| 1982008439 | Garry Binegar Sr. | Ophthalmology | 38 Spring Island Dr, Callawassie Island, Okatie, SC 29909-4006 | 2014-10-13 |
| 1003216540 | Robert Osborne Brown Jr. | Ophthalmology | 400 Ridgecrest Dr, Clemson, SC 29631-1896 | 2014-09-03 |
| 1417200148 | Georgia Eye Institute of The Southeast, LLC | Ophthalmology | 80 Baylor Way, Bluffton, SC 29910-8902 | 2012-10-18 |
| 1306116256 | Atlantic Eye Associates | Ophthalmology | 8028 Myrtle Trace Dr, Conway, SC 29526-8945 | 2012-01-10 |
| 1316246499 | Rock Hill Eye Clinic | Ophthalmology | 1698 W. Hwy 160, Suite 110, Fort Mill, SC 29715-7069 | 2011-03-15 |
| 1508162728 | Charles Pinckney Hunter IIi | Ophthalmology | 1501 North Main St, Anderson, SC 29626 | 2011-02-04 |
| 1982910337 | Joseph Anthony Manno IIi | Ophthalmology | 101 Oak Park Dr, Irmo, SC 29063-6105 | 2010-08-24 |
| 1790097681 | Anand Prem Rajani | Ophthalmology | 1773 Ebenezer Rd, Rock Hill, SC 29732-1101 | 2010-07-08 |
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| City | WEST COLUMBIA |
| Zip Code | 29169 |
Please comment or provide details below to improve the information on PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP.
| 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.