PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP (NPI# 1962990689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962990689 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Practice Address |
9 Richland Medical Park Dr Ste 450 Columbia SC 29203-6859 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034348800 |
| Practice Fax Number | 8034348802 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |
| Authorized Official Name | WILLIAM D. ANDERSON III, (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8035455005 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP7530 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245720747 | Palmetto Health - University of South Carolina Medical Group | Urology | 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203-6870 | 2018-05-10 |
| 1295224871 | Palmetto Health - University of South Carolina Medical Group | Nurse Practitioner | 2113 Adams Grv Ste 200, Columbia, SC 29203-6957 | 2018-05-09 |
| 1235614462 | Palmetto Health - University of South Carolina Medical Group | Family Medicine | 116 Hospital Sq, Bishopville, SC 29010-7081 | 2018-10-03 |
| 1295211894 | Palmetto Health - University of South Carolina Medical Group | Family Medicine | 115 N Sumter St Ste 315, Sumter, SC 29150-4967 | 2018-07-17 |
| 1619468774 | Palmetto Health - University of South Carolina Medical Group | Surgery | 1850 Laurel St, Columbia, SC 29201-2627 | 2018-05-24 |
| 1164913224 | Palmetto Health - University of South Carolina Medical Group | Internal Medicine | 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 | 2018-05-24 |
| 1437649936 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 14 Richland Medical Park Dr Ste 400, Columbia, SC 29203-6878 | 2018-05-10 |
| 1154811651 | Palmetto Health - University of South Carolina Medical Group | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2018-05-10 |
| 1144710641 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 9 Richland Medical Park Drive, Suite 260, Columbia, SC 29203 | 2018-05-10 |
| 1134619638 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 9 Richland Medical Park Dr Ste 230, Columbia, SC 29203-6859 | 2018-05-10 |
| Street Address |
9 RICHLAND MEDICAL PARK DR STE 450 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386601102 | Gregory E Barefoot | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2006-04-26 |
| 1518522077 | Sarah Partin | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2019-05-09 |
| 1770048571 | Alexander Weigman | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2019-02-05 |
| 1215403084 | Caroline Grace Perdue | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2018-10-19 |
| 1366954950 | Jonathan David Szuchy | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203 | 2017-11-03 |
| 1922510296 | Anne Morrison Payne | Surgery | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203 | 2017-10-26 |
| 1902320120 | Preston Linebaugh | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2017-07-30 |
| 1346625332 | Megan Iseman | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203-6859 | 2015-07-20 |
| 1326464058 | Ronelle Guinyard | Nurse Practitioner | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203 | 2014-03-05 |
| 1922434075 | Kelly Owen | Physician Assistant | 9 Richland Medical Park Dr Ste 450, Columbia, SC 29203 | 2013-09-20 |
| 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 | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1194994368 | Palmetto Health | Surgery | 9 Richland Medical Park Dr, Suite 450, Columbia, SC 29203-6859 | 2008-02-21 |
| 1649462771 | Paul Kerr | Surgery | 6439 Garners Ferry Rd, Columbia, SC 29202 | 2007-08-13 |
| 1972709236 | Catherine F Mcclung Smith | Surgery | 3 Richland Medical Park Dr, Suite 310, Columbia, SC 29203-6849 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912453150 | Maher Matar | Surgery | Musc Department of Surgery-trauma 96 Jonathan Lucas St, Ste 420 Csb Msc 613, Charleston, SC 29425 | 2016-08-28 |
| 1275922635 | Ayu Surgical Specialists LLC | Surgery | 9330 Medical Plaza Dr, North Charleston, SC 29406-9104 | 2015-01-22 |
| 1619389335 | John Bowers | Surgery | 9300 Medical Plaza Dr Ste B, Charleston, SC 29406-9334 | 2014-05-29 |
| 1952554891 | University Medical Associates | Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1558391383 | Bruce A Crookes | Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2006-07-04 |
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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.