PALMETTO HEALTH (NPI# 1245510122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245510122 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH |
| Other Organization Name | PALMETTO SURGICAL ASSOCIATES |
| Practice Address |
1333 Taylor St Suite 3a Columbia SC 29201-2923 |
| Mailing Address |
Po Box 402145 Atlanta GA 30384-2145 |
| Practice Telephone | 8032544707 |
| Practice Fax Number | 8032541198 |
| Mailing Telephone | 8032967305 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-11-04 |
| Authorized Official Name | MR. DARRELL C COVEN (DIRECTOR, AMBULATORY SERVICES-FINAN) |
| Authorized Official Telephone | 8032967301 |
| Is Organization Subpart | Y |
| Parent Organization Name | PALMETTO HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP5778 | 05 |
| Other Name | Type Code |
|---|---|
| Palmetto Surgical Associates | 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 |
1333 TAYLOR ST SUITE 3A |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871571729 | Joseph D Love | Internal Medicine | 1333 Taylor St, Ste 6f, Columbia, SC 29201-2923 | 2006-01-02 |
| 1497296164 | Bogan Sleep Consultants | Internal Medicine | 1333 Taylor St, Suite 6b, Columbia, SC 29201-2923 | 2017-03-15 |
| 1609227974 | Gabrielle Rutherford | Nurse Practitioner | 1333 Taylor St, Suite 6f, Columbia, SC 29201-2923 | 2016-06-28 |
| 1104294438 | Erica Bartley | Registered Nurse | 1333 Taylor St, Suite 4-e, Columbia, SC 29201-2923 | 2015-09-03 |
| 1134520836 | Morgan Kanwisher | Nurse Practitioner | 1333 Taylor St, Suite 6f, Columbia, SC 29201-2923 | 2014-09-12 |
| 1740542364 | Joshua Schreiber | Nurse Anesthetist, Certified Registered | 1333 Taylor St, Columbia, SC 29201-2923 | 2012-06-10 |
| 1881967156 | Columbia Psychatric Associates | Social Worker | 1333 Taylor St, Suite 4h, Columbia, SC 29201-2923 | 2012-02-17 |
| 1043582471 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1333 Taylor St, 6c, Columbia, SC 29201-2923 | 2012-02-01 |
| 1104195759 | Palmetto Health | Psychiatry & Neurology | 1333 Taylor St, Suite 2a, Columbia, SC 29201-2923 | 2011-12-27 |
| 1700173390 | Vicky Ann Jervis-rozycki | Registered Nurse | 1333 Taylor St, Suite 4-e, Columbia, SC 29201-2923 | 2011-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801389788 | Michael Thomas Gibbons | Surgery | Surgery Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2018-06-14 |
| 1134623317 | Kuirong Jiang | Surgery | 1 Hospital Dr Rm Mc520, Columbia, MO 65212-1000 | 2018-03-21 |
| 1629576848 | Carolina Interventional Pain Institute, LLC | Surgery | 2611 Forest Dr Ste 100, Columbia, SC 29204-2371 | 2018-01-23 |
| 1578084349 | Shoaib Safiullah | Surgery | 1 Hospital Dr # Dc075.00, Columbia, MO 65212-1000 | 2017-07-03 |
| 1194117861 | Kaitlyn Marie Rountree | Surgery | 1 Hospital Dr # Mc404, Columbia, MO 65212-1000 | 2015-03-04 |
| 1215291604 | Rachel Alt | Surgery | One Hospital Drive, Dco75.00, Mc424, University of Missouri, Department of Surgery, Columbia, MO 65212 | 2012-06-29 |
| 1770847709 | Steven Junior Hermiz | Surgery | 1801 Sunset Blvd, Dept of Surg -, Columbia, SC 29203 | 2012-06-25 |
| 1003101684 | Patrick Davis | Surgery | 1222 Trotwood Ave Ste 603, Columbia, TN 38401 | 2011-06-13 |
| 1699086322 | Samantha Renee Cox | Surgery | 3 Richland Medical Park Dr Ste 330, Columbia, SC 29203 | 2010-06-28 |
| 1982837985 | Adair County Hospital District | Surgery | 902 Westlake Dr, Suite 107, Columbia, KY 42728-1149 | 2009-08-25 |
| 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.