PROVIDENCE CARDIOLOGY LLC


Address: 114 Gateway Corporate Blvd, Suite 300, Columbia, SC 29203-9740
Phone: 8032543278

PROVIDENCE CARDIOLOGY LLC (NPI# 1790196293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790196293
Entity Type Organization
Organization Name PROVIDENCE CARDIOLOGY LLC
Other Organization Name PROVIDENCE CARDIOLOGY
Practice Address 114 Gateway Corporate Blvd
Suite 300
Columbia
SC 29203-9740
Mailing Address 2001 Laurel St
Columbia
SC 29204-1018
Practice Telephone 8032543278
Practice Fax Number 8033768010
Mailing Telephone 8032543278
Mailing Fax Number 8033768010
Enumeration Date 2014-05-19
Last Update Date 2014-05-19
Authorized Official Name LARRY R ELLIS (CEO)
Authorized Official Telephone 8032543278
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Providence Cardiology Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1083995641 Providence Cardiology LLC Internal Medicine 3103 Sunset Blvd, West Columbia, SC 29169-4817 2011-09-08
1336497742 Providence Cardiology LLC Internal Medicine 114 Gateway Corporate Blvd, Suite 330, Columbia, SC 29203-9740 2012-08-16
1265716039 Providence Cardiology LLC Internal Medicine 2001 Laurel St, Columbia, SC 29204-1018 2011-09-28
1235410887 Providence Cardiology LLC Internal Medicine 904 S 4th St Ste B, Hartsville, SC 29550-0704 2011-09-08
1003197666 Providence Cardiology LLC Internal Medicine 124 Wren St, Barnwell, SC 29812-1527 2011-09-08
1376824920 Providence Cardiology LLC Internal Medicine 506 North St, Bamberg, SC 29003-1319 2011-09-08
1760763312 Providence Cardiology LLC Internal Medicine 1330 Haile St, Camden, SC 29020-3002 2011-09-08
1588945141 Providence Cardiology LLC Internal Medicine 595 Newberry Hwy, Saluda, SC 29138-7808 2011-09-08

Office Location

Street Address 114 GATEWAY CORPORATE BLVD
SUITE 300
City COLUMBIA
State SC
Zip Code 29203-9740

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689644221 Eric Steven Spotts Obstetrics & Gynecology 114 Gateway Corporate Blvd, Suite 350, Columbia, SC 29203-9740 2006-01-25
1093253254 Midlands Orthopaedics and Neurosurgery, Pa Orthopaedic Surgery 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 2017-02-08
1366980591 Midlands Orthopaedics and Neurosurgery, Pa Durable Medical Equipment & Medical Supplies 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 2017-02-08
1033657275 Midlands Orthopaedics and Neurosurgery, Pa Neurological Surgery 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 2017-02-08
1811448517 Arcis Healthcare Durable Medical Equipment & Medical Supplies 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 2016-10-18
1770943631 Providence Physician Practices LLC Internal Medicine 114 Gateway Corporate Blvd, Ste 425, Columbia, SC 29203-9740 2016-03-04
1437521259 Arcis Healthcare, LLC Durable Medical Equipment & Medical Supplies 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 2015-10-21
1447632989 Lori Uhrig Physical Therapist 114 Gateway Corporate Blvd, Columbia, SC 29203-9740 2015-06-21
1265814701 Gretchen Zimmerman Tarrance Occupational Therapist 114 Gateway Corporate Blvd, Columbia, SC 29203-9740 2015-06-21
1437531944 Lyle Oamil Physical Therapist 114 Gateway Corporate Blvd, Columbia, SC 29203-9740 2015-06-19
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City COLUMBIA
Zip Code 29203

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Dataset Information

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.

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