PALMETTO HEALTH UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP (NPI# 1649761792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649761792 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Practice Address |
8 Richland Medical Park Dr Ste 400 Columbia SC 29203-8004 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8037650871 |
| Practice Fax Number | 8037659215 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |
| Authorized Official Name | WILLIAM D. ANDERSON III, (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8035455005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP7530 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053817320 | Palmetto Health University of South Carolina Medical Group | Family Medicine | 3600 Forest Dr Fl 3, Columbia, SC 29204-4052 | 2018-04-04 |
| Street Address |
8 RICHLAND MEDICAL PARK DR STE 400 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-8004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518935543 | Edwin Lionel Schmidt Jr. | Physician Assistant | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2006-03-08 |
| 1225671860 | Mikaila Szwed | Physician Assistant | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2019-10-28 |
| 1649789462 | Jennifer Lynn Fox | Nurse Practitioner | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2017-09-25 |
| 1508386566 | Benjamin Jacob Paulin | Physician Assistant | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2017-06-21 |
| 1205211430 | Katie L Fitzgerald | Nurse Practitioner | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2015-07-29 |
| 1053661348 | Jessica Leigh Wilson | Physician Assistant | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203 | 2012-09-13 |
| 1841427838 | Jeri Lynn Long | Nurse Practitioner | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2009-06-17 |
| 1821204363 | Firas Fuad Mussa | Surgery | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203 | 2007-05-14 |
| 1750412607 | James M. Grimes | Physician Assistant | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2007-03-09 |
| 1215071527 | James Ryan Burke | Surgery | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2007-02-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679519144 | Palmetto Health | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8 Richland Medical Park, Suite 400, Columbia, SC 29203-8006 | 2006-06-21 |
| 1710976410 | Andrew A Rich | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 800 Hospital Dr., Harry S. Truman Memorial Veterans Hospital, Columbia, MO 65201 | 2005-10-17 |
| 1295391498 | Center for Vein Restoration Sc LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1725 Devonshire Dr, Columbia, SC 29204-2404 | 2019-05-13 |
| 1669955001 | Sebastian David Wiesemann | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Hospital Dr., Mc 413, Columbia, MO 65212-1000 | 2018-09-12 |
| 1770941742 | Providence Physician Practices LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2750 Laurel St, Ste 305, Columbia, SC 29204-2038 | 2016-02-05 |
| 1760824924 | Takashi Murashita | Thoracic Surgery (Cardiothoracic Vascular Surgery) | One Hospital Drive, Columbia, MO 65212-0001 | 2013-07-29 |
| 1629301163 | Chas Physician Services LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1600 E Broadway, Columbia, MO 65201-5844 | 2009-09-16 |
| 1588848014 | W. Mike See Md PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1705 E Broadway, 340, Columbia, MO 65201-7166 | 2007-12-19 |
| 1972694388 | Xingyi Que | Thoracic Surgery (Cardiothoracic Vascular Surgery) | One Hospital Drive, Columbia, MO 65212 | 2006-09-28 |
| 1669577979 | Maryland Vein Professionals, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8860 Columbia 100 Pkwy, Suite 216, Columbia, MD 21045-2195 | 2006-09-13 |
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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.