PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP (NPI# 1205325883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205325883 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Practice Address |
9 Richland Medical Park Dr Ste 110 Columbia SC 29203-6859 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034347940 |
| Practice Fax Number | 8034342262 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | WILLIAM D. ANDERSON III, (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8035455005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP7530 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245720747 | Palmetto Health - University of South Carolina Medical Group | Urology | 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203-6870 | 2018-05-10 |
| 1295224871 | Palmetto Health - University of South Carolina Medical Group | Nurse Practitioner | 2113 Adams Grv Ste 200, Columbia, SC 29203-6957 | 2018-05-09 |
| 1235614462 | Palmetto Health - University of South Carolina Medical Group | Family Medicine | 116 Hospital Sq, Bishopville, SC 29010-7081 | 2018-10-03 |
| 1295211894 | Palmetto Health - University of South Carolina Medical Group | Family Medicine | 115 N Sumter St Ste 315, Sumter, SC 29150-4967 | 2018-07-17 |
| 1619468774 | Palmetto Health - University of South Carolina Medical Group | Surgery | 1850 Laurel St, Columbia, SC 29201-2627 | 2018-05-24 |
| 1164913224 | Palmetto Health - University of South Carolina Medical Group | Internal Medicine | 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 | 2018-05-24 |
| 1437649936 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 14 Richland Medical Park Dr Ste 400, Columbia, SC 29203-6878 | 2018-05-10 |
| 1154811651 | Palmetto Health - University of South Carolina Medical Group | Surgery | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2018-05-10 |
| 1144710641 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 9 Richland Medical Park Drive, Suite 260, Columbia, SC 29203 | 2018-05-10 |
| 1134619638 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 9 Richland Medical Park Dr Ste 230, Columbia, SC 29203-6859 | 2018-05-10 |
| Street Address |
9 RICHLAND MEDICAL PARK DR STE 110 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669455911 | Srinadh O Rao | Pediatrics | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203 | 2005-11-21 |
| 1912496597 | Palmetto Health - University of South Carolina Medical Group | Psychiatry & Neurology | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2018-05-09 |
| 1174072755 | Leah Mitchell | Nurse Practitioner | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2016-09-23 |
| 1912453267 | Elizabeth Derks | Dietitian, Registered | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2016-08-28 |
| 1437566718 | Cecilia Fernandes | Pediatrics | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2014-07-17 |
| 1497188635 | Weston Lee Rice | Nurse Practitioner | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2013-08-12 |
| 1164719894 | Margaret Alexander Gray | Pediatrics | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2011-07-01 |
| 1376863654 | Alyssa S Cogdill | Nurse Practitioner | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2010-06-09 |
| 1538485032 | Catherine Williford Sechrist | Pediatrics | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2010-04-09 |
| 1376710970 | Mary Lee Gregory | Psychiatry & Neurology | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203 | 2008-05-13 |
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| 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 | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458943 | Allan James Shapiro | Pediatrics | 500 N Keene St, Ste 207, Columbia, MO 65201-8105 | 2005-06-21 |
| 1164719894 | Margaret Alexander Gray | Pediatrics | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2011-07-01 |
| 1346371143 | Peter Cummins Dyke II | Pediatrics | 500 N Keene St, Suite 207, Columbia, MO 65201-8104 | 2007-03-07 |
| 1275563629 | Luther Chase Williams IIi | Pediatrics | 9 Richland Medical Park Dr, Suite 110, Columbia, SC 29203-6859 | 2006-07-03 |
| 1104855089 | Matthew M Wienecke | Pediatrics | 9 Richland Medical Park Dr, Suite 200a, Columbia, SC 29203-6859 | 2006-07-02 |
| 1700815271 | Claudius Osborne Shuler IIi | Pediatrics | 9 Richland Medical Park Dr, Suite 110, Columbia, SC 29203-6859 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720640337 | Hiroo Kinami | Pediatrics | Csb 424, Msc 613, 96 Jonathan Lucas Street, Charleston, SC 29425-0001 | 2019-07-03 |
| 1578504015 | Angela Sharkey | Pediatrics | 200 Patewood Dr Ste A200, Greenville, SC 29615-3580 | 2006-06-08 |
| 1346554714 | Stern Cardiology PC | Pediatrics | 196 Cardiology Drive, Rock Hill, SC 29732-1174 | 2010-07-28 |
| 1609191121 | Carolinas Physicians Network Inc | Pediatrics | 1656 Riverchase Blvd, Suite 2500, Rock Hill, SC 29732-2084 | 2010-03-29 |
| 1053564997 | University Medical Associates | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1841411980 | Kimberly E Mchugh | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2007-05-02 |
| 1912060799 | John Flint Rhodes Jr. | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-3009 | 2006-12-19 |
| 1770663064 | Sinai Choi Zyblewski | Pediatrics | 171 Ashley Ave, Msc 915, Charleston, SC 29425 | 2006-10-17 |
| 1740378777 | George Hamilton Baker | Pediatrics | 165 Ashley Ave, Charleston, SC 29425-8905 | 2006-10-11 |
| 1699863811 | Susan Elizabeth Haynes | Pediatrics | 200 Patewood Dr Ste A200, Greenville, SC 29615-3580 | 2006-10-11 |
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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.