HEATHER NICOLE PASTVA (NPI# 1689130734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689130734 |
| Entity Type | Individual |
| Full Name | HEATHER NICOLE PASTVA |
| Other Name | HEATHER NICOLE GARDNER |
| Credential | PA-C |
| Practice Address |
74 Polo Rd Columbia SC 29223-2806 |
| Practice Telephone | 8034197780 |
| Practice Fax Number | 8034197781 |
| Mailing Telephone | 8034197780 |
| Mailing Fax Number | 8034197781 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2981 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
74 POLO RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700810116 | Andrew James Malinchak | Family Medicine | 74 Polo Rd, Columbia, SC 29223-2806 | 2006-07-10 |
| 1093348518 | Crocodile Pharmacy Services, LLC | Internal Medicine | 74 Polo Rd, Columbia, SC 29223-2806 | 2020-02-13 |
| 1407322167 | Megan Annette Kirkland | Physician Assistant | 74 Polo Rd, Columbia, SC 29223-2806 | 2018-10-22 |
| 1700351285 | Daniela Murphy | Physician Assistant | 74 Polo Rd, Columbia, SC 29223-2806 | 2018-10-10 |
| 1992212385 | Sonya J Arrington | Health Educator | 74 Polo Rd, Columbia, SC 29223-2806 | 2018-01-07 |
| 1023564622 | Lagniappe Medical Clinics, LLC | Family Medicine | 74 Polo Rd, Columbia, SC 29223-2806 | 2016-09-01 |
| 1093262628 | 74 Polo Road, LLC | Clinic/Center | 74 Polo Rd, Columbia, SC 29223-2806 | 2016-09-01 |
| 1457361669 | Palmetto Pediatric | Pediatrics | 74 Polo Rd, Columbia, SC 29223-2806 | 2006-08-09 |
| 1538179601 | Teresa N Baggett | Pediatrics | 74 Polo Rd, Columbia, SC 29223-2806 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619500691 | Ivanka M Mora | Physician Assistant | 5910 Watch Chain Way Apt 603, Columbia, MD 21044-3875 | 2020-02-18 |
| 1316579287 | Christina Verzi | Physician Assistant | 5681 Columbia Rd Apt 301, Columbia, MD 21044-1960 | 2020-02-10 |
| 1225668064 | Steven Ebers | Physician Assistant | 1201 International Dr, Columbia, MO 65202-1612 | 2020-01-21 |
| 1780228197 | Jeremy M Barth | Physician Assistant | 5886 Morningbird Ln, Columbia, MD 21045-3508 | 2019-10-30 |
| 1730749920 | Ann Marie Schlafly | Physician Assistant | 1 Hospital Drive, Mc 413, Columbia, MO 65212-0001 | 2019-06-19 |
| 1619532363 | Casey Burner Skinner | Physician Assistant | 2126 Tugaloo Ave, Columbia, SC 29205-3330 | 2019-05-08 |
| 1205491040 | Meghan Catherine Monk | Physician Assistant | 229 Route 87, Columbia, CT 06237-1050 | 2019-05-07 |
| 1124594999 | Candace Rachel Skulkety | Physician Assistant | 612 Whaley St Apt 348, Columbia, SC 29201-6329 | 2018-10-19 |
| 1508346396 | Hannah Marie Dewes | Physician Assistant | 3 Medical Park Rd #310, Columbia, SC 29203 | 2018-08-21 |
| 1295236438 | Helen Mckinney | Physician Assistant | 234 Castlebury Dr, Columbia, SC 29229-7566 | 2018-02-22 |
| 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.