PROVIDENCE CARDIOLOGY (NPI# 1649605247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649605247 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE CARDIOLOGY |
| Practice Address |
108 Palmetto Park Blvd Lexington SC 29072-7968 |
| Mailing Address |
2001 Laurel St Columbia SC 29204-1018 |
| Practice Telephone | 8032543278 |
| Practice Fax Number | 8032552715 |
| Mailing Telephone | 8032543278 |
| Mailing Fax Number | 8032552715 |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |
| Authorized Official Name | KATHLEEN L KOENIG (CFO) |
| Authorized Official Telephone | 8032543278 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROVIDENCE CARDIOLOGY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427391952 | Providence Cardiology | Internal Medicine | 2351 Augusta Hwy, Lexington, SC 29072-2213 | 2013-04-03 |
| 1518248459 | Providence Cardiology | Internal Medicine | 2001 Laurel St, Columbia, SC 29204-1018 | 2011-09-06 |
| Street Address |
108 PALMETTO PARK BLVD |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29072-7968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851343065 | Carolina Cardiovascular Associates Pa | Internal Medicine | 108 Palmetto Park Blvd, Ste D, Lexington, SC 29072-7968 | 2006-05-16 |
| 1093326985 | Lauren Taylor Lollar | Counselor | 108 Palmetto Park Blvd, Lexington, SC 29072-7968 | 2020-08-13 |
| 1215416870 | Katie Brave | Counselor | 108 Palmetto Park Blvd, Lexington, SC 29072-7968 | 2018-08-13 |
| 1891292330 | Stephanie Helbeck Cornfield | Social Worker | 108 Palmetto Park Blvd, Lexington, SC 29072-7968 | 2018-04-11 |
| 1790284636 | Yiasha L Edwards | Counselor | 108 Palmetto Park Blvd, Lexington, SC 29072-7968 | 2018-02-06 |
| 1952823916 | Vincent Albano | Specialist/Technologist | 108 Palmetto Park Blvd, Lexington, SC 29072-7968 | 2017-07-12 |
| 1043730757 | Kendra Speckman | Counselor | 108 Palmetto Park Blvd, Lexington, SC 29072-7968 | 2017-06-23 |
| 1609302355 | Justin Suddeth | Counselor | 108 Palmetto Park Blvd, Lexington, SC 29072-7968 | 2017-05-02 |
| 1457702144 | Alta Jordan | Nurse Practitioner | 108 Palmetto Park Blvd, Suite C, Lexington, SC 29072-7968 | 2016-06-24 |
| 1245685437 | Jerry Cue | Behavioral Analyst | 108 Palmetto Park Blvd, Lexington, SC 29072-7968 | 2016-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
| 1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
| 1962973768 | William R. Key | Counselor | Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 | 2018-12-06 |
| 1639651961 | Lindsey Terry | Social Worker | 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 | 2018-09-04 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1649781857 | Constance Jean Lynch | Occupational Therapist | 800 North Lake Boulevard, Lexington, SC 29072 | 2017-10-14 |
| Find all providers in zip 29072 | ||||
| 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 |
|---|---|---|---|---|
| 1437517182 | Regional Physicians LLC | Internal Medicine | 103 W Center St, Lexington, NC 27292 | 2016-02-09 |
| 1699116814 | Jimmarck Perel Castisimo Cuenta | Internal Medicine | 144 Forest Hill Rd Ste 144&146, Lexington, NC 27295 | 2013-07-16 |
| 1972842201 | Francis Attah Benn | Internal Medicine | 900 S Limestone Ctw 326, Lexington, KY 40536-3609 | 2013-02-06 |
| 1578827630 | Ahmad Ramy Elashery | Internal Medicine | 900 S Limestone St Ctw 326, Lexington, KY 40536-5805 | 2012-07-03 |
| 1962730499 | Emma J Birks | Internal Medicine | Uk Gill Heart Institute, 800 Rose St, Lexington, KY 40536-0294 | 2009-11-20 |
| 1083850069 | Forsyth Medical Group, LLC | Internal Medicine | 208 W Center St Ste B, Lexington, NC 27292-3046 | 2008-12-23 |
| 1740444520 | Charles R. Salters Jr. | Internal Medicine | 900 S Limestone Ctw 324, Lexington, KY 40536-0200 | 2008-07-11 |
| 1356515142 | Damien Maxfield Marycz | Internal Medicine | Graduate Medical Education 800 Rose Street, Lexington, KY 40536-0001 | 2008-04-14 |
| 1518181239 | Ahmed Abdel-latif | Internal Medicine | Gill Heart Institute University of Kentucky, 800 Rose Street, Ste. G100, Lexington, KY 40536-0001 | 2007-04-12 |
| 1114070422 | Bruce H Coyer | Internal Medicine | 114 Pasadena Dr, Lexington, KY 40503-2907 | 2007-01-19 |
| Find all providers in LEXINGTON | ||||
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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.