PALMETTO HEALTH (NPI# 1174544886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174544886 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH |
| Other Organization Name | MIDLANDS INTERNAL MEDICINE |
| Practice Address |
3000 Ne Medical Park Suite 108 Columbia SC 29223-6251 |
| Mailing Address |
Po Box 402145 Atlanta GA 30384-2145 |
| Practice Telephone | 8034629200 |
| Practice Fax Number | 8036991474 |
| Mailing Telephone | 8032967305 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2010-01-22 |
| Authorized Official Name | DARRELL C COVEN (DIRECTOR, AMBULATORY SVCS - 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 | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP2081 | 05 | |
| SC | MEDICARE RAILROAD GROUP PTAN | CG5471 | 01 |
| Other Name | Type Code |
|---|---|
| Midlands Internal Medicine | 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 |
3000 NE MEDICAL PARK SUITE 108 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808815 | Thai Quoc Nguyen | Internal Medicine | University Hospital Ma421 Med Sciences Bldg, Columbia, MO 65212-0001 | 2020-07-06 |
| 1649898784 | Peter Egwom | Internal Medicine | University Hospital One Hospital Drive Dc.043.00, Columbia, MO 65212-0001 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1851918346 | Maxwell Isaac | Internal Medicine | University Hospital 1 Hospital Drive Dc 043.00, Columbia, MO 65212-0001 | 2020-06-30 |
| 1285251983 | Shannon Ejiofor | Internal Medicine | University Hospital One Hospital Drive Dc043.00, Columbia, MO 65212-0001 | 2020-06-29 |
| 1336766278 | Jordan Stauffer | Internal Medicine | University Hospital One Hospital Dr, Columbia, MO 65212-0001 | 2020-06-26 |
| 1972120814 | Pak Ho Au | Internal Medicine | University Hospital One Hospital Dr Dc043.00, Columbia, MO 65212-0001 | 2020-06-26 |
| 1700402849 | Michael Allan Goble | Internal Medicine | Internal Medical Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-24 |
| 1740806389 | Alan Verl Godfrey | Internal Medicine | University of Missouri Hospital 1 Hospital Dr, Columbia, MO 65212-0001 | 2020-06-19 |
| 1003432642 | Gregory Gaskey | Internal Medicine | University of Missouri Hospital One Hospital Drive, Columbia, MO 65212-0001 | 2020-06-19 |
| 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.