MICHAEL L ERVIN (NPI# 1720048929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720048929 |
| Entity Type | Individual |
| Full Name | MICHAEL L ERVIN |
| Credential | MD |
| Practice Address |
146 N Hospital Dr Ste 420 West Columbia SC 29169-4800 |
| Mailing Address |
Po Box 896239 Charlotte NC 28289-6239 |
| Practice Telephone | 8039367476 |
| Mailing Telephone | (803) 936-7476 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2017-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 16917 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 169178 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972077766 | Michael Shannon Ervin | Registered Nurse | 241 Briarcrest, Early, TX 76802-3445 | 2019-01-15 |
| Street Address |
146 N HOSPITAL DR STE 420 |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487654919 | Randall Steven Suarez | Orthopaedic Surgery | 146 N Hospital Dr, Suite 140, West Columbia, SC 29169-4800 | 2005-07-27 |
| 1790155471 | Emily Kohls | Dietitian, Registered | 146 N Hospital Dr, Suite 430, West Columbia, SC 29169-4800 | 2015-10-06 |
| 1235511619 | Sarah Catterton | Nurse Practitioner | 146 N Hospital Dr, Suite 400, West Columbia, SC 29169-4800 | 2015-06-23 |
| 1275923468 | Marlena J Farley | Dietitian, Registered | 146 N Hospital Dr, Suite 430, West Columbia, SC 29169-4800 | 2015-01-27 |
| 1992139034 | Katharine B Wunder | Dietitian, Registered | 146 N Hospital Dr, Ste 430, West Columbia, SC 29169-4800 | 2013-08-26 |
| 1528242195 | Pamela Rena Alligood | Advanced Practice Midwife | 146 N Hospital Dr, Suite 240, West Columbia, SC 29169-4800 | 2007-12-19 |
| 1477569572 | Tara Becker Mccarty | Audiologist | 146 N Hospital Dr, Ste120, West Columbia, SC 29169-4800 | 2006-07-31 |
| 1417961491 | Laura H Tenbrunsel | Audiologist | 146 N Hospital Dr, Suite 120, West Columbia, SC 29169-4800 | 2006-07-28 |
| 1366474447 | Adam M Lazzarini | Orthopaedic Surgery | 146 N Hospital Dr, Suite 350, West Columbia, SC 29169-4800 | 2006-07-07 |
| 1891771804 | Subhashchandra J Patel | Specialist | 146 N Hospital Dr, Ste 350, West Columbia, SC 29169-4800 | 2005-12-21 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699062380 | Lexington County Health Services District, Inc. | Obstetrics & Gynecology | 110 E Medical Lane, Ste 220, West Columbia, SC 29169 | 2011-07-01 |
| 1861677882 | Lexington County Health Services District, Inc. | Obstetrics & Gynecology | 728 Sunset Blvd, Suite 103, West Columbia, SC 29169 | 2008-01-09 |
| 1912919770 | Frederick B Thompson | Obstetrics & Gynecology | 222 E. Medical Lane, Suite 300, West Columbia, SC 29169-4837 | 2006-08-12 |
| 1255359725 | Lexington County Health Services District, Inc. | Obstetrics & Gynecology | 222 East Medical Lane, Ste 300, West Columbia, SC 29169 | 2006-07-17 |
| 1265401772 | Charles F Shipley IIi | Obstetrics & Gynecology | 2728 Sunset Blvd., Suite 106, West Columbia, SC 29169 | 2006-03-16 |
| 1730157058 | Andrea M Pezzella | Obstetrics & Gynecology | 115 Midlands Ct, West Columbia, SC 29169-3456 | 2006-03-11 |
| 1316918709 | Julie A Reed | Obstetrics & Gynecology | 146 E Hospital Dr Ste 240, West Columbia, SC 29169-4800 | 2006-02-01 |
| 1497735757 | Thomas Patrick Giudice | Obstetrics & Gynecology | 2728 Sunset Blvd Ste 201, West Columbia, SC 29169-4837 | 2006-01-20 |
| 1417932351 | Freddie Reynolds | Obstetrics & Gynecology | 3020 Sunset Blvd, Ste 105, West Columbia, SC 29169-3494 | 2005-12-14 |
| 1528040375 | Gregory E. Lyman | Obstetrics & Gynecology | 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 | 2005-11-17 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.