Matthew Wisdom (NPI# 1043231178, PAC ID# 7113922162) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1043231178 |
| PAC ID by PECOS | 7113922162 |
| Professional Enrollment ID | I20060925000591 |
| Full Name | Matthew Wisdom |
| Organization Legal Name | PALMETTO HEALTH-UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Address |
Taylor At Marion St Columbia SC 29220-0001 |
| Phone Number | 8032965579 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5991099707 |
| Number of Group Practice Members | 691 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420018 | PALMETTO HEALTH RICHLAND |
| Address | Phone | Organization |
|---|---|---|
| Taylor At Marion St, Columbia, SC 29220-0001 | 8032965579 | PALMETTO HEALTH-UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Organization Legal Name | PALMETTO HEALTH-UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Physicians | 679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theodore Cobert Belsches | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | 115 Blarney Dr, Suite 108, Columbia, SC 29223-6291 |
| Lateef Alana Harper | Family Medicine | Palmetto Health-university of South Carolina Medical Group | 300 Rice Meadow Way, Columbia, SC 29229-8424 |
| Marion Claire Geddings | Nurse Practitioner | Palmetto Health-university of South Carolina Medical Group | 115 N Sumter St, Suite 315, Sumter, SC 29150-4967 |
| Samuel Jay Storch | Urology | Palmetto Health-university of South Carolina Medical Group | 2 Medical Park Rd, Suite 300, Columbia, SC 29203-6839 |
| Suchita Shirish Pancholi | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | 1801 Sunset Dr, Columbia, SC 29203-6803 |
| Gwendolyn E Bowers | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | 11 Atrium Ridge Ct, Columbia, SC 29223-6438 |
| Williams C Andrew | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | 1410 Blanding St, Suite 102, Columbia, SC 29201-2967 |
| Victoria L Fenters | Nurse Practitioner | Palmetto Health-university of South Carolina Medical Group | 1316 N Lake Dr, Lexington, SC 29072-7653 |
| Lauren S Barron | Psychiatry | Palmetto Health-university of South Carolina Medical Group | 720 Gracern Rd, Suite 120, Columbia, SC 29210-7657 |
| Anil Purohit | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | 6 Richland Medical Park Dr, Suite 2100, Columbia, SC 29203-6864 |
| Street Address |
TAYLOR AT MARION ST |
| City | COLUMBIA |
| State | SC |
| Zip | 29220-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Berthrand Chukwuemeka Onuoha | Hospitalist | Palmetto Health-university of South Carolina Medical Group | Taylor At Marion St, Columbia, SC 29203-2145 |
| Tyrone A Kyle | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | Taylor At Marion St, Columbia, SC 29203-2145 |
| Tariq Horani | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | Taylor At Marion St, Columbia, SC 29220-0001 |
| Tareq Haidary | Hospitalist | Palmetto Health-university of South Carolina Medical Group | Taylor At Marion St, Columbia, SC 29220-0001 |
| Marcus O Vaught | Family Medicine | Palmetto Health-university of South Carolina Medical Group | Taylor At Marion St, Columbia, SC 29220-0001 |
| Wesley T Pye | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | Taylor At Marion St, Columbia, SC 29220-0001 |
| Tiamiyu J Oladipo | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | Taylor At Marion St, Columbia, SC 29203-2145 |
| Anthony C Zamcho | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | Taylor At Marion St, Columbia, SC 29220-0001 |
| William B Lindsey | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | Taylor At Marion St, Columbia, SC 29203-2145 |
| Lacey P Mcneely | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | Taylor At Marion St, Columbia, SC 29220-0001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Root | Anesthesiology | Carolina Anesthesiology Associates Pa | Taylor Marion St, Palmetto Health Baptist, Columbia, SC 29220-0001 |
| Mitul A Patel | Internal Medicine | Palmetto Health-university of South Carolina Medical Group | Taylor At Marion St, Columbia, SC 29220-0001 |
| James E Gregory | Nurse Practitioner | Palmetto Health-university of South Carolina Medical Group | Taylor At Marion St, Columbia, SC 29220-0001 |
| Erich Reed Starn | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 1330 Taylor At Marion St, Columbia, SC 29220-0002 |
| Amanda D Moore | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 1330 Taylor At Marion St, Columbia, SC 29220-0002 |
| Jeffrey M Scoggin | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 1330 Taylor At Marion St, Columbia, SC 29220-0002 |
| Noreen Lyday Dudley | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 1330 Taylor At Marion St, Columbia, SC 29220-0002 |
| Lauren E Mitchell | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 1330 Taylor At Marion St, Columbia, SC 29220-0002 |
| Catherine B Rhea | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 1330 Taylor At Marion St, Columbia, SC 29220-0002 |
| Lauren E Prickett | Certified Registered Nurse Anesthetist (crna) | Prisma Health Midlands | 1330 Taylor At Marion St, Columbia, SC 29220-0002 |
| Find all physicians in zip 29220 | |||
| City | COLUMBIA |
| Zip Code | 29220 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | COLUMBIA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Matthew Wisdom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.