SOUTH CENTRAL HEART GROUP INC (NPI# 1700836202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700836202 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL HEART GROUP INC |
| Practice Address |
1220 Trotwood Ave Suite 401 Columbia TN 38401-6433 |
| Mailing Address |
854 W James Campbell Blvd Suite 303a Columbia TN 38401-4659 |
| Practice Telephone | 9313888622 |
| Practice Fax Number | 9313888227 |
| Mailing Telephone | 9315404255 |
| Mailing Fax Number | 9314904654 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-04-04 |
| Authorized Official Name | MR. GARY TODD HILL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9315404255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUECROSS BLUESHIELD | 4074604 | 01 |
| TN | 3379860 | 05 |
| Street Address |
1220 TROTWOOD AVE SUITE 401 |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-6433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386607588 | Joseph H Cooper | Physician Assistant | 1220 Trotwood Ave, Suite 401, Columbia, TN 38401-6433 | 2006-04-10 |
| 1962770743 | Some Other Company Inc | Durable Medical Equipment & Medical Supplies | 1220 Trotwood Ave, Suite 101a, Columbia, TN 38401-6433 | 2011-12-07 |
| 1780826461 | Kenneth T Bedock | Physician Assistant | 1220 Trotwood Ave, Suite 401, Columbia, TN 38401-6433 | 2009-03-27 |
| 1548303969 | Maury Regional Surgery Center LLC | Clinic/Center | 1220 Trotwood Ave, Columbia, TN 38401-6433 | 2007-02-15 |
| 1487717955 | Jacques J Heibig | Internal Medicine | 1220 Trotwood Ave, Suite 401, Columbia, TN 38401-6433 | 2006-12-18 |
| 1811905409 | Fathi Idris Ali | Internal Medicine | 1220 Trotwood Ave, Suite 401, Columbia, TN 38401-6433 | 2006-08-03 |
| 1093766206 | Thoracic and Cardiovascular Associates of Tennessee Inc | Physician Assistant | 1220 Trotwood Ave, Suite 401, Columbia, TN 38401-6433 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376050534 | Khoury Cardiology, Pa | Internal Medicine | 151 Saluda Ave, Columbia, SC 29205-3080 | 2018-01-09 |
| 1669919247 | Hari Gnanasekeram, PC | Internal Medicine | 207 Zeigler St, Columbia, SC 29217-0001 | 2017-01-20 |
| 1033514120 | Palmetto Health | Internal Medicine | 6 Richland Medical Park Dr, Suite 2100, Columbia, SC 29203-6864 | 2014-10-31 |
| 1639516636 | Namit Rohant | Internal Medicine | 2 Medical Park Rd Ste 402, Columbia, SC 29203-6839 | 2013-05-30 |
| 1720358112 | William Fox | Internal Medicine | 11837 Winterlong Way, Columbia, MD 21044-4412 | 2012-01-03 |
| 1134418874 | Daniel A Kim | Internal Medicine | 10710 Charter Dr Ste 400, Columbia, MD 21044 | 2011-04-04 |
| 1730321035 | Columbia Cardiology, LLC | Internal Medicine | 130 Corporate Blvd, Columbia, SC 29204 | 2009-04-01 |
| 1447415211 | Anil Purohit | Internal Medicine | 6 Richland Medical Park Drive Suite 2100, Columbia, SC 29203 | 2008-07-22 |
| 1679740195 | Warren F Holland | Internal Medicine | 3628 Cassina Cir, Columbia, SC 29205-1854 | 2008-05-14 |
| 1386826824 | Sirisha Donekal | Internal Medicine | 11055 Little Patuxent Pkwy Ste 205, Columbia, MD 21044 | 2007-11-27 |
| 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.