WENDDY TSO-TIDZEM (NPI# 1730696881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730696881 |
| Entity Type | Individual |
| Full Name | WENDDY TSO-TIDZEM |
| Practice Address |
4310 Hard Scrabble Rd Columbia SC 29229-9423 |
| Mailing Address |
8100 Bayfield Rd Apt 26e Columbia SC 29223-5657 |
| Practice Telephone | 8038656682 |
| Mailing Telephone | 3103574191 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | I-10132 | SC | Student, Health Care |
| Street Address |
4310 HARD SCRABBLE RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29229-9423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376537738 | Cherell D Holladay | Nurse Practitioner | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2005-08-31 |
| 1942819602 | Marissa Hartert | Pharmacist | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2020-07-29 |
| 1467097352 | Samantha Eloise Drew-tackett | Nurse Practitioner | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2019-11-14 |
| 1669959839 | Angela Giles | Pharmacist | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2018-07-20 |
| 1255850392 | Latoyha Tamara Green | Nurse Practitioner | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2017-09-10 |
| 1548785074 | Ranarda Renee' Reed | Nurse Practitioner | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2017-08-05 |
| 1629510862 | Chanelle Jackson | Nurse Practitioner | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2016-11-04 |
| 1922408954 | Cvs/pharmacy | Pharmacy | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2014-08-27 |
| 1558792689 | Sandra Jones | Nurse Practitioner | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2013-11-27 |
| 1912255944 | Renee Ann Broome | Pharmacist | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2012-08-23 |
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|---|---|---|---|---|
| 1194332619 | Candid South Carolina, P.C. | Dentist | 136-4 Forum Drive #a20, Columbia, SC 29229 | 2020-09-29 |
| 1275166761 | Isis Marie Pearson | Behavior Technician | 4611 Hardscrabble Rd, #239, Columbia, SC 29229 | 2020-02-13 |
| 1083254338 | Lintiya Mccleary | Behavior Technician | 1048 Wildewood Center Dr, Columbia, SC 29229 | 2020-01-14 |
| 1538702873 | Genuine Care LLC | Home Health Aide | 112 Denby Cir, Columbia, SC 29229 | 2019-10-18 |
| 1588218028 | John Calvin Thorne Iv | Pharmacist | 175 Forum Drive, Columbia, SC 29229 | 2019-08-01 |
| 1801303839 | Eye Associates of Columbia Inc | Clinic/Center | 470-5 Town Center Pl, Lenscrafters, Columbia, SC 29229 | 2017-12-28 |
| 1508385469 | Palmetto Community Group | Counselor | 402 Nautique Circle, Columbia, SC 29229 | 2017-09-12 |
| 1245754472 | Fernandez Interpreter & Translator Solutions | Interpreter | 140 Rivendale Drive, Columbia, SC 29229 | 2017-07-30 |
| 1770935744 | Yasmine Gamil Gabr | Family Medicine | 103 Summit Centre Drive, Columbia, SC 29229 | 2016-07-01 |
| 1386095164 | Mack's Loving Care | Home Health | 55 Crooked Creek Place, Columbia, SC 29229 | 2016-06-23 |
| Find all providers in zip 29229 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313292 | Zachary Blake Riggs | Student in an Organized Health Care Education/Training Program | 2025 Gervais St Unit 321c, Columbia, SC 29204-1803 | 2020-07-12 |
| 1144848797 | Katrina Marie Linenko | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 3707c, Columbia, SC 29201-5622 | 2020-07-10 |
| 1790303402 | Kaitlyn Michele Pierce | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 1905c, Columbia, SC 29201-5607 | 2020-07-09 |
| 1316565211 | Erin Maureen Bryant | Student in an Organized Health Care Education/Training Program | 811 Polo Rd Apt 517, Columbia, SC 29223-4426 | 2020-07-08 |
| 1265050132 | Leona Joyce Keller | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 901, Columbia, SC 29201-5194 | 2020-07-08 |
| 1922626720 | Brett William Elder | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 3707, Columbia, SC 29201-5622 | 2020-07-08 |
| 1245858174 | Regina Duncan | Student in an Organized Health Care Education/Training Program | 1539 S Kilbourne Rd, Columbia, SC 29205-4708 | 2020-07-07 |
| 1972126043 | Sydney Allsbrook Funderburk | Student in an Organized Health Care Education/Training Program | 6401 Cloverdale Dr, Columbia, SC 29209-1840 | 2020-05-24 |
| 1841812591 | Chasitie Ann Mcintosh | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia South Carolina 29208, Columbia, SC 29208-0001 | 2020-05-15 |
| 1053933267 | Allyson Derrick | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia, Columbia, SC 29208-0001 | 2020-05-11 |
| 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.