COLIN ENGLISH WIDENER (NPI# 1760645899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760645899 |
| Entity Type | Individual |
| Full Name | COLIN ENGLISH WIDENER |
| Credential | MD |
| Practice Address |
2435 Forest Dr Columbia SC 29204-2026 |
| Mailing Address |
2435 Feorest Drive Columbia SC 29204-2145 |
| Practice Telephone | 8032565855 |
| Practice Fax Number | 8034005089 |
| Mailing Telephone | 8032565855 |
| Mailing Fax Number | 8034005089 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2017-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 34433 | SC | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
MD.29527 | AL | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 34433 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
2435 FOREST DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003811290 | Providence Hospital, LLC | General Acute Care Hospital | 2435 Forest Dr, Columbia, SC 29204-2026 | 2005-06-15 |
| 1184271223 | Taylor Trull | Physician Assistant | 2435 Forest Dr, Columbia, SC 29204-2026 | 2019-08-22 |
| 1336794262 | Jillian Janss | Physical Therapist | 2435 Forest Dr, Columbia, SC 29204-2026 | 2019-08-07 |
| 1962063115 | Meagan Kirkley Wall | Nurse Anesthetist, Certified Registered | 2435 Forest Dr, Columbia, SC 29204-2026 | 2019-06-27 |
| 1003376757 | Abigail Gottshall | Dietitian, Registered | 2435 Forest Dr, Columbia, SC 29204-2026 | 2019-03-20 |
| 1053875120 | Smita Patel | Specialist/Technologist, Other | 2435 Forest Dr, Columbia, SC 29204-2026 | 2019-01-23 |
| 1538662556 | Prunetta Brunson | Nurse Practitioner | 2435 Forest Dr, Columbia, SC 29204-2026 | 2018-03-15 |
| 1164925863 | Sheltana Michelle Hipps | Nurse Practitioner | 2435 Forest Dr, Columbia, SC 29204-2026 | 2018-03-09 |
| 1154841021 | Broad River Physicians Group, LLC | Emergency Medicine | 2435 Forest Dr, Columbia, SC 29204-2026 | 2017-06-22 |
| 1659818599 | Providence Professional Services LLC | Emergency Medicine | 2435 Forest Dr, Columbia, SC 29204-2026 | 2017-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831564319 | Tsehaye Gesesew | Hospitalist | 6023 Turnabout Ln, Columbia, MD 21044-3058 | 2015-12-09 |
| 1548687809 | Howard County Hospitalists, LLC | Hospitalist | 10910 Little Patuxent Pkwy Ste 100, Columbia, MD 21044-3081 | 2014-03-25 |
| 1053834069 | Pramila N Jaladanki | Hospitalist | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2017-07-21 |
| 1275066995 | Muhammad Aziz | Hospitalist | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2017-04-10 |
| 1932632544 | Felix Nau Jr. | Hospitalist | 1600 E Broadway, Columbia, MO 65201-5844 | 2017-04-10 |
| 1659703981 | Harmeet Singh Gill | Hospitalist | 5 Medical Park, Columbia, SC 29203 | 2013-08-09 |
| 1417201344 | Augustine Health Hospitalists, LLC | Hospitalist | 2435 Forest Dr, Columbia, SC 29204-2026 | 2012-10-30 |
| 1053676346 | Dhp of Howard County PC | Hospitalist | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2012-07-12 |
| 1134487127 | Shwetha Chagalamarri | Hospitalist | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2012-04-26 |
| 1023394152 | Michael James Blew | Hospitalist | 2435 Forest Drive, Columbia, SC 29204 | 2011-11-03 |
| 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.