DR. STEPHEN HARMES HUMPHREY (NPI# 1235138819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235138819 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN HARMES HUMPHREY |
| Credential | M.D. |
| Practice Address |
1655 Bernardin Ave Suite 220 Columbia SC 29204-2039 |
| Practice Telephone | 8032545038 |
| Practice Fax Number | 8033765883 |
| Mailing Telephone | 8032545038 |
| Mailing Fax Number | 8033765883 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
11061 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 110616 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184776163 | Stephen Michael Humphrey | Psychologist | 602 New Britain Ave, Hartford, CT 06106-4033 | 2007-01-18 |
| 1154379428 | Stephen M. Humphrey | Radiology | 10614 N Port Washington Rd, Mequon, WI 53092-5013 | 2006-05-05 |
| 1710984570 | Stephen S Humphrey | Urology | 2145 N Fairfield Rd, Ste B, Beavercreek, OH 45431-2580 | 2005-07-07 |
| 1154605640 | Stephen Howard Humphrey | Pharmacist | 2209 Richmond Rd, Lexington, KY 40502-1306 | 2011-10-04 |
| 1417246257 | Stephen Raymond Humphrey | Dermatology | 9000 W Wisconsin Ave, Pediatric Dermatology, Milwaukee, WI 53226-4874 | 2011-04-01 |
| 1689647539 | Stephen R Humphrey | Dentist | 10001 N Washington St, Thornton, CO 80229-2050 | 2006-02-10 |
| Street Address |
1655 BERNARDIN AVE SUITE 220 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194264465 | Anna M Evans | Nurse Practitioner | 1655 Bernardin Ave, Pmob 3 Suite 220, Columbia, SC 29204-2039 | 2017-02-19 |
| 1760934673 | Falguni Patel | Physician Assistant | 1655 Bernardin Ave, Ste 240, Columbia, SC 29204-2039 | 2016-10-26 |
| 1396192001 | Providence Group Practices II, LLC | Internal Medicine | 1655 Bernardin Ave, Ste 220, Columbia, SC 29204-2039 | 2016-05-23 |
| 1689034548 | Providence Physician Practices LLC | Plastic Surgery | 1655 Bernardin Ave, Ste 110, Columbia, SC 29204-2039 | 2016-03-04 |
| 1790143766 | Providence Physician Practices LLC | Internal Medicine | 1655 Bernardin Ave, Ste 350, Columbia, SC 29204-2039 | 2016-02-05 |
| 1629457650 | Palmetto Pain Management, LLC | Non-Pharmacy Dispensing Site | 1655 Bernardin Ave, Suite 240, Columbia, SC 29204-2039 | 2015-05-22 |
| 1023410370 | Sabrina Marina Hilbert | Nurse Practitioner | 1655 Bernardin Ave, Suite 350, Columbia, SC 29204-2039 | 2014-09-18 |
| 1568899581 | Augustine Health Group | Surgery | 1655 Bernardin Ave, Suite 110, Columbia, SC 29204-2039 | 2013-10-04 |
| 1073833489 | Providence Pulmonary Specialists, LLC | Internal Medicine | 1655 Bernardin Ave, Suite 350, Columbia, SC 29204-2039 | 2010-06-08 |
| 1831414481 | Beau Taylor Bryan | Ophthalmology | 1655 Bernardin Ave, Suite 100, Columbia, SC 29204-2039 | 2010-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1376050534 | Khoury Cardiology, Pa | Internal Medicine | 151 Saluda Ave, Columbia, SC 29205-3080 | 2018-01-09 |
| 1669919247 | Hari Gnanasekeram, PC | Internal Medicine | 207 Zeigler St, Columbia, SC 29217-0001 | 2017-01-20 |
| 1033514120 | Palmetto Health | Internal Medicine | 6 Richland Medical Park Dr, Suite 2100, Columbia, SC 29203-6864 | 2014-10-31 |
| 1639516636 | Namit Rohant | Internal Medicine | 2 Medical Park Rd Ste 402, Columbia, SC 29203-6839 | 2013-05-30 |
| 1720358112 | William Fox | Internal Medicine | 11837 Winterlong Way, Columbia, MD 21044-4412 | 2012-01-03 |
| 1134418874 | Daniel A Kim | Internal Medicine | 10710 Charter Dr Ste 400, Columbia, MD 21044 | 2011-04-04 |
| 1730321035 | Columbia Cardiology, LLC | Internal Medicine | 130 Corporate Blvd, Columbia, SC 29204 | 2009-04-01 |
| 1447415211 | Anil Purohit | Internal Medicine | 6 Richland Medical Park Drive Suite 2100, Columbia, SC 29203 | 2008-07-22 |
| 1679740195 | Warren F Holland | Internal Medicine | 3628 Cassina Cir, Columbia, SC 29205-1854 | 2008-05-14 |
| 1386826824 | Sirisha Donekal | Internal Medicine | 11055 Little Patuxent Pkwy Ste 205, Columbia, MD 21044 | 2007-11-27 |
| 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.