PALMETTO HEALTH (NPI# 1720483886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720483886 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH |
| Other Organization Name | HEALING WATERS AT PALMETTO HEALTH |
| Practice Address |
300 Palmetto Health Pkwy Suite 103 Columbia SC 29212-1761 |
| Mailing Address |
Po Box 402145 Atlanta GA 30384-2145 |
| Practice Telephone | 8039077100 |
| Practice Fax Number | 8039077109 |
| Mailing Telephone | 8032967305 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |
| Authorized Official Name | MR. DARRELL C COVEN (AMBULATORY SERVICES-FINANCE) |
| Authorized Official Telephone | 8032967301 |
| Is Organization Subpart | Y |
| Parent Organization Name | PALMETTO HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Healing Waters at Palmetto Health | 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 |
300 PALMETTO HEALTH PKWY SUITE 103 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212-1761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548260946 | Sharon Lynette Aldrich | Obstetrics & Gynecology | 300 Palmetto Health Pkwy, Suite 300, Columbia, SC 29212-1759 | 2005-07-28 |
| 1699140988 | Palmetto Health | Counselor | 300 Palmetto Health Pkwy, Ste 118, Columbia, SC 29212-1761 | 2015-12-11 |
| 1275848897 | Electra Chante Bradshaw Graham | Obstetrics & Gynecology | 300 Palmetto Health Pkwy, Suite 300, Columbia, SC 29212-1759 | 2010-08-09 |
| 1396873329 | Michelle Buckler Gee | Obstetrics & Gynecology | 300 Palmetto Health Pkwy, Suite 300, Columbia, SC 29212-1759 | 2007-03-01 |
| 1063487999 | Audrey F Miller | Specialist | 300 Palmetto Health Pkwy, Suite 300, Columbia, SC 29212-1759 | 2006-02-22 |
| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574839 | Tarik Mujadzic | Plastic Surgery | Plastic Surgery, 2 Medical Park, Ste 300, Columbia, SC 29203 | 2019-05-28 |
| 1710166574 | Sarah A. Mess, Md, LLC | Plastic Surgery | 10700 Charter Dr Ste 330, Columbia, MD 21044-3695 | 2007-10-29 |
| 1629117700 | Gregory H Croll | Plastic Surgery | 1504 E Bdwy, Ste 214, Columbia, MO 65201 | 2007-02-06 |
| 1073667085 | Elliott Ho Chen | Plastic Surgery | 2 Medical Park Rd Ste 302, Columbia, SC 29203-6839 | 2007-01-23 |
| 1568476711 | Peter C Haines | Plastic Surgery | 300 Palmetto Health Pkwy Ste 100, Columbia, SC 29212-1761 | 2006-07-27 |
| 1336191931 | Richard J. Wassermann | Plastic Surgery | 1220 Blanding St, Columbia, SC 29201-2816 | 2006-05-16 |
| 1154394260 | Gregory Alan Sexton | Plastic Surgery | 1708 Laurel St, Columbia, SC 29201 | 2006-02-09 |
| 1972509925 | Donen Davis | Plastic Surgery | 1850 Laurel St, Ste B, Columbia, SC 29201-2627 | 2005-06-23 |
| 1144880337 | Branden Stephens | Plastic Surgery | 100 Matc, Columbia, MO 65203 | 2019-06-19 |
| 1689034548 | Providence Physician Practices LLC | Plastic Surgery | 1655 Bernardin Ave, Ste 110, Columbia, SC 29204-2039 | 2016-03-04 |
| 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.