PRISMA HEALTH MEDICAL GROUP-MIDLANDS (NPI# 1538680004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538680004 |
| Entity Type | Organization |
| Organization Name | PRISMA HEALTH MEDICAL GROUP-MIDLANDS |
| Other Organization Name | PH MEDICAL GROUP MIDLANDS |
| Practice Address |
300 Palmetto Health Pkwy Ste 200 Columbia SC 29212-1762 |
| Mailing Address |
Po Box 22265 Belfast ME 04915-4473 |
| Practice Telephone | 8034346812 |
| Practice Fax Number | 8034347306 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032965928 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | KRISTI LAWRENCE (DIRECTOR-PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 8643854790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
SC | Allopathic & Osteopathic Physicians | |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
SC | Allopathic & Osteopathic Physicians | |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
SC | Allopathic & Osteopathic Physicians | |
| Y | 207X00000X | Orthopaedic Surgery | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP8162 | 05 | |
| SC | DME MEDICAID | DE3877 | 01 |
| SC | DME MEDICARE PTAN | 7660520005 | 01 |
| Other Name | Type Code |
|---|---|
| PH Medical Group Midlands | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518455252 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 100 N Sumter St Ste 200, Sumter, SC 29150-4975 | 2018-04-27 |
| 1992226534 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 101 Business Park Blvd Fl 2, Columbia, SC 29203-8401 | 2017-07-05 |
| 1255852901 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 100 Palmetto Health Pkwy Ste 320, Columbia, SC 29212-1756 | 2017-07-03 |
| 1285678078 | Prisma Health Medical Group-midlands | Pediatrics | 9 Richland Medical Park Dr Ste 410, Columbia, SC 29203-6859 | 2006-06-15 |
| 1417442864 | Prisma Health Medical Group-midlands | Dentist | 10 Richland Medical Park Dr Ste A, Columbia, SC 29203-6892 | 2018-06-28 |
| 1003307166 | Prisma Health Medical Group-midlands | Internal Medicine | 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203-8008 | 2018-05-24 |
| 1447749510 | Prisma Health Medical Group-midlands | Family Medicine | 115 N Sumter St Ste 115, Sumter, SC 29150 | 2018-05-04 |
| 1295222503 | Prisma Health Medical Group-midlands | Oral & Maxillofacial Surgery | 3304 Forest Dr, Columbia, SC 29204-4024 | 2018-04-23 |
| 1457848848 | Prisma Health Medical Group-midlands | Pediatrics | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2018-04-20 |
| 1871080283 | Prisma Health Medical Group-midlands | Hospitalist | 115 N Sumter St Ste 400, Sumter, SC 29150-4971 | 2018-04-20 |
| Street Address |
300 PALMETTO HEALTH PKWY STE 200 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212-1762 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1912523085 | Julia Anne Prodoehl | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Surgery, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-24 |
| 1285253336 | Providence Physician Practices LLC | Orthopaedic Surgery | 114 Gateway Corporate Blvd Ste 220a, Columbia, SC 29203-9785 | 2020-04-09 |
| 1528627346 | John Charles Sharpe | Orthopaedic Surgery | Orthopaedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2019-06-06 |
| 1578054383 | Michael Jefferson Spitnale | Orthopaedic Surgery | Orthopedic Surgery Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2018-05-29 |
| 1669901997 | Patrick David Rowan | Orthopaedic Surgery | 1100 Virginia Avenue Dc 953 00, Columbia, MO 65212-0001 | 2017-06-09 |
| 1699156760 | Paul Hutchinson | Orthopaedic Surgery | 1100 Virginia Ave Rm 4056, Columbia, MO 65212-0001 | 2015-06-15 |
| 1053722652 | Thomas Jenner Huber | Orthopaedic Surgery | 3250 Pulaski Hwy, Columbia, TN 38401-8516 | 2014-05-16 |
| 1437597325 | Hari O Gupta | Orthopaedic Surgery | 10700 Charter Dr Ste 140, Columbia, MD 21044-3631 | 2013-06-13 |
| 1487901807 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 1215 Highway 98 Byp, Columbia, MS 39429-3702 | 2012-08-06 |
| 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.