PALMETTO HEALTH (NPI# 1003844556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003844556 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH |
| Other Organization Name | PEDIATRIC SURGERY |
| Practice Address |
9 Richland Medical Park Dr Suite 500 Columbia SC 29203-6859 |
| Mailing Address |
Po Box 402145 Atlanta GA 30384-2145 |
| Practice Telephone | 8032967304 |
| Practice Fax Number | 8032967329 |
| Mailing Telephone | 8032967313 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2008-11-19 |
| Authorized Official Name | DARRELL C COVEN (DIRECTOR OF BUSINESS DEV., FINANCE) |
| Authorized Official Telephone | 8032967301 |
| Is Organization Subpart | Y |
| Parent Organization Name | PALMETTO HEALTH ALLIANCE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP2085 | 05 |
| Other Name | Type Code |
|---|---|
| Pediatric Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891232880 | Palmetto Health | Clinic/Center | 3010 Farrow Rd Ste 110, Columbia, SC 29203-7603 | 2017-01-27 |
| 1003351859 | Palmetto Health | General Acute Care Hospital | 808 Kawana Rd, Columbia, SC 29205-2033 | 2017-01-04 |
| 1043688120 | Palmetto Health | Rehabilitation Unit | 3600 Forest Drive-suite 101, Columbia, SC 29204-0000 | 2015-09-08 |
| 1033514120 | Palmetto Health | Internal Medicine | 6 Richland Medical Park Dr, Suite 2100, Columbia, SC 29203-6864 | 2014-10-31 |
| 1851642458 | Palmetto Health | Family Medicine | 100 Palmetto Health Parkway, Suite 220, Columbia, SC 29212-1755 | 2012-09-24 |
| 1932464476 | Palmetto Health | Counselor | 2721 Dutch Fork Rd, Chapin, SC 29036-8565 | 2012-07-11 |
| 1417211954 | Palmetto Health | Ambulance | 10 Medical Park Drive, Columbia, SC 29203-0000 | 2012-06-29 |
| 1164796306 | Palmetto Health | Pediatrics | 7 Medical Park Drive, Suite 7215, Columbia, SC 29203-6863 | 2012-03-06 |
| 1134453863 | Palmetto Health | Counselor | 1001 Highway 378 W, Lexington, SC 29072-8321 | 2009-09-29 |
| 1124279872 | Palmetto Health | Family Medicine | 300 W. Front St, Liberty, SC 29657-1012 | 2008-09-30 |
| Street Address |
9 RICHLAND MEDICAL PARK DR SUITE 500 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257167 | John Martin Barlow | Otolaryngology | 9 Richland Medical Park Dr, Ste 510, Columbia, SC 29203-6859 | 2005-07-07 |
| 1225586399 | Lacey Humphries | Physician Assistant | 9 Richland Medical Park Dr, Suite 450, Columbia, SC 29203-6859 | 2016-09-16 |
| 1003261207 | Timothy Goode | Counselor | 9 Richland Medical Park Dr, Ste 440, Columbia, SC 29203-6859 | 2016-04-26 |
| 1629436050 | Jessica F Bailey | Physician Assistant | 9 Richland Medical Park Dr, Suite 450, Columbia, SC 29203-6859 | 2016-01-30 |
| 1427421544 | Adam Rodriguez | Physician Assistant | 9 Richland Medical Park Dr, Suite 450, Columbia, SC 29203-6859 | 2015-11-11 |
| 1447644596 | Allison Watkins | Nurse Practitioner | 9 Richland Medical Park Dr, Suite 450, Columbia, SC 29203-6859 | 2015-03-26 |
| 1568851970 | Jamie S Oliver | Dietitian, Registered | 9 Richland Medical Park Dr, Suite 505, Columbia, SC 29203-6859 | 2015-01-22 |
| 1609112515 | Karolyn S. Grafel | Physician Assistant | 9 Richland Medical Park Dr, Suite 450, Columbia, SC 29203-6859 | 2012-12-20 |
| 1912242876 | Palmetto Health | Ophthalmology | 9 Richland Medical Park Dr, Suite 340, Columbia, SC 29203-6859 | 2012-12-04 |
| 1801107321 | Phillip John Prest | Surgery | 9 Richland Medical Park Dr, Suite 450, Columbia, SC 29203-6859 | 2010-06-30 |
| 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 | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740250521 | Juan I Camps | Surgery | 9 Richland Medical Park Dr 500, Columbia, SC 29203-6870 | 2006-01-25 |
| 1154811651 | Palmetto Health - University of South Carolina Medical Group | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2018-05-10 |
| 1699937219 | Bhairav V Shah | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2008-06-25 |
| 1801917877 | Daniel F. Saad | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2007-04-03 |
| 1588634265 | Elijah Stanton Adkins IIi | Surgery | 9 Richland Medical Park Dr, Suite 500, Columbia, SC 29203-6859 | 2006-01-25 |
| 1669442711 | Pringle Prithvi Reddy | Surgery | 1 Richland Medical Park, Suite 230, Columbia, SC 29203-6834 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124077524 | Laurel Paige Davis | Surgery | 1026 Barfield St, Daniel Island, SC 29492-7583 | 2006-05-10 |
| 1659363133 | Robert L Gates | Surgery | 48 Cross Park Ct, Greenville, SC 29605-4263 | 2005-08-19 |
| 1710269261 | Lucas Aaron Mcduffie | Surgery | 171 Ashley Ave, Charleston, SC 29425-5112 | 2011-09-11 |
| 1124263587 | Laura Elizabeth Hollinger | Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-12-12 |
| 1053564963 | University Medical Associates | Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1780809947 | Christian John Streck Jr. | Surgery | 96 Jonathan Lucas St, Suite 418 Csb Msc 613, Charleston, SC 29425-8900 | 2007-04-14 |
| 1063544922 | Robert A Cina | Surgery | 171 Ashley Ave, Charleston, SC 29425-8908 | 2007-03-09 |
| 1073628913 | Henry Othersen Jr. | Surgery | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-20 |
| 1639284573 | Charles D Smith IIi | Surgery | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-20 |
| 1902825532 | James Franklin Green Jr. | Surgery | 48 Cross Park Ct, Greenville, SC 29605-4263 | 2006-07-18 |
| Find all providers with the same taxonomy | ||||
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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.