PALMETTO HEALTH (NPI# 1467612903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467612903 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH |
| Other Organization Name | PARKRIDGE URGENT CARE |
| Practice Address |
100 Palmetto Health Pkwy Suite 104 Columbia SC 29212-1753 |
| Mailing Address |
Po Box 402145 Atlanta GA 30384-2145 |
| Practice Telephone | 8034345668 |
| Practice Fax Number | 8034345669 |
| Mailing Telephone | 8032967305 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2013-06-05 |
| Authorized Official Name | MR. DARRELL C COVEN (DIRECTOR - BUSINESS DEV/FINANCE) |
| Authorized Official Telephone | 8032967301 |
| Is Organization Subpart | Y |
| Parent Organization Name | PALMETTO HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP5000 | 05 |
| Other Name | Type Code |
|---|---|
| Parkridge Urgent Care | 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 |
100 PALMETTO HEALTH PKWY SUITE 104 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447221098 | Eric N Hutto | Family Medicine | 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212-1753 | 2006-01-31 |
| 1184157356 | Sara Mae Delaney Nelson-owens | Family Medicine | 100 Palmetto Health Pkwy, Columbia, SC 29212-1753 | 2017-04-05 |
| 1457802985 | Palmetto Health | Orthopaedic Surgery | 100 Palmetto Health Pkwy, Suite 320, Columbia, SC 29212-1753 | 2016-10-19 |
| 1336507623 | Sara Brittany Woodberry | Nurse Practitioner | 100 Palmetto Health Pkwy, Suite 104, Columbia, SC 29212-1753 | 2016-02-02 |
| 1487040192 | Columbia Gastroenterology Associates | Clinic/Center | 100 Palmetto Health Pkwy, Suite 102, Columbia, SC 29212-1753 | 2015-04-09 |
| 1649511320 | Palmetto Health | Family Medicine | 100 Palmetto Health Pkwy, Suite 250b, Columbia, SC 29212-1753 | 2013-03-06 |
| 1366781163 | Michelle Lyn Blakley | Nurse Practitioner | 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212-1753 | 2013-02-14 |
| 1063783942 | James Thomas Miller | Nurse Practitioner | 100 Palmetto Health Pkwy, Columbia, SC 29212 | 2012-01-24 |
| 1659571347 | Carlos Miguel Torres | Family Medicine | 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212-1753 | 2007-07-20 |
| 1669678140 | University Specialty Clinics - Ophthalmology | Eyewear Supplier (Equipment, not the service) | 100 Palmetto Health Pkwy, Suite 350, Columbia, SC 29212-1753 | 2007-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
| 1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
| 1467975102 | Shelby Clemmer | Behavior Technician | 2 Harbison Way, Columbia, SC 29212 | 2017-07-25 |
| 1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
| 1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
| 1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
| 1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
| 1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
| 1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
| 1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
| Find all providers in zip 29212 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053972349 | Alanna Diamond | Emergency Medicine | One Hospital Drive Emergency Medicine M652 Dc029.10, Columbia, MO 65212-0001 | 2019-06-26 |
| 1942867767 | Robert Lee Stanley | Emergency Medicine | Emergency Medicine Dept, 14 Medical Park, Ste 350, Columbia, SC 29203 | 2019-05-28 |
| 1013573146 | Michael Habhab | Emergency Medicine | 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212-0001 | 2019-05-14 |
| 1790349355 | Romie Sarand Barnes | Emergency Medicine | Emergency Medicine Administration, 14 Medical Park, Ste 350, Columbia, SC 29203 | 2019-04-29 |
| 1043730716 | Ian James Becker | Emergency Medicine | 1 Hospital Dr # Dc029.10, Columbia, MO 65212-1000 | 2017-06-23 |
| 1487002523 | Christopher Adam Waranch | Emergency Medicine | University of Missouri Columbia, Department of Emergency Medicine, Columbia, MO 65212-0001 | 2016-05-31 |
| 1639542202 | Doctors Care Sc, Pa | Emergency Medicine | 1538 Main St, Columbia, SC 29201-2808 | 2015-11-04 |
| 1548649627 | Brian Edward Snyder | Emergency Medicine | 14 Medical Park, Ste 350 Emergency Medicine Department, Columbia, SC 29203 | 2015-05-22 |
| 1447664974 | Christopher Daniel Kohls | Emergency Medicine | 14 Medical Park Ste 350, Emergency Medicine Dept, Columbia, SC 29203 | 2014-06-12 |
| 1407268113 | James Fallin | Emergency Medicine | 14 Medical Park, Ste 350, Emergency Medicine Dept, Columbia, SC 29203 | 2014-05-29 |
| 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.