PEDIATRIC ENDOCRINE SPECIALTY (NPI# 1013976505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013976505 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ENDOCRINE SPECIALTY |
| Practice Address |
3000 Ne Medical Park Suite 212 Columbia SC 29223-6251 |
| Practice Telephone | 8038656008 |
| Practice Fax Number | 8038656018 |
| Mailing Telephone | 8038656008 |
| Mailing Fax Number | 8038656018 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. HOWARD J. HEIZE (PHYSICIAN) |
| Authorized Official Telephone | 8038656008 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
19871 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DR. HEIZE'S SC MED LIC # | 19871 | 01 |
| SC | GP3583 | 05 |
| Street Address |
3000 NE MEDICAL PARK SUITE 212 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-6251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821094772 | James F Elmore | Internal Medicine | 3000 Ne Medical Park, Suite 108, Columbia, SC 29223-6251 | 2005-06-24 |
| 1083858708 | Linda Smith Shealy | Nurse Practitioner | 3000 Ne Medical Park, Suite 212, Columbia, SC 29223-6251 | 2009-04-24 |
| 1972753408 | Shagufta Yasmin Chaudhry | Family Medicine | 3000 Ne Medical Park, Suite 209, Columbia, SC 29223-6251 | 2008-09-20 |
| 1790947596 | Melissa Boylan | Family Medicine | 3000 Ne Medical Park, Suite 209, Columbia, SC 29223-6251 | 2008-07-02 |
| 1972701860 | Peter Richard Kilmann | Psychologist | 3000 Ne Medical Park, Suite 204, Columbia, SC 29223-6251 | 2007-07-03 |
| 1720130792 | Lisa Ann Bright Zynczak | Physical Medicine & Rehabilitation | 3000 Ne Medical Park, Ste 202, Columbia, SC 29223-6253 | 2007-01-18 |
| 1528140373 | Tpcg, Inc | Clinic/Center | 3000 Ne Medical Park, Suite 109, Columbia, SC 29223-6251 | 2006-10-20 |
| 1295822856 | Columbia Rehabilitation Clinic | Physical Medicine & Rehabilitation | 3000 Ne Medical Park, Ste 202, Columbia, SC 29223-6251 | 2006-10-06 |
| 1861504441 | Sandhills Family Medicine, PC | Family Medicine | 3000 Ne Medical Park, Ste 101, Columbia, SC 29223-6251 | 2006-08-31 |
| 1003928680 | Northlake Family Medical Practice | Family Medicine | 3000 Ne Medical Park, Ste 101, Columbia, SC 29223-6251 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1639524432 | Hammett Clinic, Pa | Clinic/Center | 3710 Landmark Dr, Suite 114, Columbia, SC 29204-4062 | 2016-04-29 |
| 1417317264 | Thomas J Carzoli Md Pa | Clinic/Center | 1301 Taylor St, Suite 5k, Columbia, SC 29201-2942 | 2016-03-07 |
| 1932575313 | Marion County Internal Medicine Clinic | Clinic/Center | 104 Partnership Way, Columbia, MS 39429-4502 | 2015-08-19 |
| 1417356437 | Christina P Lynn, Md | Clinic/Center | 3612 Landmark Dr, Columbia, SC 29204-4039 | 2014-08-14 |
| 1154607430 | Allergy and Asthma Educational Specialists, LLC | Clinic/Center | 1601 E Broadway, Ste 250, Columbia, MO 65201-8020 | 2011-10-31 |
| 1215186465 | Gebreye W. Rufael, M.d, Pa | Clinic/Center | 10840 Little Patuxent Pkwy, 302, Columbia, MD 21044-3115 | 2008-09-11 |
| 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.