UNIVERSITY PEDIATRICS (NPI# 1194769992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194769992 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PEDIATRICS |
| Practice Address |
8301 Farrow Rd Columbia SC 29203-3245 |
| Mailing Address |
15 Medical Park Suite 300 Columbia SC 29203-6843 |
| Practice Telephone | 8039355604 |
| Practice Fax Number | 8039355380 |
| Mailing Telephone | 8032553410 |
| Mailing Fax Number | 8032560977 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2009-09-15 |
| Authorized Official Name | R. CAUGHMAN TAYLOR (CHAIR) |
| Authorized Official Telephone | 8034347950 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DRC001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609102649 | University Pediatrics | Pediatrics | 10545 Blair Rd, Suite 3200, Mint Hill, NC 28227-2800 | 2009-10-27 |
| 1841526837 | University Pediatrics | Pediatrics | 5727 Prosperity Crossing Dr, Ste 1500, Charlotte, NC 28269-2206 | 2009-10-26 |
| 1235356965 | University Pediatrics | Clinic/Center | 8451 Shade Ave, Suite 207, Sarasota, FL 34243-2878 | 2007-04-20 |
| 1013021617 | University Pediatrics | Pediatrics | 1200 E Genesee St, Ste 209, Syracuse, NY 13210-1968 | 2006-08-19 |
| 1073541124 | University Pediatrics | Pediatrics | 101 E W T Harris Blvd, Ste 1121, Charlotte, NC 28262-3485 | 2006-06-29 |
| 1083657233 | University Pediatrics | Pediatrics | 9 Medical Park, Suite 200a, Columbia, SC 29203-6859 | 2006-06-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | UNIVERSITY PEDIATRICS, INC. (MERGED OUT) | One South Prospect St., Burlington, VT 05401 |
| Street Address |
8301 FARROW RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184675316 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2006-05-12 |
| 1447637798 | University of South Carolina | Pediatrics | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2015-05-06 |
| 1801157870 | Sharon K Evans | Nurse Practitioner | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2012-06-06 |
| 1205165792 | Abdul Qayoom Manghi | Internal Medicine | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2009-12-14 |
| 1740416676 | Manorama Mishra | General Practice | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2009-06-05 |
| 1326189481 | Sc Ddsn (midlands Center) | Intermediate Care Facility, Mentally Retarded | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2007-02-10 |
| 1184765612 | Wing Wang | Nurse Practitioner | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2007-02-09 |
| 1124113170 | Stephanie Eyvette Averette | Nurse Practitioner | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2006-10-04 |
| 1770513103 | Kathryn S Mock | Nurse Practitioner | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2006-07-03 |
| 1336178227 | Donald F Wuori | Pediatrics | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2006-07-02 |
| 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 | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023407996 | Eau Claire Cooperative Health Center, Inc. | Pediatrics | 4601 Monticello Road, Columbia, SC 29203 | 2015-01-15 |
| 1417985177 | Lawrence Kenneth Siegel | Pediatrics | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2006-06-29 |
| 1457848848 | Prisma Health Medical Group-midlands | Pediatrics | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2018-04-20 |
| 1447637798 | University of South Carolina | Pediatrics | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2015-05-06 |
| 1669615332 | Stacey M Cobb | Pediatrics | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2009-04-10 |
| 1710917372 | Shelly Deanne Brigman | Pediatrics | 4605 Monticello Rd, Building B Ste.2, Columbia, SC 29203-4156 | 2006-07-03 |
| 1336178227 | Donald F Wuori | Pediatrics | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2006-07-02 |
| 1336175603 | Graeme Henry Johnson | Pediatrics | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134164437 | Tuomey Medical Professionals, Inc | Pediatrics | 250 W Wesmark Blvd, Sumter, SC 29150-1986 | 2006-06-19 |
| 1518917061 | Rae Lynne Hornsby | Pediatrics | 142 Milestone Way, Greenville, SC 29615-5065 | 2006-05-12 |
| 1639127673 | Susan Walden Md Pa | Pediatrics | 55 Alston Rd, Pawleys Island, SC 29585 | 2006-05-04 |
| 1649261462 | Greenwood Genetics Center, Inc. | Pediatrics | 106 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2005-11-01 |
| 1073506333 | Frank Reginald Brown IIi | Pediatrics | 305 E Cheves St, Suite 330, Florence, SC 29506-2610 | 2005-08-23 |
| 1629688171 | Metta Vita Health LLC | Pediatrics | 331 E Main St Ste 200, Rock Hill, SC 29730-5384 | 2020-08-08 |
| 1114483294 | Samantha Lynn Cliborne | Pediatrics | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2019-02-14 |
| 1841644077 | Sara Elizabeth Lilly | Pediatrics | 701 Grove Rd Fl 5, Greenville, SC 29605-4210 | 2016-04-13 |
| 1073875670 | Silvia Pereira-smith | Pediatrics | 171 Ashley Ave, Charleston, SC 29425 | 2012-06-11 |
| 1972810539 | Anacani Fonseca | Pediatrics | 135 Rutledge Ave, Msc 567, Charleston, SC 29425-8903 | 2010-09-02 |
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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.