DR. MICHAEL DENNIS DALLMAN (NPI# 1740361930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740361930 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DENNIS DALLMAN |
| Credential | M.D. |
| Practice Address |
9 Richland Medical Park Dr Ste 530 Columbia SC 29203-6870 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034344603 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
29039 | SC | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
22050 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE | SCB292F935 | 01 |
| MS | 06407309 | 05 | |
| SC | 290394 | 05 | |
| AL | 146735 | 05 | |
| LA | 2357395 | 05 | |
| SC | MEDICARE | SCB2925742 | 01 |
| Street Address |
9 RICHLAND MEDICAL PARK DR STE 530 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699263335 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 9 Richland Medical Park Dr Ste 530, Columbia, SC 29203-6870 | 2018-04-27 |
| 1235290693 | Jason Russell Peck | Pediatrics | 9 Richland Medical Park Dr Ste 530, Columbia, SC 29203-6870 | 2006-12-12 |
| 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 | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093795353 | Robert D Hubbird | Pediatrics | 3 Medical Park Rd, 110, Columbia, SC 29203-6873 | 2006-01-20 |
| 1477809523 | Salim A S Aljabari | Pediatrics | 404 N Keene St, Columbia, MO 65201-6626 | 2012-07-26 |
| 1194743856 | Palmetto Health | Pediatrics | 9 Medical Park, Suite 530, Columbia, SC 29203-6859 | 2006-07-18 |
| 1710932678 | Patricia C Wankum | Pediatrics | 404 N Keene St, Columbia, MO 65201-6626 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033384516 | Steven David Mcswain | Pediatrics | 171 Ashley Avene, Charleston, SC 29425-0001 | 2008-04-25 |
| 1467794867 | Allison Marie Whalen | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-4319 | 2013-03-23 |
| 1093063349 | Whitney Erin Marvin | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2012-08-16 |
| 1548413453 | University Medical Associates | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1548471006 | Sami Elias Rishmawi | Pediatrics | 101 E Wood St, Suite 401, 4 Center, Spartanburg, SC 29303-3040 | 2007-05-25 |
| 1104920537 | Melissa C Evans | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0100 | 2006-09-07 |
| 1487762332 | Joel B Cochran | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1043328990 | Anne S Abel | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1750499794 | Fred Tecklenburg | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1699883645 | David Habib | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
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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.