PRISMA HEALTH-MIDLANDS (NPI# 1740334911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740334911 |
| Entity Type | Organization |
| Organization Name | PRISMA HEALTH-MIDLANDS |
| Practice Address |
10 Richland Medical Park Dr Palmetto Health Dental Clinic Columbia SC 29203-6892 |
| Mailing Address |
Po Box 5301 Palmetto Health Dental Clinic Columbia SC 29250-5301 |
| Practice Telephone | 8032962548 |
| Practice Fax Number | 8032962548 |
| Mailing Telephone | 8032962548 |
| Mailing Fax Number | 8032962548 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | POLLY H MILLER (VP PAYOR STRATEGIES ALIGNMENT) |
| Authorized Official Telephone | 8645222286 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRISMA HEALTH DENTAL CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134597214 | Prisma Health-midlands | Rehabilitation Unit | 3221 Sunset Blvd Suite B, Columbia, SC 29169-0000 | 2015-09-08 |
| 1902274095 | Prisma Health-midlands | Rehabilitation Unit | 111 Sparkleberry Crossing Rd Suite 5, Columbia, SC 29229 | 2015-09-08 |
| 1639590680 | Prisma Health-midlands | Emergency Medicine | 1200 Colonial Life Blvd W Fl 1, Columbia, SC 29210-7670 | 2013-12-18 |
| 1811237985 | Prisma Health-midlands | General Acute Care Hospital | 400 Palmettto Health Parkway, Columbia, SC 29212-1760 | 2013-02-26 |
| 1598099228 | Prisma Health-midlands | Counselor | 91 Polo Rd, Columbia, SC 29223-2805 | 2009-09-29 |
| 1740452739 | Prisma Health-midlands | Voluntary or Charitable | 1400 Camellia Ave, Newberry, SC 29108-3098 | 2008-03-31 |
| 1558576280 | Prisma Health-midlands | General Acute Care Hospital | 3301 Harden Street Medical Park, Columbia, SC 29203 | 2007-05-14 |
| 1487868097 | Prisma Health-midlands | General Acute Care Hospital | 3301 Harden Street, Columbia, SC 29203 | 2007-05-10 |
| 1063569259 | Prisma Health-midlands | Clinic/Center | Prisma Health Occupational Medicine, 1333 Taylor Streets Suite 3-h, Columbia, SC 29220-0001 | 2007-01-03 |
| 1942369624 | Prisma Health-midlands | Clinic/Center | Palmetto Health - Enhanced Medicaid, 3301 Harden St Ext 7mp, Columbia, SC 29203-9965 | 2006-12-08 |
| Street Address |
10 RICHLAND MEDICAL PARK DR PALMETTO HEALTH DENTAL CLINIC |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396833612 | Robert M. Punch | Pharmacist | 10 Richland Medical Park Dr, Columbia, SC 29203-6892 | 2006-10-11 |
| 1548889314 | Sharon Montana Housand | Dentist | 10 Richland Medical Park Dr, Columbia, SC 29203-6864 | 2020-04-13 |
| 1841774718 | Laura Mansfield | Pharmacist | 10 Richland Medical Park Dr, Columbia, SC 29203-6864 | 2018-09-18 |
| 1073009544 | Laura Baker Straw | Pharmacist | 10 Richland Medical Park Dr, Columbia, SC 29203-6864 | 2018-07-07 |
| 1467943597 | Christopher Olsen | Dentist | 10 Richland Medical Park Dr, Columbia, SC 29203-6864 | 2018-05-24 |
| 1134642630 | Margaret Lee Hansen | Pharmacist | 10 Richland Medical Park Dr, Columbia, SC 29203-6864 | 2017-07-18 |
| 1629590435 | Victoria Hetherington | Pharmacist | 10 Richland Medical Park Dr, Columbia, SC 29203-6864 | 2017-07-13 |
| 1104370188 | Palmetto Health | Dentist | 10 Richland Medical Park Dr, Suite A, Columbia, SC 29203-6864 | 2016-08-08 |
| 1164873998 | Margaret Mccall Brennan | Pharmacist | 10 Richland Medical Park Dr, Columbia, SC 29203-6864 | 2016-06-22 |
| 1407217185 | Brett Renee Stroud | Pharmacist | 10 Richland Medical Park Dr, Columbia, SC 29203-6864 | 2016-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558057 | Roberto Selonk Buechele | Dentist | 460 Killian Rd Ste 1, Columbia, SC 29203-9742 | 2020-11-02 |
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1629688338 | Tennessee Valley Dental Partners, P.C. | Dentist | 1501 Nashville Hwy Ste 102, Columbia, TN 38401-2016 | 2020-08-06 |
| 1912516923 | Richard Houston Rash | Dentist | 303 N Keene St Ste 202-210, Columbia, MO 65201-8050 | 2020-07-26 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1104304393 | Signature Smiles, LLC | Dentist | 1730 Henderson St Ste A, Columbia, SC 29201-2648 | 2018-07-31 |
| 1255837167 | Ivan Liang Zhang | Dentist | 10910 Little Patuxent Pkwy Ste 103r, Columbia, MD 21044-3081 | 2018-04-01 |
| 1831605401 | Bela Family Dentistry of Sandhills | Dentist | 126 Barton Creek Ct, Columbia, SC 29229-8027 | 2017-12-19 |
| 1588175087 | Palmetto Mobile Dental Centers LLC | Dentist | 1703 Laurel St, Columbia, SC 29201-2660 | 2017-10-24 |
| 1619491461 | Jacquelyn L Wiles | Dentist | 5615 Hood St, Columbia, SC 29207-5109 | 2017-08-02 |
| 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.